JPH08503401A - 目視用套管針とその目視化挿入方法 - Google Patents
目視用套管針とその目視化挿入方法Info
- Publication number
- JPH08503401A JPH08503401A JP6512456A JP51245694A JPH08503401A JP H08503401 A JPH08503401 A JP H08503401A JP 6512456 A JP6512456 A JP 6512456A JP 51245694 A JP51245694 A JP 51245694A JP H08503401 A JPH08503401 A JP H08503401A
- Authority
- JP
- Japan
- Prior art keywords
- light
- image
- trocar
- sleeve
- light transmission
- 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.)
- Granted
Links
Classifications
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- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00087—Tools
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- 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
- A61B1/00131—Accessories for endoscopes
- A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
-
- 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
- A61B1/04—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 combined with photographic or television appliances
- A61B1/042—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 combined with photographic or television appliances characterised by a proximal camera, e.g. a CCD camera
-
- 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
- A61B1/3132—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 for laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Optics & Photonics (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
- Laser Surgery Devices (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1)a)第1端部を有する非可撓性細長部材と、 b)光を投射しかつ光映像を受像するため細長部材の第1端部に設けた光透過 及び映像手段と c)光透過及び映像手段を人間の肉体を通して人間の体腔内に挿入させるごと ができるように人間の肉体を刺通しするため光透過及び映像手段と連結可能な刺 通し手段とから成り、 d)光透過及び映像手段を非可撓性の細長部材の第1端部に接続し、光透過及 び映像手段には透明材料で形成した光透過及び映像部材を備え、 e)細長部材には光透過及び映像手段と連動させるために従来の望遠鏡の形状 にした照明手段と光受像手段を含有する内包手段を備え、内包手段を細長部材に 望遠鏡を着脱可能かつ摺動可能に挿入できかつ細長部材から望遠鏡を摺動可能に 取り外すことができる形状にしたことを特徴とする外科手術器具。 2)刺通し手段には光透過及び映像手段上に形成した鋭い先細の尖端を備えた ことを特徴とする請求の範囲第1項に記載の外科手術器具。 3)細長部材を中空状にしたことを特徴とする請求の範囲第1項に記載の外科 手術器具。 4)光透過及び映像手段には光透過性テーパー部と光透過性非テーパー部とを 備え、非テーパー部を細長部材の第1端部において凹部に形成したことを特徴と する請 求の範囲第1項に記載の外科手術器具。 5)光透過及び映像部材の非テーパー部の横断面をほぼ円形にしたことを特徴 とする請求の範囲第4項に記載の外科手術器具。 6)非テーパー部を細長部材の第1端部に一体的に接合することを特徴とする 請求の範囲第4項に記載の外科手術器具。 7)光透過及び製造部材をガラス製にしたことを特徴とする請求の範囲第1項 に記載の外科手術器具。 8)光透過及び映像部材をプラスチック製にしたことを特徴とする請求の範囲 第1項に記載の外科手術器具。 9)細長部材には第1端部に対向する第2端部を備え、細長部材の操作を容易 にするために第2端部に隣接してハンドル手段を配設したことを特徴とする請求 の範囲第1項に記載の外科手術器具。 10)外科手術器具を人間の肉体を通して人間の体腔に挿入するための目視化 挿入方法において、 a)中空状套管針に管状本体を備え、透明材料の光透過及び映像部材を形成し 、光透過及び映像部材が人間の肉体に刺し通して人間の体腔に挿入できるような 先端を備え、 b)光透過及び映像部材を生物学的に適合性のある材料で形成した管状本体の 一端に接合させ、 c)光望遠鏡の形状における照明手段と光受像手段を光透過及び映像部材に近 接する中空状の套管針中に摺動 可能に配設し、光透過及び映像部材が人間の肉体を通して人間の体腔中に挿入さ れている間に照明手段からの光を光透過及び映像部材から外側に投射可能にし、 かつ光受像手段に光透過及び映像部材の外側から光透過及び映像部材を通過する 光像を受像可能にさせ、光透過及び映像部材には人間の肉体と体腔の受像可能な 像を備えることを特徴とする目視化挿入方法。 