JP7337070B2 - 関節動作する外科用器具 - Google Patents

関節動作する外科用器具 Download PDF

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Publication number
JP7337070B2
JP7337070B2 JP2020535605A JP2020535605A JP7337070B2 JP 7337070 B2 JP7337070 B2 JP 7337070B2 JP 2020535605 A JP2020535605 A JP 2020535605A JP 2020535605 A JP2020535605 A JP 2020535605A JP 7337070 B2 JP7337070 B2 JP 7337070B2
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JP
Japan
Prior art keywords
articulation
articulating
shaft
shaft assembly
locking
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
JP2020535605A
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English (en)
Japanese (ja)
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JP2021510099A5 (cg-RX-API-DMAC10.html
JP2021510099A (ja
Inventor
フェリックス，アウグストゥス
リーゾウ，デレク，ジェイ．
コールドウェル，ネイサン，スチュワート
アフォンス，デレク
ラヌッチ，ケヴィン，ジェイ
マテュサイティス，トーマス
バックマン，アラン
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
CR Bard Inc
Original Assignee
CR Bard Inc
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Filing date
Publication date
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Publication of JP2021510099A publication Critical patent/JP2021510099A/ja
Publication of JP2021510099A5 publication Critical patent/JP2021510099A5/ja
Application granted granted Critical
Publication of JP7337070B2 publication Critical patent/JP7337070B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61B17/28—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
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • 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
    • A61B17/00234—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
    • 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
    • A61B2017/00309—Cut-outs or slits
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • 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
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
JP2020535605A 2018-01-10 2019-01-03 関節動作する外科用器具 Active JP7337070B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/867,130 US11134928B2 (en) 2018-01-10 2018-01-10 Articulating surgical instruments
US15/867,130 2018-01-10
PCT/US2019/012145 WO2019139811A1 (en) 2018-01-10 2019-01-03 Articulating surgical instruments

Publications (3)

Publication Number Publication Date
JP2021510099A JP2021510099A (ja) 2021-04-15
JP2021510099A5 JP2021510099A5 (cg-RX-API-DMAC10.html) 2022-01-04
JP7337070B2 true JP7337070B2 (ja) 2023-09-01

Family

ID=65411911

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020535605A Active JP7337070B2 (ja) 2018-01-10 2019-01-03 関節動作する外科用器具

Country Status (8)

Country Link
US (1) US11134928B2 (cg-RX-API-DMAC10.html)
EP (1) EP3737309B1 (cg-RX-API-DMAC10.html)
JP (1) JP7337070B2 (cg-RX-API-DMAC10.html)
CN (1) CN111601561B (cg-RX-API-DMAC10.html)
AU (1) AU2019206351B2 (cg-RX-API-DMAC10.html)
CA (1) CA3087074A1 (cg-RX-API-DMAC10.html)
ES (1) ES2927351T3 (cg-RX-API-DMAC10.html)
WO (1) WO2019139811A1 (cg-RX-API-DMAC10.html)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102408106B1 (ko) 2014-12-05 2022-06-15 포티메딕스 에셋츠 Ii 비.브이. 조종가능한 기구와, 그 제공 방법
NL2019175B1 (en) 2017-07-04 2019-01-14 Fortimedix Surgical B V Steerable instrument comprising a radial spacers between coaxial cylindrical elements
US10779813B2 (en) 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments
US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
NL2021823B1 (en) 2018-10-16 2020-05-13 Fortimedix Assets Ii B V Steerable instrument comprising a tube element
US12544096B2 (en) 2019-04-01 2026-02-10 Fortimedix Assets Ii B.V. Steerable instrument comprising a hinge with a slotted structure
JP7555956B2 (ja) 2019-04-08 2024-09-25 フォーティメディックス・アセッツ・ザ・セカンド・ビー．ブイ． 取り外し可能な部分を備えるステアリング可能な器具
JP7555957B2 (ja) 2019-04-08 2024-09-25 フォーティメディックス・アセッツ・ザ・セカンド・ビー．ブイ． 取り外し可能な部分を備えるステアリング可能な器具
CN111214267B (zh) * 2020-01-20 2021-01-12 盈甲医疗科技(北京)有限公司 电动弯转失效补救装置及其电动吻合器
CN117295455A (zh) * 2021-05-13 2023-12-26 柯惠有限合伙公司 用于手术装置的铰接机构
CN113440184B (zh) * 2021-08-12 2022-07-26 吉林大学 一种手控式柔性微创手术器械

