JP7386846B2 - 腹腔鏡手術用器具 - Google Patents

腹腔鏡手術用器具 Download PDF

Info

Publication number
JP7386846B2
JP7386846B2 JP2021508080A JP2021508080A JP7386846B2 JP 7386846 B2 JP7386846 B2 JP 7386846B2 JP 2021508080 A JP2021508080 A JP 2021508080A JP 2021508080 A JP2021508080 A JP 2021508080A JP 7386846 B2 JP7386846 B2 JP 7386846B2
Authority
JP
Japan
Prior art keywords
medical device
instrument
control
patient
support structure
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
JP2021508080A
Other languages
English (en)
Japanese (ja)
Other versions
JPWO2019207322A5 (https=
JP2021522043A5 (https=
JP2021522043A (ja
Inventor
アウデ-ブリーリンク、ティモ、ヨリック
レンコレット、フェルナンド、バジリオ、アビラ
マイロナス、ジョージ
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.)
Ip2ipo Innovations Ltd
Original Assignee
Imperial College Innovations Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Imperial College Innovations Ltd filed Critical Imperial College Innovations Ltd
Publication of JP2021522043A publication Critical patent/JP2021522043A/ja
Publication of JPWO2019207322A5 publication Critical patent/JPWO2019207322A5/ja
Publication of JP2021522043A5 publication Critical patent/JP2021522043A5/ja
Application granted granted Critical
Publication of JP7386846B2 publication Critical patent/JP7386846B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3476Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/76Manipulators having means for providing feel, e.g. force or tactile feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00212Electrical control of surgical instruments using remote controls
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00535Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00561Surgical instruments, devices or methods pneumatically or hydraulically operated creating a vacuum
    • A61B2017/00566Surgical instruments, devices or methods pneumatically or hydraulically operated creating a vacuum fixation of form upon application of vacuum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2906Multiple forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3425Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/304Surgical robots including a freely orientable platform, e.g. so called 'Stewart platforms'
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
JP2021508080A 2018-04-27 2019-04-29 腹腔鏡手術用器具 Active JP7386846B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GBGB1806943.5A GB201806943D0 (en) 2018-04-27 2018-04-27 Laparoscopic instruments
GB1806943.5 2018-04-27
PCT/GB2019/051178 WO2019207322A1 (en) 2018-04-27 2019-04-29 Laparoscopic instruments

Publications (4)

Publication Number Publication Date
JP2021522043A JP2021522043A (ja) 2021-08-30
JPWO2019207322A5 JPWO2019207322A5 (https=) 2022-05-13
JP2021522043A5 JP2021522043A5 (https=) 2022-05-13
JP7386846B2 true JP7386846B2 (ja) 2023-11-27

Family

ID=62494899

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2021508080A Active JP7386846B2 (ja) 2018-04-27 2019-04-29 腹腔鏡手術用器具

Country Status (5)

Country Link
US (1) US12171519B2 (https=)
EP (1) EP3784142B1 (https=)
JP (1) JP7386846B2 (https=)
GB (1) GB201806943D0 (https=)
WO (1) WO2019207322A1 (https=)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6663461B2 (ja) * 2018-08-31 2020-03-11 株式会社アドメテック 内視鏡下癌治療システム
WO2022017384A1 (en) * 2020-07-20 2022-01-27 The University Of Hong Kong Fluid-driven robotic needle positioner for image-guided percutaneous interventions
EP3995100A1 (en) * 2020-11-06 2022-05-11 Université de Strasbourg Device and method for postioning a medical appliance
CN116549069B (zh) * 2023-04-25 2024-07-02 苏州新云医疗设备有限公司 医用稳定器

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009534158A (ja) 2006-04-24 2009-09-24 シネコー・エルエルシー 経管腔的外科手術システム
JP2011115591A (ja) 2009-12-04 2011-06-16 Tyco Healthcare Group Lp 最小侵襲性外科手術のための懸垂システム
JP2011115582A (ja) 2009-12-04 2011-06-16 Tyco Healthcare Group Lp 腹腔鏡足場アセンブリ
JP2011172787A (ja) 2010-02-25 2011-09-08 Olympus Corp 外套管

