JP7194283B2 - 外側シャフトに電極器具を有するレゼクトスコープ - Google Patents
外側シャフトに電極器具を有するレゼクトスコープ Download PDFInfo
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- JP7194283B2 JP7194283B2 JP2021530213A JP2021530213A JP7194283B2 JP 7194283 B2 JP7194283 B2 JP 7194283B2 JP 2021530213 A JP2021530213 A JP 2021530213A JP 2021530213 A JP2021530213 A JP 2021530213A JP 7194283 B2 JP7194283 B2 JP 7194283B2
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- resectoscope
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Images
Classifications
-
- 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
- A61B18/149—Probes or electrodes therefor bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
-
- 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
- A61B1/307—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 for the urinary organs, e.g. urethroscopes, cystoscopes
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00087—Tools
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00094—Suction openings
-
- 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
- A61B1/00112—Connection or coupling means
- A61B1/00119—Tubes or pipes in or with an endoscope
-
- 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
- A61B1/002—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 having rod-lens arrangements
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00091—Nozzles
-
- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- 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
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
- A61B2018/00517—Urinary bladder or urethra
-
- 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
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Urology & Nephrology (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Description
12 シャフト
14 シース管
16 洗浄管
18 光学系
20 電極器具
22 空間
24 外壁 光学系
26 内壁 シース管
28 凸状に湾曲した区分
30 凹状に湾曲した区分
32 ノズル
34 ディフューザ
36 保持要素
38 電気外科システム
40 洗浄液供給装置
42 ループ電極
44 ハンドグリップ
46 グリップ部材
48 グリップ部材
50 スライダ
52 ばねブリッジ
54 フォーク管
56 フォーク管
58 絶縁先端
60 洗浄液排出装置
62 液体リザーバ
64 ホース
66 ホース
Claims (10)
- 細長いシース管(14)、及び前記シース管(14)内に配置された洗浄液を供給するために用いられる洗浄管(16)、並びにロッド状の光学系(18)、及び電極器具(20)を有する管状のシャフト(12)を備える内視鏡外科用レゼクトスコープ(10)において、
前記光学系(18)及び前記電極器具(20)が前記洗浄管(16)の外壁と前記シース管(14)の内壁(26)との間に配置され、
前記洗浄管(16)を通して患者の体内に供給された洗浄液が前記シース管(14)を通して再び体から導出可能であり、
前記洗浄管(16)は、凸状に湾曲した区分(28)と凹状に湾曲した区分(30)とを有する断面を具備することを特徴とする、レゼクトスコープ(10)。 - 前記凸状に湾曲した区分(28)は、前記シース管(14)の前記内壁(26)に隣接することを特徴とする、請求項1に記載のレゼクトスコープ(10)。
- 前記洗浄管(16)は、その遠位端領域にノズル(32)を有し、前記ノズルによって、遠位方向に流れる液体流を誘導及び/又は加速させることができることを特徴とする、請求項1又は2に記載のレゼクトスコープ(10)。
- 前記洗浄管(16)は、その遠位端領域にディフューザ(34)を有することを特徴とする、請求項1又は2に記載のレゼクトスコープ(10)。
- 前記電極器具(20)は、径方向に支持するための1つ又は複数の保持要素(36)を有することを特徴とする、請求項1~4のいずれか1項に記載のレゼクトスコープ(10)。
- 前記1つ又は前記複数の保持要素(36)は、前記シース管(14)の前記内壁(26)に隣接することを特徴とする、請求項5に記載のレゼクトスコープ(10)。
- 前記1つ又は前記複数の保持要素(36)は、前記ロッド状の光学系(18)の外壁(24)に隣接することを特徴とする、請求項5に記載のレゼクトスコープ(10)。
- 前記洗浄管(16)は、前記シャフト(12)の長さの少なくとも60%、殊に少なくとも70%に、大きさ及び形状が一定の断面を有することを特徴とする、請求項1~7のいずれか1項に記載のレゼクトスコープ(10)。
- 前記洗浄管(16)内に挿通器具、特に電極器具(20)及び光学系(18)は配置されないことを特徴とする、請求項1~8のいずれか1項に記載のレゼクトスコープ(10)。
- 電気外科システム(38)において、請求項1~9のいずれか1項に記載のレゼクトスコープ(10)と、前記レゼクトスコープ(10)の洗浄管(16)と接続されている洗浄液供給装置(40)と、を備えることを特徴とする、電気外科システム(38)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102018129904.4 | 2018-11-27 | ||
DE102018129904.4A DE102018129904A1 (de) | 2018-11-27 | 2018-11-27 | Resektoskop mit Elektrodeninstrument im Außenschaft |
PCT/EP2019/082476 WO2020109257A1 (de) | 2018-11-27 | 2019-11-25 | Resektoskop mit elektrodeninstrument im aussenschaft |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2022509229A JP2022509229A (ja) | 2022-01-20 |
JP7194283B2 true JP7194283B2 (ja) | 2022-12-21 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2021530213A Active JP7194283B2 (ja) | 2018-11-27 | 2019-11-25 | 外側シャフトに電極器具を有するレゼクトスコープ |
Country Status (6)
Country | Link |
---|---|
US (1) | US12096975B2 (ja) |
EP (1) | EP3886738A1 (ja) |
JP (1) | JP7194283B2 (ja) |
CN (1) | CN113164186A (ja) |
DE (1) | DE102018129904A1 (ja) |
