JP7210458B2 - 最小侵襲処置のためのシステム - Google Patents

最小侵襲処置のためのシステム Download PDF

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Publication number
JP7210458B2
JP7210458B2 JP2019539295A JP2019539295A JP7210458B2 JP 7210458 B2 JP7210458 B2 JP 7210458B2 JP 2019539295 A JP2019539295 A JP 2019539295A JP 2019539295 A JP2019539295 A JP 2019539295A JP 7210458 B2 JP7210458 B2 JP 7210458B2
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introducer
steerable
lumen
distal
surgical instrument
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Japanese (ja)
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JP2020507364A (ja
JP2020507364A5 (enExample
Inventor
モルデハイ ショレヴ
ギラッド ヘフトマン
アッサーフ カウフマン
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Human Xtensions Ltd
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Human Xtensions Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in 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
    • 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
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00133—Drive units for endoscopic tools inserted through or with the 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/0016—Holding or positioning arrangements using motor drive units
    • 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
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • 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
    • 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
    • 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
    • A61B2017/00982—General structural features
    • A61B2017/00991—Telescopic means
    • 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
    • A61B2017/2905—Details of shaft flexible
    • 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
    • A61B2017/2908—Multiple segments connected by articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3409—Needle locating or guiding means using mechanical guide means including needle or instrument drives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • 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
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B90/57—Accessory clamps
    • A61B2090/571—Accessory clamps for clamping a support arm to a bed or other supports
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2019539295A 2017-01-23 2018-01-23 最小侵襲処置のためのシステム Active JP7210458B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762449186P 2017-01-23 2017-01-23
US62/449,186 2017-01-23
PCT/IL2018/050083 WO2018134830A1 (en) 2017-01-23 2018-01-23 Minimally invasive device and system

Publications (3)

Publication Number Publication Date
JP2020507364A JP2020507364A (ja) 2020-03-12
JP2020507364A5 JP2020507364A5 (enExample) 2021-02-25
JP7210458B2 true JP7210458B2 (ja) 2023-01-23

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ID=62909046

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019539295A Active JP7210458B2 (ja) 2017-01-23 2018-01-23 最小侵襲処置のためのシステム

Country Status (11)

Country Link
US (1) US20190365402A1 (enExample)
EP (1) EP3570757A4 (enExample)
JP (1) JP7210458B2 (enExample)
KR (1) KR20190110120A (enExample)
CN (1) CN110582239A (enExample)
AU (1) AU2018209482A1 (enExample)
BR (1) BR112019015178A2 (enExample)
CA (1) CA3050410A1 (enExample)
IL (1) IL268229A (enExample)
MX (1) MX2019008671A (enExample)
WO (1) WO2018134830A1 (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114222535A (zh) * 2019-06-30 2022-03-22 人类拓展有限公司 用于医疗装置的无菌屏障及传感器组
WO2022107073A1 (en) * 2020-11-19 2022-05-27 Auris Health, Inc. Endoscope and mounting system for a robotic surgical system
CN113925569B (zh) * 2021-11-10 2025-06-24 泰州优合医疗科技有限公司 腔镜手术器械用万向钳
CN119073876B (zh) * 2024-09-30 2026-03-10 立全晰 一种组合式腔镜手术设备及其使用方法

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006141976A (ja) 2004-03-31 2006-06-08 Srj Corp 保持装置、内視鏡装置、及び内視鏡装置の操作方法
JP2009536870A (ja) 2006-05-12 2009-10-22 ビトロンユーエス， インコーポレイテッド 身体組織を切除するためのデバイス
US20090287043A1 (en) 2008-05-13 2009-11-19 Olympus Medical Systems Corp. Electric medical instrument fitting which is attached to a medical instrument holding device
JP2010511440A (ja) 2006-12-01 2010-04-15 ボストン サイエンティフィック リミテッド ディレクトドライブ内視鏡法システムおよび方法
US20140150782A1 (en) 2012-12-04 2014-06-05 Endoclear Llc Closed suction cleaning devices, systems and methods
US20140378761A1 (en) 2012-03-08 2014-12-25 Universite De Strasbourg (Etablissment Public National A Caractere Scientifique, Culture Et Motorised and modular instrumentation device and endoscopy system comprising such a device
JP2016533241A (ja) 2013-09-01 2016-10-27 ヒューマン エクステンションズ リミテッド 医療装置のための制御ユニット
JP2016533816A (ja) 2013-08-15 2016-11-04 インテュイティブ サージカル オペレーションズ， インコーポレイテッド プリロードをかけられた手術器具インタフェース