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005046272A (ja) 2003-07-31 2005-02-24 Olympus Corp 内視鏡用処置具
JP2009082705A (ja) 2007-10-02 2009-04-23 Tyco Healthcare Group Lp 関節運動する外科用器具
US20100030239A1 (en) 2006-10-05 2010-02-04 Viola Frank J Axial Stitching Device
US20140276966A1 (en) 2013-03-14 2014-09-18 C.R. Bard, Inc. Articulating surgical instruments
JP2016510649A (ja) 2013-03-14 2016-04-11 シー・アール・バード・インコーポレーテッドＣ Ｒ Ｂａｒｄ Ｉｎｃｏｒｐｏｒａｔｅｄ 作動ロックアウト部を備えた手術器具
US20160174976A1 (en) 2014-12-18 2016-06-23 Ethicon Endo-Surgery, Inc. Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors

Family Cites Families (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3802440A (en) 1972-12-19 1974-04-09 M Salem Intubation guide
US5851212A (en) 1997-06-11 1998-12-22 Endius Incorporated Surgical instrument
US6746422B1 (en) 2000-08-23 2004-06-08 Norborn Medical, Inc. Steerable support system with external ribs/slots that taper
US6146338A (en) 1999-04-23 2000-11-14 Medtronic, Inc. Apparatus for deflecting a catheter or lead
US7637903B2 (en) 2004-02-09 2009-12-29 Cryocor, Inc. Catheter articulation segment with alternating cuts
US7785252B2 (en) 2004-11-23 2010-08-31 Novare Surgical Systems, Inc. Articulating sheath for flexible instruments
DE602005018444D1 (de) 2005-04-07 2010-02-04 Creganna Technologies Ltd Lenkbare Katheteranordnung
ATE435613T1 (de) * 2006-10-06 2009-07-15 Ethicon Endo Surgery Inc Verbesserungen betreffend einen applikator zum anbringen von anastomosenringen
AU2007231733B2 (en) 2006-11-28 2014-03-13 Cathrx Ltd A catheter steering system
CN104337491B (zh) 2008-03-10 2016-08-17 福蒂美迪克斯外科医疗器材有限公司 器具及其制造方法
GB2466180B (en) * 2008-12-05 2013-07-10 Surgical Innovations Ltd Surgical instrument, handle for a surgical instrument and surgical instrument system
DE102009042491A1 (de) * 2009-05-29 2010-12-02 Aesculap Ag Chirurgisches Instrument
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
CA2764859C (en) 2009-06-24 2018-09-25 Shifamed, Llc Steerable medical delivery devices and methods of use
AU2010303390B2 (en) * 2009-10-09 2015-05-14 Ethicon Endo-Surgery, Inc. Surgical instrument
EP2579786B1 (en) * 2010-06-09 2017-11-01 C.R. Bard Inc. Instruments for delivering transfascial sutures and transfascial suture assemblies
US20120078244A1 (en) * 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8940005B2 (en) * 2011-08-08 2015-01-27 Gyrus Ent L.L.C. Locking flexible surgical instruments
US8684953B2 (en) 2012-05-13 2014-04-01 Ozca Engineering Solutions Ltd. Steering tool
US9332987B2 (en) * 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9629629B2 (en) * 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US20150099997A1 (en) 2013-10-03 2015-04-09 Oz Cabiri Steering tool
US9693774B2 (en) * 2014-06-25 2017-07-04 Ethicon Llc Pivotable articulation joint unlocking feature for surgical stapler
US10405863B2 (en) * 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US11000279B2 (en) * 2017-06-28 2021-05-11 Ethicon Llc Surgical instrument comprising an articulation system ratio
US11103234B2 (en) * 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
US10779813B2 (en) * 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005046272A (ja) 2003-07-31 2005-02-24 Olympus Corp 内視鏡用処置具
US20100030239A1 (en) 2006-10-05 2010-02-04 Viola Frank J Axial Stitching Device
JP2009082705A (ja) 2007-10-02 2009-04-23 Tyco Healthcare Group Lp 関節運動する外科用器具
US20140276966A1 (en) 2013-03-14 2014-09-18 C.R. Bard, Inc. Articulating surgical instruments
JP2016510649A (ja) 2013-03-14 2016-04-11 シー・アール・バード・インコーポレーテッドＣ Ｒ Ｂａｒｄ Ｉｎｃｏｒｐｏｒａｔｅｄ 作動ロックアウト部を備えた手術器具
US20160174976A1 (en) 2014-12-18 2016-06-23 Ethicon Endo-Surgery, Inc. Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors

Also Published As

Publication number Publication date
WO2019139811A8 (en) 2019-08-15
US11134928B2 (en) 2021-10-05
CN111601561B (zh) 2024-02-02
EP3737309B1 (en) 2022-06-29
US20190209147A1 (en) 2019-07-11
AU2019206351B2 (en) 2024-04-04
JP2021510099A (ja) 2021-04-15
AU2019206351A1 (en) 2020-07-23
EP3737309A1 (en) 2020-11-18
CN111601561A (zh) 2020-08-28
ES2927351T3 (es) 2022-11-04
WO2019139811A1 (en) 2019-07-18
CA3087074A1 (en) 2019-07-18

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