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5807377A (en) 1996-05-20 1998-09-15 Intuitive Surgical, Inc. Force-reflecting surgical instrument and positioning mechanism for performing minimally invasive surgery with enhanced dexterity and sensitivity
US8182469B2 (en) * 1997-11-21 2012-05-22 Intuitive Surgical Operations, Inc. Surgical accessory clamp and method
US7637905B2 (en) * 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
DE102004008138B8 (de) 2004-02-19 2009-04-23 Mathys Ag Bettlach Femurkomponente für eine Hüftgelenks-Endoprothese
WO2009035663A2 (en) * 2007-09-12 2009-03-19 Synecor, Llc Multi-instrument access devices and systems
JP5161714B2 (ja) 2008-09-19 2013-03-13 オリンパスメディカルシステムズ株式会社 医療機器
US8545515B2 (en) 2009-09-23 2013-10-01 Intuitive Surgical Operations, Inc. Curved cannula surgical system
KR20120115486A (ko) * 2009-11-13 2012-10-18 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 곡선형 캐뉼라 수술 시스템
US20120053406A1 (en) 2010-09-01 2012-03-01 Conlon Sean P Minimally invasive surgery
GB201316333D0 (en) 2013-09-13 2013-10-30 Imp Innovations Ltd Surgical device and methods
US9044210B1 (en) 2014-04-24 2015-06-02 University Of South Florida Power morcellation in a protected environment

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009534158A (ja) 2006-04-24 2009-09-24 シネコー・エルエルシー 経管腔的外科手術システム
JP2011115591A (ja) 2009-12-04 2011-06-16 Tyco Healthcare Group Lp 最小侵襲性外科手術のための懸垂システム
JP2011115582A (ja) 2009-12-04 2011-06-16 Tyco Healthcare Group Lp 腹腔鏡足場アセンブリ
JP2011172787A (ja) 2010-02-25 2011-09-08 Olympus Corp 外套管

Also Published As

Publication number Publication date
US20210113286A1 (en) 2021-04-22
EP3784142B1 (en) 2024-01-10
WO2019207322A1 (en) 2019-10-31
GB201806943D0 (en) 2018-06-13
US12171519B2 (en) 2024-12-24
JP2021522043A (ja) 2021-08-30
EP3784142A1 (en) 2021-03-03

Similar Documents

Publication Publication Date Title
US11877754B2 (en) Systems and methods for a medical clip applier
US11432981B2 (en) Tilt mechanisms for medical systems and applications
CA2991346C (en) Magnetically coupleable robotic devices and related methods
JP6250496B2 (ja) ロボット外科システム
Abbott et al. Design of an endoluminal NOTES robotic system
JP7386846B2 (ja) 腹腔鏡手術用器具
JP6255401B2 (ja) 機械本体の動きを操作するためのファントム自由度
US12350829B2 (en) Systems and methods for constrained motion control of medical instruments
EP4120951A1 (en) Systems and methods for dynamic adjustments based on load inputs for robotic systems
US10973599B2 (en) Surgical platform supported by multiple arms
Noonan et al. A modular, mechatronic joint design for a flexible access platform for MIS
Subido Jr et al. Recent technological advancements in laparoscopic surgical instruments
Cepolina et al. Trends in robotic surgery
US12201288B2 (en) Free motion laparoscopic surgical system
CN221512160U (zh) 一种手术机器人
Gumprecht et al. Flat-panel ultrasound robot: A novel imaging concept and a novel motorized kinematics for an ultrasound probe during laparoscopic interventions
Volpatto Robotic technology and endoluminal surgery in digestive surgery
CN121845753A (zh) 手术器械和手术机器人
Moschella et al. Controlling the traditional rigid endoscopic instrumentation motion
Noonan A Flexible Access Platform for Robot-assisted Minimally Invasive Surgery

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210702

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20220502

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20220502

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20230331

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20230418

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20230627

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A821

Effective date: 20230627

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230714

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230905

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20231024

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20231114

R150 Certificate of patent or registration of utility model

Ref document number: 7386846

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150