JPS61265133A - Incision instrument for surgery - Google Patents

Incision instrument for surgery

Info

Publication number
JPS61265133A
JPS61265133A JP60110013A JP11001385A JPS61265133A JP S61265133 A JPS61265133 A JP S61265133A JP 60110013 A JP60110013 A JP 60110013A JP 11001385 A JP11001385 A JP 11001385A JP S61265133 A JPS61265133 A JP S61265133A
Authority
JP
Japan
Prior art keywords
outer tube
cutting
blade
cavity
tissue
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.)
Pending
Application number
JP60110013A
Other languages
Japanese (ja)
Inventor
楠 博幸
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.)
Olympus Corp
Original Assignee
Olympus Optical Co 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 Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP60110013A priority Critical patent/JPS61265133A/en
Publication of JPS61265133A publication Critical patent/JPS61265133A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1659Surgical rasps, files, planes, or scrapers

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 [産業上の利用分野] 本発明は、切開することなく体腔外から体腔内、例えば
膝等の関節腔内の軟骨(関節半月、関節軟骨)、軟骨瘤
、腫瘍等を切除し、体腔外へ排出する外科用切除器具に
関するものである。
[Detailed Description of the Invention] [Industrial Application Field] The present invention can be used to remove cartilage (articular meniscus, articular cartilage), chondrocele, tumor, etc. from outside the body cavity to within the body cavity without making an incision, for example, in the joint cavity of the knee etc. This relates to a surgical resection instrument that excises and expels the body from the body cavity.

[従来の技術と発明が解決しようとする問題点]従来、
関節手術は、主として切開法(開放外斜)によって行わ
れていた。例えば、一般的な関節の手術においては、膝
蓋骨上の腫瘍を除去したり、膝関節から破損した軟骨、
骨等を切除すること等であるが、比較的大きな切開を必
要としていた。
[Problems to be solved by conventional techniques and inventions] Conventionally,
Joint surgery was primarily performed by the open method (open external oblique). For example, in general joint surgery, tumors on the patella are removed, or damaged cartilage is removed from the knee joint.
This involves removing bones, etc., but requires relatively large incisions.

そのため、切開による外傷を生じ、苦痛と運動制限とを
伴い、直るまでに多くの時間を要するという欠点を有し
ていた。
Therefore, the incision causes trauma, which is accompanied by pain and restricted movement, and has the disadvantage that it takes a long time to heal.

そこで、近年関節鏡(内視鏡)の観察のもとで、関節を
切開しないで該関節に小さな穿刺孔を形成し、この穿刺
孔に挿入されるプローブを使用して手術(閉鎖外科)す
る器具が提案されてい′る。例えば、特1[54−77
493号、特%li[If(57−156753号公報
等にこれらが開示されている。
Therefore, in recent years, under observation using an arthroscope (endoscope), a small puncture hole is formed in the joint without incision, and a probe inserted into the puncture hole is used for surgery (closed surgery). A device has been proposed. For example, Special 1 [54-77
These are disclosed in No. 493, Special Publication No. 57-156753, etc.

この従来技術に係る器具は、外周に軸方向に伸びる又は
先端に開口した切削口が形成された細長い固定外管と、
この外管内に回転自在に内装され前記切削口において内
部回転刃を形成しているチューブ状内側部材と、本体と
、吸引装置と、駆動モータとを備えて、真空引きによっ
て組織片等を切削口内に吸引する一方、前記駆動モータ
で回転刃を回転して切削し、切削片をチューブ状内側部
材を経て吸引排出するように構成している。
The device according to the prior art includes an elongated fixed outer tube in which a cutting opening extending in the axial direction or opening at the tip is formed on the outer periphery;
A tubular inner member rotatably housed within the outer tube and forming an internal rotary blade at the cutting opening, a main body, a suction device, and a drive motor are provided to remove tissue pieces, etc. into the cutting opening by vacuuming. At the same time, the rotary blade is rotated by the drive motor to perform cutting, and the cut pieces are suctioned and discharged through the tubular inner member.

しかしながら、これら従来例に係る器具では、切削用回
転刃を有しており、この回転刃は小内径の外管内に内装
されるもので極小であることから、その加工に高度の技
術を要し生産性が悪いといった問題点がある。又、従来
の器具では、挿入部が直線状に形成され、その切削口も
この直線状部分の外周又は先端に形成されていることか
ら、切削口がわかりにくく対象組織を狙撃しにくい。更
に、前記従来の器具では、刃先を形成したフライス状回
転刃で組織を切削するよう構成されているが、特に体腔
内組織、例えば膝関節腔内の破損した関節半月、軟骨、
腫瘍等の対象組織は、弾力的で粘性を有しているため、
切削性が悪いといった問題がある。
However, these conventional instruments have a rotary blade for cutting, and since this rotary blade is installed inside an outer tube with a small inner diameter and is extremely small, advanced technology is required to process it. There are problems such as poor productivity. Furthermore, in conventional instruments, the insertion portion is formed in a straight line, and the cutting opening is also formed on the outer periphery or the tip of this linear part, making it difficult to see the cutting opening and making it difficult to target the target tissue. Further, the conventional instrument is configured to cut tissue using a milling rotary blade with a cutting edge, but it is particularly suitable for cutting tissues in body cavities, such as damaged joint meniscus, cartilage, etc. in the knee joint cavity.
Target tissues such as tumors are elastic and viscous, so
There are problems such as poor machinability.

