JP6945970B2 - 外科手術用具 - Google Patents

外科手術用具 Download PDF

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Publication number
JP6945970B2
JP6945970B2 JP2016098274A JP2016098274A JP6945970B2 JP 6945970 B2 JP6945970 B2 JP 6945970B2 JP 2016098274 A JP2016098274 A JP 2016098274A JP 2016098274 A JP2016098274 A JP 2016098274A JP 6945970 B2 JP6945970 B2 JP 6945970B2
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JP
Japan
Prior art keywords
control
repositionable
operably coupled
end effector
jaws
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JP2016098274A
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English (en)
Japanese (ja)
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JP2017023701A5 (enExample
JP2017023701A (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
シンプキンス ハスケル
シンプキンス ハスケル
クルップ ベンジャミン
クルップ ベンジャミン
パロット デイビット
パロット デイビット
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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 JP2017023701A5 publication Critical patent/JP2017023701A5/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
    • A61B17/12—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
    • 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
    • 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
    • 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
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • 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
    • 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
    • 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
    • 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
    • A61B2017/2926—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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2016098274A 2015-07-15 2016-05-16 外科手術用具 Active JP6945970B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/799,576 2015-07-15
US14/799,576 US10631874B2 (en) 2015-07-15 2015-07-15 Surgical tool

Publications (3)

Publication Number Publication Date
JP2017023701A JP2017023701A (ja) 2017-02-02
JP2017023701A5 JP2017023701A5 (enExample) 2019-06-20
JP6945970B2 true JP6945970B2 (ja) 2021-10-06

Family

ID=56345061

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016098274A Active JP6945970B2 (ja) 2015-07-15 2016-05-16 外科手術用具

Country Status (5)

Country Link
US (4) US10631874B2 (enExample)
EP (2) EP4005506A1 (enExample)
JP (1) JP6945970B2 (enExample)
CN (1) CN106344102B (enExample)
WO (1) WO2017011041A1 (enExample)

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US10631874B2 (en) 2015-07-15 2020-04-28 Atricure, Inc. Surgical tool
US10201352B2 (en) * 2016-08-08 2019-02-12 Atricure, Inc. Robotic Assisted clip applier
CN107157542A (zh) * 2017-06-28 2017-09-15 谢北平 一种手术器械
CN107334537B (zh) * 2017-07-31 2021-03-19 成都博恩思医学机器人有限公司 支架组件、手术机器人的手术器械及手术机器人
CN109419482B (zh) * 2017-08-21 2021-05-25 上银科技股份有限公司 具有操控模组的医疗器械及应用该医疗器械的内视镜操控系统
CN111712201B (zh) * 2017-11-14 2024-04-19 阿特瑞克尔公司 夹施加器
US11191547B2 (en) 2018-01-26 2021-12-07 Syntheon 2.0, LLC Left atrial appendage clipping device and methods for clipping the LAA
US10675042B2 (en) * 2018-02-08 2020-06-09 Ethicon Llc Surgical clip applier with living hinge jaws
US10779839B2 (en) * 2018-02-08 2020-09-22 Ethicon Llc Surgical clip applier with parallel closure jaws
US12239292B2 (en) 2019-01-10 2025-03-04 Atricure, Inc. Clip application system and method
CN111803165B (zh) * 2019-04-11 2024-09-20 北京领健医疗科技有限公司 左心耳闭合器输送系统
US10925615B2 (en) 2019-05-03 2021-02-23 Syntheon 2.0, LLC Recapturable left atrial appendage clipping device and methods for recapturing a left atrial appendage clip
CN112336403B (zh) * 2019-08-06 2024-09-24 北京领健医疗科技有限公司 一种闭合器输送系统
US11717301B2 (en) 2019-09-25 2023-08-08 Lsi Solutions, Inc. Minimally invasive occlusion device and methods thereof
US12213681B2 (en) 2020-05-06 2025-02-04 Atricure, Inc. End effector positioning mechanism
WO2022109475A1 (en) 2020-11-23 2022-05-27 Eric William Schneeberger Atrial appendage excluder
CN112998893B (zh) * 2021-03-14 2022-08-30 鄂尔多斯市水之恩口腔医院有限责任公司 一种口腔医疗用的智能辅助平台
CN113662614B (zh) * 2021-10-21 2022-03-22 北京迈迪顶峰医疗科技股份有限公司 输送执行器以及输送装置
CN113662613A (zh) * 2021-10-21 2021-11-19 北京迈迪顶峰医疗科技股份有限公司 钳式执行器以及输送装置
CN115300049B (zh) * 2022-08-25 2025-04-18 艺柏湾医疗科技(上海)有限公司 多自由度手术夹钳
WO2025038993A1 (en) * 2023-08-17 2025-02-20 Atricure, Inc. Devices and methods for occluding the left atrial appendage
US12446892B2 (en) 2023-09-08 2025-10-21 Atricure, Inc. Dual side spring V-clip for surgical treatment of left atrial appendage

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Also Published As

Publication number Publication date
US12245770B2 (en) 2025-03-11
US10631874B2 (en) 2020-04-28
WO2017011041A1 (en) 2017-01-19
CN106344102A (zh) 2017-01-25
EP3117781A1 (en) 2017-01-18
CN106344102B (zh) 2020-06-09
EP3117781B1 (en) 2022-01-12
US20170014137A1 (en) 2017-01-19
EP4005506A1 (en) 2022-06-01
US20250318840A1 (en) 2025-10-16
US20200222056A1 (en) 2020-07-16
US20170014136A1 (en) 2017-01-19
JP2017023701A (ja) 2017-02-02
US9861371B2 (en) 2018-01-09

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