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US7637905B2 (en) * 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
DK200001852A (da) * 1999-12-14 2001-06-15 Asahi Optical Co Ltd Manipuleringssektion til et endoskopisk behandlingsinstrument
US6837846B2 (en) * 2000-04-03 2005-01-04 Neo Guide Systems, Inc. Endoscope having a guide tube
US8182470B2 (en) * 2005-12-20 2012-05-22 Intuitive Surgical Operations, Inc. Telescoping insertion axis of a robotic surgical system
WO2007146984A2 (en) * 2006-06-13 2007-12-21 Intuitive Surgical, Inc. Control system configured to compensate for non-ideal actuator-to-joint linkage characteristics in a medical robotic system
US20110152878A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system
US8961533B2 (en) * 2010-09-17 2015-02-24 Hansen Medical, Inc. Anti-buckling mechanisms and methods
US20120083825A1 (en) * 2010-09-30 2012-04-05 Carefusion 2200, Inc. Detachable shaft
JP6053358B2 (ja) * 2012-07-03 2016-12-27 オリンパス株式会社 手術支援装置
US20140222020A1 (en) * 2012-11-20 2014-08-07 Transenterix, Inc. Telescoping reinforcements for instrument channel shafts
EP2979650B1 (en) * 2013-03-28 2019-04-10 Olympus Corporation Mantle tube and treatment tool
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006141976A (ja) 2004-03-31 2006-06-08 Srj Corp 保持装置、内視鏡装置、及び内視鏡装置の操作方法
JP2009536870A (ja) 2006-05-12 2009-10-22 ビトロンユーエス， インコーポレイテッド 身体組織を切除するためのデバイス
JP2010511440A (ja) 2006-12-01 2010-04-15 ボストン サイエンティフィック リミテッド ディレクトドライブ内視鏡法システムおよび方法
US20090287043A1 (en) 2008-05-13 2009-11-19 Olympus Medical Systems Corp. Electric medical instrument fitting which is attached to a medical instrument holding device
US20140378761A1 (en) 2012-03-08 2014-12-25 Universite De Strasbourg (Etablissment Public National A Caractere Scientifique, Culture Et Motorised and modular instrumentation device and endoscopy system comprising such a device
US20140150782A1 (en) 2012-12-04 2014-06-05 Endoclear Llc Closed suction cleaning devices, systems and methods
JP2016533816A (ja) 2013-08-15 2016-11-04 インテュイティブ サージカル オペレーションズ， インコーポレイテッド プリロードをかけられた手術器具インタフェース
JP2016533241A (ja) 2013-09-01 2016-10-27 ヒューマン エクステンションズ リミテッド 医療装置のための制御ユニット

Also Published As

Publication number Publication date
KR20190110120A (ko) 2019-09-27
MX2019008671A (es) 2019-09-18
CA3050410A1 (en) 2018-07-26
AU2018209482A9 (en) 2019-11-21
JP2020507364A (ja) 2020-03-12
WO2018134830A9 (en) 2019-10-10
WO2018134830A1 (en) 2018-07-26
US20190365402A1 (en) 2019-12-05
BR112019015178A2 (pt) 2020-03-24
CN110582239A (zh) 2019-12-17
EP3570757A4 (en) 2020-12-02
AU2018209482A1 (en) 2019-09-12
IL268229A (en) 2019-09-26
EP3570757A1 (en) 2019-11-27

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