[発明の目的1 本発明は、これらの事情に鑑みてなされたもので、回転
駆動して組織を切削、剥離する刃部の加■を簡単にして
生産性の向上を図ると共に、切削口がわかりやすく対象
組織への狙撃を正確、確実行うことができ、しかも、組
織の切削性を良好にした外科用切除器具を提供すること
を目的としている。
[Objective of the Invention 1] The present invention has been made in view of these circumstances, and aims to improve productivity by simplifying the processing of the blade portion that cuts and peels tissue by rotating it, and also to improve productivity. The purpose of the present invention is to provide a surgical resection instrument that can accurately and reliably target a target tissue in an easy-to-understand manner, and has good tissue cutting performance.

[問題点を解決するための手段及びその作用]前記目的
を達成するため本発明による外科用切除器具は、挿入部
外形を形成する外管の有底状先端部側を所定角度で屈曲
し、この屈曲部の側面に切削口を形成する一方、前記外
管内に挿通した回転駆動軸にブラシ状刃部を装着し、該
刃部を前記切削口に臨ませて外管先端部の屈曲部内に配
設して構成されている。
[Means for Solving the Problems and Their Effects] In order to achieve the above object, the surgical cutting instrument according to the present invention bends the bottomed distal end side of the outer tube forming the outer shape of the insertion portion at a predetermined angle, A cutting opening is formed on the side surface of the bent portion, and a brush-like blade is attached to the rotary drive shaft inserted into the outer tube, and the blade is placed inside the bent portion of the tip of the outer tube with the blade facing the cutting opening. It is arranged and configured.

この構成で、挿入部の切削口は、外管先端側の屈曲した
側面に形成されていることから、その位置がわかりやす
く対象組織へ狙撃しゃすい。又、切削刃部はブラシ状に
形成され、弾力性及び粘性を有する組織を切削しやすい
。さらに、刃部はブラシ状に形成され、したがって加工
が簡単で生産性を向上できる。
With this configuration, the cutting opening of the insertion portion is formed on the curved side surface on the distal end side of the outer tube, making it easy to locate the cutting opening and target the target tissue. Further, the cutting blade portion is formed into a brush shape, and can easily cut tissue having elasticity and viscosity. Furthermore, the blade portion is formed into a brush shape, so processing is easy and productivity can be improved.

[発明の実施例] 以下、図面を参照して本発明の実施例を具体的に説明す
る。
[Embodiments of the Invention] Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.

第1図ないし第3図は本発明の第1実施例に係り、第1
図は断面図、第2図は挿入部の先端を示す拡大断面図、
第3図は使用状態の一例を示す説明図である。
Figures 1 to 3 relate to the first embodiment of the present invention.
The figure is a cross-sectional view, and Figure 2 is an enlarged cross-sectional view showing the tip of the insertion section.
FIG. 3 is an explanatory diagram showing an example of a usage state.

