JP7482025B2 - 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
JP7482025B2
JP7482025B2 JP2020533146A JP2020533146A JP7482025B2 JP 7482025 B2 JP7482025 B2 JP 7482025B2 JP 2020533146 A JP2020533146 A JP 2020533146A JP 2020533146 A JP2020533146 A JP 2020533146A JP 7482025 B2 JP7482025 B2 JP 7482025B2
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JP
Japan
Prior art keywords
articulation
shaft
articulating
surgical instrument
shaft assembly
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
JP2020533146A
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English (en)
Japanese (ja)
Other versions
JP2021510553A (ja
JP2021510553A5 (enExample
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
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 CR Bard Inc filed Critical CR Bard Inc
Publication of JP2021510553A publication Critical patent/JP2021510553A/ja
Publication of JP2021510553A5 publication Critical patent/JP2021510553A5/ja
Priority to JP2024072234A priority Critical patent/JP2024100778A/ja
Application granted granted Critical
Publication of JP7482025B2 publication Critical patent/JP7482025B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/28—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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • 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
    • 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
    • A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
    • A61B2017/00455—Orientation indicators, e.g. recess on the handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • 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
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of 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
    • 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
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
JP2020533146A 2018-01-10 2019-01-03 関節動作する外科用器具 Active JP7482025B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2024072234A JP2024100778A (ja) 2018-01-10 2024-04-26 関節動作する外科用器具

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/867,035 US11103234B2 (en) 2018-01-10 2018-01-10 Articulating surgical instruments
US15/867,035 2018-01-10
PCT/US2019/012129 WO2019139807A1 (en) 2018-01-10 2019-01-03 Articulating surgical instruments

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2024072234A Division JP2024100778A (ja) 2018-01-10 2024-04-26 関節動作する外科用器具

Publications (3)

Publication Number Publication Date
JP2021510553A JP2021510553A (ja) 2021-04-30
JP2021510553A5 JP2021510553A5 (enExample) 2022-01-04
JP7482025B2 true JP7482025B2 (ja) 2024-05-13

Family

ID=65269046

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2020533146A Active JP7482025B2 (ja) 2018-01-10 2019-01-03 関節動作する外科用器具
JP2024072234A Pending JP2024100778A (ja) 2018-01-10 2024-04-26 関節動作する外科用器具

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2024072234A Pending JP2024100778A (ja) 2018-01-10 2024-04-26 関節動作する外科用器具

Country Status (7)

Country Link
US (3) US11103234B2 (enExample)
EP (1) EP3737305A1 (enExample)
JP (2) JP7482025B2 (enExample)
CN (2) CN111629673B (enExample)
AU (1) AU2019206370B2 (enExample)
CA (1) CA3088149A1 (enExample)
WO (1) WO2019139807A1 (enExample)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11723738B2 (en) 2017-11-06 2023-08-15 University Of Tennessee Research Foundation Surgical device tip with deflectable joint
US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
US11134928B2 (en) * 2018-01-10 2021-10-05 C.R. Bard, Inc. Articulating surgical instruments
US10779813B2 (en) 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments
WO2020218921A2 (en) 2019-04-08 2020-10-29 Fortimedix Assets Ii B.V. Steerable instrument comprising a detachable part
US12279840B2 (en) * 2021-04-30 2025-04-22 Cilag Gmbh International Selectable jaw closure of a robotic surgical system

Citations (4)

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JP2012531270A (ja) 2009-06-24 2012-12-10 シファメド・ホールディングス・エルエルシー 操作可能な医療用送達装置および使用方法
JP2014515641A (ja) 2011-03-15 2014-07-03 エシコン・エンド−サージェリィ・インコーポレイテッド 関節運動可能かつ回転可能なエンドエフェクタを有する外科用器具
JP2016510651A (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 関節式手術器具
JP2016510650A (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 手術器具内部におけるファスナのハンドリング

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US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012531270A (ja) 2009-06-24 2012-12-10 シファメド・ホールディングス・エルエルシー 操作可能な医療用送達装置および使用方法
JP2014515641A (ja) 2011-03-15 2014-07-03 エシコン・エンド−サージェリィ・インコーポレイテッド 関節運動可能かつ回転可能なエンドエフェクタを有する外科用器具
JP2016510651A (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 関節式手術器具
JP2016510650A (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 手術器具内部におけるファスナのハンドリング

Also Published As

Publication number Publication date
JP2021510553A (ja) 2021-04-30
US11103234B2 (en) 2021-08-31
CN111629673B (zh) 2024-07-26
US20210369265A1 (en) 2021-12-02
AU2019206370A1 (en) 2020-07-16
US20190209158A1 (en) 2019-07-11
US20240197315A1 (en) 2024-06-20
JP2024100778A (ja) 2024-07-26
CN118662175A (zh) 2024-09-20
AU2019206370B2 (en) 2024-10-17
CA3088149A1 (en) 2019-07-18
US11944289B2 (en) 2024-04-02
CN111629673A (zh) 2020-09-04
EP3737305A1 (en) 2020-11-18
WO2019139807A1 (en) 2019-07-18

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