WO (1) | WO2020109257A1 (ja) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5807240A (en) | 1996-09-24 | 1998-09-15 | Circon Corporation | Continuous flow endoscope with enlarged outflow channel |
JP6143452B2 (ja) | 2012-12-27 | 2017-06-07 | 株式会社三共 | 遊技用システム、遊技用装置、および遊技制御装置 |
JP2018519875A (ja) | 2015-05-20 | 2018-07-26 | アーベー メディカ | 身体の体腔中で組織を切除するための装置 |
Family Cites Families (22)
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US3850175A (en) * | 1972-07-03 | 1974-11-26 | J Lglesias | Resectoscope with continuous irrigation |
US3900022A (en) * | 1973-12-10 | 1975-08-19 | Jerrold Widran | Endoscope with uninterrupted flow purging system |
US4423727A (en) * | 1981-04-10 | 1984-01-03 | Jerrold Widran | Continuous flow urological endoscopic apparatus and method of using same |
JPS59177407U (ja) * | 1984-01-26 | 1984-11-27 | オリンパス光学工業株式会社 | 経尿道的前立腺剥離器 |
US4950278A (en) * | 1986-08-06 | 1990-08-21 | Sachse Hans E | Endoscope for removal of tissue |
US5112330A (en) * | 1988-09-16 | 1992-05-12 | Olympus Optical Co., Ltd. | Resectoscope apparatus |
US6086584A (en) * | 1998-09-10 | 2000-07-11 | Ethicon, Inc. | Cellular sublimation probe and methods |
US6358200B1 (en) * | 1999-09-01 | 2002-03-19 | Circon Corporation | Continuous flow resectoscope with single tube sheath assembly and rotatable connection |
DE10310614B4 (de) * | 2002-03-25 | 2007-10-11 | Richard Wolf Gmbh | Resektoskop |
DE10248836A1 (de) * | 2002-10-19 | 2004-05-06 | Olympus Winter & Ibe Gmbh | Resektoskop mit positionierter Optik |
US20070270647A1 (en) * | 2006-05-19 | 2007-11-22 | Ams Research Corporation | Handle for Multifunction Endoscope |
WO2008024290A2 (en) * | 2006-08-19 | 2008-02-28 | Fritsch Michael H | Devices and methods for in-vivo pathology diagnosis |
WO2011082026A1 (en) * | 2009-12-31 | 2011-07-07 | Boston Scientific Scimed, Inc. | Collapsible irrigation channel for procedures involving fluid circulation |
JP6005630B2 (ja) * | 2010-05-28 | 2016-10-12 | ジャイラス・エーシーエムアイ・インコーポレーテッド | 連続フロー内視鏡システム |
JP5331840B2 (ja) * | 2011-02-28 | 2013-10-30 | 富士フイルム株式会社 | 内視鏡 |
JP2015159924A (ja) * | 2014-02-27 | 2015-09-07 | セイコーエプソン株式会社 | 腹腔鏡手術機器 |
DE102015003045A1 (de) * | 2015-03-11 | 2016-09-15 | Olympus Winter & Ibe Gmbh | Transporteur für ein Hochfrequenzresektoskop mit elektrisch kontaktierter Federeinheit |
CN107920725B (zh) * | 2015-08-27 | 2020-10-13 | 密涅瓦外科有限公司 | 医疗装置和方法 |
US10383682B2 (en) * | 2015-08-28 | 2019-08-20 | Covidien Lp | Powered bipolar resectoscope |
DE102015014254B4 (de) * | 2015-11-05 | 2019-01-24 | OLYMPUS Winter & lbe GmbH | Medizinisches Instrument für endoskopische Anwendungen und Spülaufsatz für eine Optikeinheit eines medizinischen Instrumentes für endoskopische Anwendungen |
US11864735B2 (en) * | 2016-05-26 | 2024-01-09 | Covidien Lp | Continuous flow endoscope |
DE102018114448A1 (de) | 2018-06-15 | 2019-12-19 | Olympus Winter & Ibe Gmbh | Resektoskop mit längsverschiebbar gelagertem Spülrohr |
-
2018
- 2018-11-27 DE DE102018129904.4A patent/DE102018129904A1/de active Pending
-
2019
- 2019-11-25 JP JP2021530213A patent/JP7194283B2/ja active Active
- 2019-11-25 WO PCT/EP2019/082476 patent/WO2020109257A1/de unknown
- 2019-11-25 EP EP19809793.3A patent/EP3886738A1/de active Pending
- 2019-11-25 CN CN201980077410.7A patent/CN113164186A/zh active Pending
- 2019-11-25 US US17/297,943 patent/US12096975B2/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5807240A (en) | 1996-09-24 | 1998-09-15 | Circon Corporation | Continuous flow endoscope with enlarged outflow channel |
JP6143452B2 (ja) | 2012-12-27 | 2017-06-07 | 株式会社三共 | 遊技用システム、遊技用装置、および遊技制御装置 |
JP2018519875A (ja) | 2015-05-20 | 2018-07-26 | アーベー メディカ | 身体の体腔中で組織を切除するための装置 |
Also Published As
Publication number | Publication date |
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WO2020109257A1 (de) | 2020-06-04 |
EP3886738A1 (de) | 2021-10-06 |
US20220047321A1 (en) | 2022-02-17 |
JP2022509229A (ja) | 2022-01-20 |
DE102018129904A1 (de) | 2020-05-28 |
WO2020109257A4 (de) | 2020-07-23 |
US12096975B2 (en) | 2024-09-24 |
CN113164186A (zh) | 2021-07-23 |
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