JP6932727B2 - 骨を切断するための医療装置 - Google Patents

骨を切断するための医療装置 Download PDF

Info

Publication number
JP6932727B2
JP6932727B2 JP2018561246A JP2018561246A JP6932727B2 JP 6932727 B2 JP6932727 B2 JP 6932727B2 JP 2018561246 A JP2018561246 A JP 2018561246A JP 2018561246 A JP2018561246 A JP 2018561246A JP 6932727 B2 JP6932727 B2 JP 6932727B2
Authority
JP
Japan
Prior art keywords
section
tubular member
distal
support tube
proximal
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.)
Active
Application number
JP2018561246A
Other languages
English (en)
Japanese (ja)
Other versions
JP2019517854A5 (enExample
JP2019517854A (ja
Inventor
ディン、ジェナン
ガオ、シャオフイ
カン、ヒョシグ
Original Assignee
マコ サージカル コーポレーション
マコ サージカル コーポレーション
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by マコ サージカル コーポレーション, マコ サージカル コーポレーション filed Critical マコ サージカル コーポレーション
Publication of JP2019517854A publication Critical patent/JP2019517854A/ja
Publication of JP2019517854A5 publication Critical patent/JP2019517854A5/ja
Application granted granted Critical
Publication of JP6932727B2 publication Critical patent/JP6932727B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1626—Control means; Display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1631—Special drive shafts, e.g. flexible shafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00163—Optical arrangements
    • 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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/162—Chucks or tool parts which are to be held in a chuck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1622—Drill handpieces
    • A61B17/1624—Drive mechanisms therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1666—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1668—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • 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
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • 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
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1628—Motors; Power supplies
    • 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
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00309—Cut-outs or slits
    • 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
    • A61B17/00234—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
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/00725—Calibration or performance testing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B2017/1602—Mills
    • 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
    • A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
    • 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
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B2034/2055—Optical tracking systems
    • 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
    • A61B2034/2055—Optical tracking systems
    • A61B2034/2057—Details of tracking cameras
    • 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
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • 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
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • 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
    • A61B34/30—Surgical robots
    • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
    • A61B2034/306—Wrists with multiple vertebrae
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive 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
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
JP2018561246A 2016-05-23 2017-02-17 骨を切断するための医療装置 Active JP6932727B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662340184P 2016-05-23 2016-05-23
US62/340,184 2016-05-23
PCT/US2017/018488 WO2017204869A1 (en) 2016-05-23 2017-02-17 Medical device for cutting bone

Publications (3)

Publication Number Publication Date
JP2019517854A JP2019517854A (ja) 2019-06-27
JP2019517854A5 JP2019517854A5 (enExample) 2020-03-26
JP6932727B2 true JP6932727B2 (ja) 2021-09-08

Family

ID=58192408

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018561246A Active JP6932727B2 (ja) 2016-05-23 2017-02-17 骨を切断するための医療装置

Country Status (7)

Country Link
US (1) US10603047B2 (enExample)
EP (1) EP3463112B1 (enExample)
JP (1) JP6932727B2 (enExample)
KR (1) KR102687804B1 (enExample)
CN (1) CN109561901B (enExample)
AU (1) AU2017269557B2 (enExample)
WO (1) WO2017204869A1 (enExample)

