JP7423643B2 - 低侵襲手術のための人間工学的手術機器 - Google Patents
低侵襲手術のための人間工学的手術機器 Download PDFInfo
- Publication number
- JP7423643B2 JP7423643B2 JP2021546049A JP2021546049A JP7423643B2 JP 7423643 B2 JP7423643 B2 JP 7423643B2 JP 2021546049 A JP2021546049 A JP 2021546049A JP 2021546049 A JP2021546049 A JP 2021546049A JP 7423643 B2 JP7423643 B2 JP 7423643B2
- Authority
- JP
- Japan
- Prior art keywords
- end effector
- shell
- leg
- ligation clip
- handle
- 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
Links
- 238000002324 minimally invasive surgery Methods 0.000 title description 4
- 239000012636 effector Substances 0.000 claims description 220
- 230000013011 mating Effects 0.000 claims description 14
- 230000001154 acute effect Effects 0.000 claims description 9
- 238000006073 displacement reaction Methods 0.000 claims description 7
- 238000000576 coating method Methods 0.000 claims description 3
- 238000007788 roughening Methods 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 2
- 210000002105 tongue Anatomy 0.000 description 17
- 239000013256 coordination polymer Substances 0.000 description 14
- 238000000034 method Methods 0.000 description 11
- 229910052799 carbon Inorganic materials 0.000 description 5
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 230000001681 protective effect Effects 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 230000001419 dependent effect Effects 0.000 description 3
- 210000000707 wrist Anatomy 0.000 description 3
- XECAHXYUAAWDEL-UHFFFAOYSA-N acrylonitrile butadiene styrene Chemical compound C=CC=C.C=CC#N.C=CC1=CC=CC=C1 XECAHXYUAAWDEL-UHFFFAOYSA-N 0.000 description 2
- 229920000122 acrylonitrile butadiene styrene Polymers 0.000 description 2
- 239000004676 acrylonitrile butadiene styrene Substances 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 229920000049 Carbon (fiber) Polymers 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 239000004917 carbon fiber Substances 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 description 1
- 230000003278 mimic effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003954 umbilical cord Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- 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
- A61B17/12—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
- 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
- A61B1/313—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
-
- 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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- 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
-
- 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
- A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
- A61B2017/00424—Surgical instruments, devices or methods with special provisions for gripping ergonomic, e.g. fitting in fist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00858—Material properties high friction or non-slip
-
- 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
- A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
-
- 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
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
-
- 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
- A61B2017/2925—Pistol grips
-
- 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
- A61B2017/2926—Details of heads or jaws
-
- 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
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
-
- 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
- A61B2017/2946—Locking means
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DKPA201800717 | 2018-10-12 | ||
| DKPA201800717A DK180235B1 (en) | 2018-10-12 | 2018-10-12 | Ergonomic surgical instrument for minimally invasive surgery |
| PCT/EP2019/076675 WO2020074334A1 (en) | 2018-10-12 | 2019-10-02 | Ergonomic surgical instrument for minimally invasive surgery |
Publications (4)
| Publication Number | Publication Date |
|---|---|
| JP2022508796A JP2022508796A (ja) | 2022-01-19 |
| JP2022508796A5 JP2022508796A5 (https=) | 2022-09-28 |
| JPWO2020074334A5 JPWO2020074334A5 (https=) | 2022-09-28 |
| JP7423643B2 true JP7423643B2 (ja) | 2024-01-29 |
Family
ID=68233960
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2021546049A Active JP7423643B2 (ja) | 2018-10-12 | 2019-10-02 | 低侵襲手術のための人間工学的手術機器 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20210386428A1 (https=) |
| EP (1) | EP3863535A1 (https=) |
| JP (1) | JP7423643B2 (https=) |
| CN (1) | CN112839600B (https=) |
| DK (1) | DK180235B1 (https=) |
| TW (1) | TW202019344A (https=) |
| WO (1) | WO2020074334A1 (https=) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12594069B2 (en) | 2015-10-02 | 2026-04-07 | Livsmed, Inc. | Handle assembly providing unlimited roll |