11)光透過及び映像部材を有する中空状の套管針をスリーブ中に摺動可能に 配置し、光透過及び映像部材とスリーブとを肉体を通して体腔内に挿入できるよ うに光透過及び映像部材だけがスリーブの一端から突出するようにスリーブに対 して中空状の套管針の位置を固定させたことを特徴とする請求の範囲第10項に 記載の目視化挿入方法。 12)光透過及び映像部材が肉体を通して体腔に挿入されている間に挿入中の 光透過及び映像部材の内部位置の連続的なビデオ促進可視映像を得るために光受 像手段により受像された光像をビデオスクリーンで監視することを特徴とする請 求の範囲第10項に記載の目視化挿入方法。 13)中空状の套管針から光望遠鏡を摺動可能に取り外し、套管針を光望遠鏡 から分離させることを特徴とする請求の範囲第10項に記載の目視化挿入方法。 14)光透過及び映像部材を有する中空状の套管針をスリーブから摺動可能に 取り外し、スリーブを肉体を通 して体腔内に挿入させた状態で保持することを特徴とする請求の範囲第11項に 記載の目視化挿入方法。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/978,092 US5334150A (en) | 1992-11-17 | 1992-11-17 | Visually directed trocar for laparoscopic surgical procedures and method of using same |
US07/978,092 | 1992-11-17 | ||
US978092 | 1992-11-17 | ||
PCT/US1993/011109 WO1994011040A1 (en) | 1992-11-17 | 1993-11-16 | Visually directed trocar and method |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH08503401A true JPH08503401A (ja) | 1996-04-16 |
JP2659278B2 JP2659278B2 (ja) | 1997-09-30 |
Family
ID=25525776
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP6512456A Expired - Lifetime JP2659278B2 (ja) | 1992-11-17 | 1993-11-16 | 腹腔鏡外科手術用の目視用套管針 |
Country Status (8)
Country | Link |
---|---|
US (4) | US5334150A (ja) |
EP (1) | EP0726784B1 (ja) |
JP (1) | JP2659278B2 (ja) |
AU (1) | AU678794B2 (ja) |
CA (1) | CA2149128C (ja) |
DE (1) | DE69330169T2 (ja) |
ES (1) | ES2155846T3 (ja) |
WO (1) | WO1994011040A1 (ja) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010512959A (ja) * | 2006-12-20 | 2010-04-30 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 外科用視覚型閉塞器具 |
JP2010514539A (ja) * | 2007-01-03 | 2010-05-06 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 取り外し可能な光学穿刺部材を有するアクセスシース |
JP2013252429A (ja) * | 2012-06-06 | 2013-12-19 | Covidien Lp | 通気経路を有する栓塞子チップ |
JP2014504179A (ja) * | 2010-11-29 | 2014-02-20 | クンツ,ライナー | トロカールシステム |
JP2020529910A (ja) * | 2017-08-04 | 2020-10-15 | ブリガム アンド ウィメンズ ホスピタル,インク.Brigham and Women’s Hospital, Inc. | 照明された案内と安全な特徴とを有するベレス型の針 |
WO2022211253A1 (ko) * | 2021-03-31 | 2022-10-06 | 계명대학교 산학협력단 | 소아복막외 탈장교정술용 투관침 및 그 이용 방법 |
WO2022210834A1 (ja) * | 2021-03-31 | 2022-10-06 | 国立研究開発法人理化学研究所 | 断層像処理装置、断層像処理方法、プログラム、情報記録媒体、ならびに、刺入体 |
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Also Published As
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AU678794B2 (en) | 1997-06-12 |
US5334150A (en) | 1994-08-02 |
US5380291A (en) | 1995-01-10 |
US5551947A (en) | 1996-09-03 |
WO1994011040A1 (en) | 1994-05-26 |
AU5608794A (en) | 1994-06-08 |
ES2155846T3 (es) | 2001-06-01 |
US5376076A (en) | 1994-12-27 |
EP0726784B1 (en) | 2001-04-18 |
DE69330169D1 (de) | 2001-05-23 |
JP2659278B2 (ja) | 1997-09-30 |
EP0726784A4 (en) | 1996-04-03 |
CA2149128A1 (en) | 1994-05-26 |
EP0726784A1 (en) | 1996-08-21 |
DE69330169T2 (de) | 2001-09-13 |
CA2149128C (en) | 1996-09-17 |
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