Families Citing this family (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361067B2 (en) 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
WO2010036865A2 (en) 2008-09-26 2010-04-01 Relievant Medsystems, Inc. Systems and methods for navigating an instrument through bone
US10028753B2 (en) 2008-09-26 2018-07-24 Relievant Medsystems, Inc. Spine treatment kits
AU2012362524B2 (en) 2011-12-30 2018-12-13 Relievant Medsystems, Inc. Systems and methods for treating back pain
US10588691B2 (en) 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
WO2014071161A1 (en) 2012-11-05 2014-05-08 Relievant Medsystems, Inc. System and methods for creating curved paths through bone and modulating nerves within the bone
US9724151B2 (en) 2013-08-08 2017-08-08 Relievant Medsystems, Inc. Modulating nerves within bone using bone fasteners
US10499995B2 (en) * 2015-02-02 2019-12-10 Louis FERREIRA Navigation by bending forces
CN109688963B (zh) 2016-07-15 2021-08-06 马科外科公司 用于机器人辅助修正程序的系统
EP3515332B1 (en) * 2016-09-26 2022-08-03 KLSMC Instruments, LLC Arthroscopic drill
US11129679B2 (en) 2017-11-14 2021-09-28 Mako Surgical Corp. Fiber optic tracking system
CA3094068C (en) * 2018-06-27 2023-09-19 Wright Medical Technology, Inc. Burr with irrigation and imaging
US11389184B2 (en) * 2018-08-06 2022-07-19 Medtronic Xomed, Inc. System and method for connecting an instrument
NL2021823B1 (en) * 2018-10-16 2020-05-13 Fortimedix Assets Ii B V Steerable instrument comprising a tube element
KR102120943B1 (ko) * 2018-11-09 2020-06-09 아이메디컴(주) 전극 흡인 드릴 시스템
EP3930599B1 (en) * 2019-02-26 2023-08-23 Epidutech Ltd System for decompression of spinal epidural space
US11690680B2 (en) 2019-03-19 2023-07-04 Mako Surgical Corp. Trackable protective packaging for tools and methods for calibrating tool installation using the same
KR20210149102A (ko) 2019-04-08 2021-12-08 포티메딕스 에셋츠 Ii 비.브이. 탈착가능한 부분을 포함하는 조향가능한 기구
US11786259B1 (en) 2019-05-28 2023-10-17 Mirus Llc Systems and methods for ultrasonically-assisted placement of orthopedic implants
CN110215240A (zh) * 2019-05-30 2019-09-10 南开大学 一种单孔腹腔镜手术的末端执行机构
CA3150339A1 (en) 2019-09-12 2021-03-18 Brian W. Donovan Systems and methods for tissue modulation
US12369936B2 (en) 2019-10-07 2025-07-29 Stryker Corporation In-plane rotation cannula
IT201900020274A1 (it) * 2019-11-04 2021-05-04 Hpf S R L Punta per chirurgia e metodo di realizzazione
EP4054449B1 (en) * 2019-11-05 2024-12-04 Stryker European Operations Limited Flexible driveshaft with channels configured to collapse under rotational load
US20230056953A1 (en) * 2020-01-30 2023-02-23 Covidien Lp Surgical instruments having a rotatable blade member for treating tissue
CN115701949A (zh) * 2020-07-02 2023-02-14 史密夫和内修有限公司 用于治疗股骨髋臼撞击症的方法和系统
AU2021306313A1 (en) 2020-07-10 2023-03-02 Relievant Medsystems, Inc. Vertebral denervation in conjunction with vertebral fusion
US12082876B1 (en) 2020-09-28 2024-09-10 Relievant Medsystems, Inc. Introducer drill
CN116887780A (zh) * 2020-10-06 2023-10-13 卡尔维通科技有限公司 用于机器人脊柱减压的装置系统和方法
CA3203758A1 (en) * 2020-12-11 2022-06-16 Aesclepius Corporation Systems, devices, and methods for creating curvilinear tunnels in bone
JP2024505335A (ja) 2020-12-22 2024-02-06 リリーバント メドシステムズ、インコーポレイテッド 脊椎神経調節の候補の予測
US12290274B2 (en) * 2021-05-25 2025-05-06 Arthrex, Inc. Dynamically controlling a distal window opening in a rotary surgical shaver
EP4422522A4 (en) * 2021-10-28 2025-08-13 Univ Texas CONCENTRIC TUBE DRILLING ROBOT DEVICE AND SYSTEM, AND METHOD
US12433668B1 (en) 2021-11-08 2025-10-07 Relievant Medsystems, Inc. Impedance stoppage mitigation during radiofrequency tissue ablation procedures
DE102022101885A1 (de) * 2022-01-27 2023-07-27 Aesculap Ag Schaft eines oder für ein medizinisches Handinstrument
US12396805B2 (en) * 2022-02-02 2025-08-26 Mazor Robotics Ltd. Systems, methods, and devices for drilling and imaging an anatomical element
CN114886498A (zh) * 2022-04-26 2022-08-12 骨圣元化机器人(深圳)有限公司 骨钻装置
KR102817001B1 (ko) * 2022-11-07 2025-06-11 주식회사 로엔서지컬 수술 장치
CN117598788B (zh) * 2023-03-30 2024-09-20 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） 一种全自动颅底3d消融用可调节手术机械臂
CN116909008B (zh) * 2023-06-06 2024-11-08 苏州旭杰建筑科技股份有限公司 一种预制构件装配对准观察装置及判断方法