| CN211962141U (zh) * | 2019-12-31 | 2020-11-20 | 南微医学科技股份有限公司 | 一种套扎释放装置 |
| WO2021181493A1 (ja) | 2020-03-10 | 2021-09-16 | オリンパス株式会社 | 医療用マニピュレータ |
| ES3029407T3 (en) * | 2020-03-10 | 2025-06-24 | Childrens Medical Center | Minimally invasive dissector for inter-layer procedures |
| WO2021181494A1 (ja) * | 2020-03-10 | 2021-09-16 | オリンパス株式会社 | 医療用マニピュレータ |
| JP2023528860A (ja) | 2020-06-02 | 2023-07-06 | フレックスデックス,インク. | 外科用ツールおよびアセンブリ |
| USD1105427S1 (en) | 2023-04-14 | 2025-12-09 | Flexdex, Inc. | Handheld laparoscopic surgical instrument |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004508873A (ja) | 2000-09-22 | 2004-03-25 | ボストン サイエンティフィック リミティド | 組織襞を作って留めるための方法及び装置 |
| JP2004290677A (ja) | 2003-03-25 | 2004-10-21 | Ethicon Endo Surgery Inc | 顎部アセンブリ、エンドエフェクタアセンブリ、内視鏡的外科用器具、および内視鏡的アセンブリ |
| JP2008543354A (ja) | 2005-03-24 | 2008-12-04 | テレフレックス・メディカル・インコーポレイテッド | 閉じる力が低減された結紮用クリップ |
| JP2009539472A (ja) | 2006-06-05 | 2009-11-19 | ケンブリッジ・エンドスコピック・ディヴァイセス,インコーポレーテッド | 手術器具 |
| JP2010503457A (ja) | 2006-09-13 | 2010-02-04 | ケンブリッジ・エンドスコピック・ディヴァイセス,インコーポレーテッド | 外科用機器 |
| JP2012176241A (ja) | 2011-02-25 | 2012-09-13 | Erbe Elektromedizin Gmbh | 操作性を改良した手術器具 |
Family Cites Families (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0677275B1 (en) * | 1994-03-17 | 2004-01-28 | Terumo Kabushiki Kaisha | Surgical instrument |
| EP0874101B1 (en) * | 1994-04-15 | 2000-11-22 | Monarflex A/S | A building element and a method of mounting a building element |
| US6322500B1 (en) * | 1996-12-23 | 2001-11-27 | University Of Massachusetts | Minimally invasive surgical apparatus |
| DE29804860U1 (de) * | 1998-03-18 | 1999-07-29 | Schad | Griff- und Maulteil für ein chirurgisches Instrument |
| DE10224336B4 (de) * | 2002-06-01 | 2004-04-08 | University Of Dundee, Dundee | Medizinisches Instrument |
| JP2005328968A (ja) * | 2004-05-19 | 2005-12-02 | Olympus Corp | 内視鏡処置システム |
| US8267969B2 (en) * | 2004-10-20 | 2012-09-18 | Exactech, Inc. | Screw systems and methods for use in stabilization of bone structures |
| US7766937B2 (en) * | 2006-03-13 | 2010-08-03 | Mini-Lap Technologies, Inc. | Minimally invasive surgical assembly and methods |
| US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
| US8512362B2 (en) * | 2007-11-05 | 2013-08-20 | Usgi Medical Inc. | Endoscopic ligation |
| US9445820B2 (en) * | 2007-12-31 | 2016-09-20 | Teleflex Medical Incorporated | Ligation clip with flexible clamping feature |
| WO2009091497A2 (en) * | 2008-01-16 | 2009-07-23 | John Hyoung Kim | Minimally invasive surgical instrument |
| US8465475B2 (en) * | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
| US20110029010A1 (en) * | 2009-07-28 | 2011-02-03 | Salvatore Castro | Flexible dissecting forceps |
| US8986287B2 (en) * | 2011-02-14 | 2015-03-24 | Adrian E. Park | Adjustable laparoscopic instrument handle |
| WO2013035870A1 (ja) * | 2011-09-08 | 2013-03-14 | オリンパスメディカルシステムズ株式会社 | 多自由度鉗子 |
| DE102012016294B4 (de) * | 2012-08-16 | 2014-02-27 | Spontech Spine Intelligence Group Ag | Polyaxialer Konnektor für Wirbelsäulen- Fixationssysteme und Wirbelsäulen-Fixationssystem |
| US10736702B2 (en) * | 2016-08-16 | 2020-08-11 | Ethicon Llc | Activating and rotating surgical end effectors |
-
2018
- 2018-10-12 DK DKPA201800717A patent/DK180235B1/en not_active IP Right Cessation
-
2019
- 2019-10-02 EP EP19786730.2A patent/EP3863535A1/en not_active Withdrawn
- 2019-10-02 US US17/283,194 patent/US20210386428A1/en not_active Abandoned
- 2019-10-02 CN CN201980067268.8A patent/CN112839600B/zh not_active Expired - Fee Related
- 2019-10-02 WO PCT/EP2019/076675 patent/WO2020074334A1/en not_active Ceased
- 2019-10-02 JP JP2021546049A patent/JP7423643B2/ja active Active
- 2019-10-09 TW TW108136674A patent/TW202019344A/zh unknown
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004508873A (ja) | 2000-09-22 | 2004-03-25 | ボストン サイエンティフィック リミティド | 組織襞を作って留めるための方法及び装置 |
| JP2004290677A (ja) | 2003-03-25 | 2004-10-21 | Ethicon Endo Surgery Inc | 顎部アセンブリ、エンドエフェクタアセンブリ、内視鏡的外科用器具、および内視鏡的アセンブリ |
| JP2008543354A (ja) | 2005-03-24 | 2008-12-04 | テレフレックス・メディカル・インコーポレイテッド | 閉じる力が低減された結紮用クリップ |
| JP2009539472A (ja) | 2006-06-05 | 2009-11-19 | ケンブリッジ・エンドスコピック・ディヴァイセス,インコーポレーテッド | 手術器具 |
| JP2010503457A (ja) | 2006-09-13 | 2010-02-04 | ケンブリッジ・エンドスコピック・ディヴァイセス,インコーポレーテッド | 外科用機器 |
| JP2012176241A (ja) | 2011-02-25 | 2012-09-13 | Erbe Elektromedizin Gmbh | 操作性を改良した手術器具 |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2022508796A (ja) | 2022-01-19 |
| EP3863535A1 (en) | 2021-08-18 |
| DK201800717A1 (en) | 2020-05-05 |
| DK180235B1 (en) | 2020-08-28 |
| CN112839600B (zh) | 2024-06-25 |
| TW202019344A (zh) | 2020-06-01 |
| US20210386428A1 (en) | 2021-12-16 |
| WO2020074334A1 (en) | 2020-04-16 |
| CN112839600A (zh) | 2021-05-25 |
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