これらの図において、符号1は外科用切除器具で、手元
側の把持部を兼用した本体2と、この本体2から前方へ
延設されて体腔内、例えば関節腔内へ挿入される細長な
挿入部3とから構成されている。前記挿入部3は、開口
した基部を本体2の先端部に固定した外管4と、この外
管4内に軸回りに回動自在に内装された回転駆動軸5と
からなり、前記外管4は先端を有底状となす一方、この
有底状先端部側を組織に当接しやすいよう所定角度で屈
曲して屈曲部6を形成し、該屈曲部6の内側湾曲側面に
切削ロアを開口している。前記駆動軸5の先端には、密
巻きコイル等よりなる軟性軸5aを介してブラシ状刃部
8が連結されており、このブラシ状刃部8は外管4先端
の屈曲部6に内設されて切削ロアに臨んでいる。このブ
ラシ状刃部8は、回転ぶれを防止するよう軸8aの先端
を外管4の有底状先端内壁に設けた軸受9に軸受けして
いる。一方、前記外管4の内路は、切削ロアと連通した
切片吸引路10となっていると共に、切片吸引装置を接
続した手元側本体2に連通している。
In these figures, reference numeral 1 denotes a surgical cutting instrument, which includes a main body 2 that also serves as a grip on the proximal side, and an elongated insertion device that extends forward from the main body 2 and is inserted into a body cavity, such as a joint cavity. It consists of Section 3. The insertion section 3 consists of an outer tube 4 whose open base is fixed to the distal end of the main body 2, and a rotary drive shaft 5 installed inside the outer tube 4 so as to be rotatable around the axis. 4 has a bottomed tip, and the bottomed tip side is bent at a predetermined angle to form a bent portion 6 to facilitate contact with tissue, and a cutting lower is provided on the inner curved side surface of the bent portion 6. It's open. A brush-like blade part 8 is connected to the tip of the drive shaft 5 via a soft shaft 5a made of a tightly wound coil, etc., and this brush-like blade part 8 is internally installed in the bent part 6 at the tip of the outer tube 4. It is facing the cutting lower. The tip of the shaft 8a of the brush-like blade portion 8 is supported by a bearing 9 provided on the inner wall of the bottomed tip of the outer tube 4 to prevent rotational wobbling. On the other hand, the inner path of the outer tube 4 serves as a section suction path 10 that communicates with the cutting lower, and also communicates with the proximal main body 2 to which a section suction device is connected.

前記本体2は、切除器具1を外科医等の術者が手に持っ
て操作する部分であり、前記内管5を回転駆動する駆動
部分等を収納するハウジング11と、前記外管5の吸引
路10に連通した空洞12aを有して切片吸引装置に接
続される吸引管口金22を取付けた前部ハウジング12
とから構成されている。この前部ハウジング12は、例
えば螺合手段にてハウジング11に着脱自在に螺着連結
されている。又、この前部ハウジング12は、前方に環
状の固定部12bを延設し且つ、その内周軸方向に溝部
12cを形成している。一方、外管4の基部外周には、
前方にフランジ13aを有するスリーブ13が嵌合され
ていると共に、スリーブ13外周にピン14を植立して
いる。そして、前記ピン14を溝部12C内に係入した
状態でスリーブ13を嵌合した外管4基部を固定部12
b内に挿入し、且つ外管固定ねじ体15を固定部12b
外周に螺合して着脱自在に外管4の基部を固定している
The main body 2 is a part of the resection instrument 1 that is held and operated by an operator such as a surgeon, and includes a housing 11 that houses a driving part that rotationally drives the inner tube 5 and the like, and a suction path of the outer tube 5. a front housing 12 having a cavity 12a communicating with the tube 10 and having a suction tube mouthpiece 22 connected to a section suction device;
It is composed of. The front housing 12 is removably screwed to the housing 11 by, for example, screwing means. Further, the front housing 12 has an annular fixing part 12b extending in the front and a groove part 12c formed in the axial direction of the inner circumference thereof. On the other hand, on the outer periphery of the base of the outer tube 4,
A sleeve 13 having a flange 13a at the front is fitted, and a pin 14 is installed on the outer periphery of the sleeve 13. Then, with the pin 14 engaged in the groove 12C, the base portion of the outer tube 4 fitted with the sleeve 13 is attached to the fixing portion 12C.
b, and the outer tube fixing screw body 15 into the fixing part 12b.
The base of the outer tube 4 is fixed to the outer circumference in a detachable manner by being screwed onto the outer periphery.

前記ハウジング11の後部には、モータ16が内装され
、そのモータ軸17は雄スプライン18を固定している
。一方、このモータ16の前方には出力軸19が回転自
在且つ軸方向へ摺動可能に軸受されていると共に、その
後部に雌スプライン20が形成され、該雌スプライン2
0が前記雄スプライン18に噛合している。前記出力軸
19は、前部ハウジング12の空洞12a内に突出し、
この突出部に回転駆動軸5の基部に設けた接続部21を
嵌入固定し、前記モータ16の回転力を回転駆動軸5に
伝達し該駆動軸5を回転させるようになっている。
A motor 16 is housed in the rear part of the housing 11, and a male spline 18 is fixed to the motor shaft 17. On the other hand, an output shaft 19 is rotatably and slidably supported in the axial direction at the front of the motor 16, and a female spline 20 is formed at the rear of the output shaft 19.
0 meshes with the male spline 18. The output shaft 19 projects into the cavity 12a of the front housing 12,
A connecting portion 21 provided at the base of the rotary drive shaft 5 is fitted and fixed into this protrusion, so that the rotational force of the motor 16 is transmitted to the rotary drive shaft 5 and the drive shaft 5 is rotated.

前記吸引管口金22は、前部ハウジング12の外周に空
洞12aと連通状態で取付けられている。
The suction tube mouthpiece 22 is attached to the outer periphery of the front housing 12 in communication with the cavity 12a.

