JP7219425B2 - 腟式アクセスのためのツール及び方法 - Google Patents

腟式アクセスのためのツール及び方法 Download PDF

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Publication number
JP7219425B2
JP7219425B2 JP2020531834A JP2020531834A JP7219425B2 JP 7219425 B2 JP7219425 B2 JP 7219425B2 JP 2020531834 A JP2020531834 A JP 2020531834A JP 2020531834 A JP2020531834 A JP 2020531834A JP 7219425 B2 JP7219425 B2 JP 7219425B2
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Japan
Prior art keywords
dilator
cannula
distal
kit
optionally
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JP2020531834A
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English (en)
Japanese (ja)
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JP2020531227A5 (enExample
JP2020531227A (ja
Inventor
デヴィア コーエン，
ヤロン レビンソン，
エアル マイモン，
イダン ローテム，
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Momentis Surgical Ltd
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Momentis Surgical Ltd
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Publication of JP2020531227A publication Critical patent/JP2020531227A/ja
Publication of JP2020531227A5 publication Critical patent/JP2020531227A5/ja
Priority to JP2023003611A priority Critical patent/JP7599229B2/ja
Application granted granted Critical
Publication of JP7219425B2 publication Critical patent/JP7219425B2/ja
Priority to JP2024205139A priority patent/JP2025041610A/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
    • A61B17/34—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
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/00131—Accessories for endoscopes
    • A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A61B1/005—Flexible endoscopes
    • A61B1/01—Guiding arrangements therefore
    • A—HUMAN NECESSITIES
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    • A61B1/313—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 introducing through surgical openings, e.g. laparoscopes
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    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
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    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips
    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
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    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
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    • A—HUMAN NECESSITIES
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    • A61B2017/00278—Transorgan operations, e.g. transgastric
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    • 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
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B2017/2906—Multiple forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
    • A61B2017/3443—Cannulas with means for adjusting the length of a cannula
    • A—HUMAN NECESSITIES
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    • 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
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    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
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    • A61B17/3421—Cannulas
    • A61B2017/345—Cannulas for introduction into a natural body opening
    • A61B2017/3452—Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery
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    • A61B2017/3454—Details of tips
    • A61B2017/3456—Details of tips blunt
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    • 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
    • A61B2017/3466—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 for simultaneous sealing of multiple instruments
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    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B2090/508—Supports for surgical instruments, e.g. articulated arms with releasable brake mechanisms

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Reproductive Health (AREA)
  • Pregnancy & Childbirth (AREA)
  • Gynecology & Obstetrics (AREA)
  • Robotics (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
JP2020531834A 2017-08-23 2018-08-23 腟式アクセスのためのツール及び方法 Active JP7219425B2 (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2023003611A JP7599229B2 (ja) 2017-08-23 2023-01-13 腟式アクセスのためのツール及び方法
JP2024205139A JP2025041610A (ja) 2017-08-23 2024-11-26 腟式アクセスのためのツール及び方法

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201762549078P 2017-08-23 2017-08-23
US201762549097P 2017-08-23 2017-08-23
US62/549,078 2017-08-23
US62/549,097 2017-08-23
US201762558460P 2017-09-14 2017-09-14
US201762558469P 2017-09-14 2017-09-14
US62/558,469 2017-09-14
US62/558,460 2017-09-14
PCT/IL2018/050934 WO2019038770A1 (en) 2017-08-23 2018-08-23 TOOLS AND METHODS FOR VAGINAL ACCESS

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2023003611A Division JP7599229B2 (ja) 2017-08-23 2023-01-13 腟式アクセスのためのツール及び方法

Publications (3)

Publication Number Publication Date
JP2020531227A JP2020531227A (ja) 2020-11-05
JP2020531227A5 JP2020531227A5 (enExample) 2021-09-30
JP7219425B2 true JP7219425B2 (ja) 2023-02-08

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JP2020531834A Active JP7219425B2 (ja) 2017-08-23 2018-08-23 腟式アクセスのためのツール及び方法
JP2023003611A Active JP7599229B2 (ja) 2017-08-23 2023-01-13 腟式アクセスのためのツール及び方法
JP2024205139A Pending JP2025041610A (ja) 2017-08-23 2024-11-26 腟式アクセスのためのツール及び方法

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JP2023003611A Active JP7599229B2 (ja) 2017-08-23 2023-01-13 腟式アクセスのためのツール及び方法
JP2024205139A Pending JP2025041610A (ja) 2017-08-23 2024-11-26 腟式アクセスのためのツール及び方法

Country Status (9)

Country Link
US (6) US10736658B2 (enExample)
EP (2) EP3672472B8 (enExample)
JP (3) JP7219425B2 (enExample)
CN (3) CN115068075B (enExample)
AU (1) AU2018320728B2 (enExample)
CA (2) CA3015089A1 (enExample)
DK (1) DK3672472T3 (enExample)
IL (2) IL272731B (enExample)
WO (1) WO2019038770A1 (enExample)

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DK3190942T3 (da) 2015-09-04 2020-07-13 Memic Innovative Surgery Ltd Aktivering af en enhed, der omfatter mekaniske arme
CN115068075B (zh) 2017-08-23 2025-04-15 麦米克创新外科有限公司 用于阴道途径的工具与方法
EP3806708B1 (en) 2018-06-17 2025-05-07 Momentis Surgical Ltd. Surgical articulated arm
WO2021067467A1 (en) * 2019-09-30 2021-04-08 Intuitive Surgical Operations, Inc. Single port instrument access device
WO2021111394A1 (en) 2019-12-05 2021-06-10 Memic Innovative Surgery Ltd. Orientation of user-input devices for controlling surgical arms
IL272830B2 (en) 2020-02-20 2024-08-01 Momentis Surgical Ltd Surgical robotic positioning cart
US12023112B2 (en) 2020-03-10 2024-07-02 Covidien Lp System and method for controlling a surgical robotic system
CN111466970A (zh) * 2020-05-22 2020-07-31 上海长征医院 一种肌肉保护功能的倒计时单齿拉钩
CN115942910A (zh) * 2020-06-18 2023-04-07 波士顿科学医疗设备有限公司 用于柔性医疗组件的支撑组件
GB202015667D0 (en) * 2020-10-02 2020-11-18 Cmr Surgical Ltd Surgical robot calibration device
CN113749745B (zh) * 2021-10-20 2024-05-14 南京麦迪森健康医疗科技有限公司 一种妇产科流产后智能型冲洗刮宫设备
IL317517A (en) * 2022-06-30 2025-02-01 Momentis Surgical Ltd Device and methods for transvaginal access
CN115644787A (zh) * 2022-11-01 2023-01-31 杭州微新医疗科技有限公司 一种扩张器的显微镜的位置调节机构
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