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6656195B2 (en) * 2000-09-22 2003-12-02 Medtronic Xomed, Inc. Flexible inner tubular members and rotary tissue cutting instruments having flexible inner tubular members
US8010180B2 (en) 2002-03-06 2011-08-30 Mako Surgical Corp. Haptic guidance system and method
US6645218B1 (en) * 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
KR101026692B1 (ko) 2002-12-06 2011-04-07 인튜어티브 서지컬 인코포레이티드 긴 샤프트를 포함하는 장치
US8221424B2 (en) * 2004-12-20 2012-07-17 Spinascope, Inc. Surgical instrument for orthopedic surgery
US8784421B2 (en) 2004-03-03 2014-07-22 Boston Scientific Scimed, Inc. Apparatus and methods for removing vertebral bone and disc tissue
US7678117B2 (en) * 2004-06-07 2010-03-16 Novare Surgical Systems, Inc. Articulating mechanism with flex-hinged links
EP1833375B1 (en) * 2005-01-05 2013-07-17 NLT Spine Ltd. Straight introduction device that assumes curved configuration
US8123750B2 (en) 2005-08-17 2012-02-28 Corespine Technologies, Llc Apparatus and methods for removal of intervertebral disc tissues
US20070093840A1 (en) * 2005-10-06 2007-04-26 Pacelli Nicolas J Flexible shaft
US8465420B2 (en) * 2007-05-18 2013-06-18 Boston Scientific Scimed, Inc. Articulating torqueable hollow device
US20090216284A1 (en) * 2007-08-27 2009-08-27 Singfatt Chin Balloon cannula system for accessing and visualizing spine and related methods
CN103961050B (zh) * 2008-04-18 2016-09-28 福蒂美迪克斯外科医疗器材有限公司 一种用于内窥镜应用的仪器
WO2009155319A1 (en) * 2008-06-17 2009-12-23 Soteira, Inc. Devices and methods for fracture reduction
EP2240111B1 (en) 2008-06-18 2019-07-24 Mako Surgical Corp. Fiber optic tracking system
US8758349B2 (en) * 2008-10-13 2014-06-24 Dfine, Inc. Systems for treating a vertebral body
US8556911B2 (en) * 2009-01-27 2013-10-15 Vishal M. Mehta Arthroscopic tunnel guide for rotator cuff repair
JP5517526B2 (ja) * 2009-08-27 2014-06-11 Ｎｔｎ株式会社 遠隔操作型アクチュエータの工具先端位置検出装置
US8366559B2 (en) 2010-06-23 2013-02-05 Lenkbar, Llc Cannulated flexible drive shaft
US9737687B2 (en) 2010-09-22 2017-08-22 The Johns Hopkins University Cable-driven morphable manipulator
JP5711380B2 (ja) 2010-10-22 2015-04-30 メドロボティクス コーポレイション 多関節のロボティックプローブ
FR2970636B1 (fr) * 2011-01-24 2013-02-15 Clariance Dispositif de forage pour la realisation d'un canal osseux a profil courbe a l'interieur du corps d'une vertebre
US8430864B2 (en) * 2011-02-16 2013-04-30 Biosense Webster, Inc. Catheter with multiple deflections
US20140005705A1 (en) * 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9144370B2 (en) * 2013-02-28 2015-09-29 Canon Usa Inc. Mechanical structure of articulated sheath
WO2015038740A1 (en) * 2013-09-12 2015-03-19 Intuitive Surgical Operations, Inc. Shape sensor systems for localizing movable targets
JP6129087B2 (ja) * 2014-01-14 2017-05-17 オリンパス株式会社 関節機構、マニピュレータおよびマニピュレータシステム
WO2015121869A1 (en) * 2014-02-17 2015-08-20 T.A.G. Medical Devices - Agriculture Cooperative Ltd. Flexible bone tool
CN105361922B (zh) * 2015-12-15 2018-05-04 宁波华科润生物科技有限公司 一种医用可调弯组织去除器械

Also Published As

Publication number Publication date
KR20190014523A (ko) 2019-02-12
US20170333052A1 (en) 2017-11-23
EP3463112A1 (en) 2019-04-10
AU2017269557B2 (en) 2020-12-24
AU2017269557A1 (en) 2019-01-17
WO2017204869A1 (en) 2017-11-30
US10603047B2 (en) 2020-03-31
CN109561901A (zh) 2019-04-02
CN109561901B (zh) 2022-02-25
EP3463112B1 (en) 2021-04-07
KR102687804B1 (ko) 2024-07-26
JP2019517854A (ja) 2019-06-27

Similar Documents

Publication Publication Date Title
JP6932727B2 (ja) 骨を切断するための医療装置
US12408891B2 (en) Systems and methods for interventional procedure planning
KR102550962B1 (ko) 환자 삽입기(Introducer) 정렬
EP2996622B1 (en) Systems for robotic medical system integration with external imaging
CN113811258A (zh) 用于操纵外科手术器械的切割引导件的机器人系统和方法
JP7584200B2 (ja) ロボット制御可能な電磁場発生器
KR20230079492A (ko) 구강 및 상악안면 수술들을 수행하기 위한 방법들 및 관련 시스템
JP2009537230A (ja) 外科装置の較正を検証するためのシステムおよび方法
US11737830B2 (en) Surgical navigation trackers with guards
WO2020201956A1 (en) Systems, devices, and methods for providing surgical trajectory guidance
CN112236069A (zh) 具有自动驱动的内窥镜的外科导航系统
US20240315783A1 (en) Articulating guide with integral position sensor
CN120603551A (zh) 跟踪组件和机器人系统
KR102893714B1 (ko) 의료 기구를 구동시키기 위한 시스템 및 방법
CN119867830A (zh) 具有可铰接主体部分支撑结构的柔性细长装置
KR20250172742A (ko) 의료 기구를 구동시키기 위한 시스템 및 방법

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20200212

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20200212

A871 Explanation of circumstances concerning accelerated examination

Free format text: JAPANESE INTERMEDIATE CODE: A871

Effective date: 20200212

A975 Report on accelerated examination

Free format text: JAPANESE INTERMEDIATE CODE: A971005

Effective date: 20200228

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20200616

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20200916

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20201113

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20210216

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20210512

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210715

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20210810

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20210818

R150 Certificate of patent or registration of utility model

Ref document number: 6932727

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250