この吸引管口金22は、その入口部分の開口面積を大き
く取れるようハウジング12aの軸方向に対して後方に
傾斜させている。又、この吸引管口金22を取付けた前
部ハウジング12は、その外周壁を前方に向って下方に
傾斜させ、前記吸引管口金22の後方傾斜取付けと同様
該吸引管口金22の入口部分の開口面積を大きくしてい
る。
This suction tube mouthpiece 22 is inclined rearward with respect to the axial direction of the housing 12a so that the opening area of its inlet portion can be increased. Further, the front housing 12 to which the suction tube cap 22 is attached has its outer peripheral wall inclined downwardly toward the front, and the opening at the inlet portion of the suction tube cap 22 is made similar to the case where the suction tube cap 22 is mounted at a backward slope. The area is enlarged.

このように構成された第1実施例を用いて体腔内1例え
ば関節腔内の対象組織を切除する動作を第3図を参照し
て以下に説明する。
The operation of resecting a target tissue in a body cavity 1, for example, a joint cavity using the first embodiment configured as described above will be described below with reference to FIG.

第3図に示すように目的とする部位、例えば膝関節内の
対象組織を切除するには、膝部31に外科用切除器具1
の挿入部3を挿入する小孔をトラカール等の穿刺操作に
よって設けてトラカール等を介して又は直接挿入部3を
挿入する。又、この挿入部3の挿入前に、関節腔内を観
察しながら対象組織の切除手術が行えるように、照明及
び観察光学系が配設された関節鏡32の挿入部33をト
ラカール等の穿刺操作によって関節腔内に挿入し、この
関節鏡33の接眼部より直接又は該接眼部に装着したテ
レビカメラ34によって撮影した映像を表示する表示装
置35に関節腔内及び該腔内に挿入された前記外科用切
除器具1の挿入部3を観察できる状態にする。ざらに、
関節腔内を膨ませ切除手術が容易なように生理的食塩水
を制御された水圧で給水源36から関節腔内に穿刺した
給水管37を経て該関節腔内に供給できる状態にする。
As shown in FIG. 3, in order to remove a target tissue within a target region, for example, a knee joint, a surgical resection instrument 1 is attached to the knee region 31.
A small hole into which the insertion portion 3 is inserted is provided by a puncturing operation using a trocar or the like, and the insertion portion 3 is inserted directly or through the trocar or the like. In addition, before inserting the insertion section 3, the insertion section 33 of the arthroscope 32, which is equipped with an illumination and observation optical system, is punctured with a trocar or the like so that the surgical resection of the target tissue can be performed while observing the inside of the joint cavity. It is inserted into the joint cavity by operation, and inserted into the joint cavity and into the display device 35 that displays images taken directly from the eyepiece of this arthroscope 33 or by a television camera 34 attached to the eyepiece. The inserted portion 3 of the surgical resection instrument 1 is made observable. Roughly,
In order to inflate the joint cavity and facilitate resection surgery, physiological saline can be supplied into the joint cavity from a water supply source 36 through a water supply pipe 37 punctured into the joint cavity at controlled water pressure.

一方、外科用切除器具1の手元側把持部本体2の吸引管
口金22にチューブ38を接続し、吸引。
On the other hand, the tube 38 is connected to the suction tube mouthpiece 22 of the proximal grip main body 2 of the surgical resection instrument 1, and suction is performed.

回収装置3つと連結し、又ケーブル40の図示しないコ
ネクタをモータ制御部41に接続しモータ16に電力が
供給できる状態に設定する。
The cable 40 is connected to the three recovery devices, and a connector (not shown) of the cable 40 is connected to the motor control unit 41, so that the motor 16 can be supplied with electric power.

このような設定状態で術者は関節鏡33により、又は表
示装置35により関節腔内及び切除器具1の挿入部3先
端部を観察しながら、挿入部3先端部の同曲部6に設け
た切削ロアを切削、又は剥離対象組織に当接させ、この
状態でスイッチをオンしてモータ16を駆動して出ツノ
軸19等の駆動伝達系を介して回転駆動軸5を軸回りに
回転させ、−〇 − 前記切削口7に臨ませて回転するブラシ状刃部8にて組
織を切削又は剥離し、必要時又は常時吸引。
In this setting state, the operator observes the inside of the joint cavity and the distal end of the insertion section 3 of the resection instrument 1 using the arthroscope 33 or the display device 35. The cutting lower is brought into contact with the tissue to be cut or ablated, and in this state, the switch is turned on to drive the motor 16 to rotate the rotary drive shaft 5 around the axis via the drive transmission system such as the protrusion shaft 19. , -〇 - Tissue is cut or peeled with the rotating brush-like blade part 8 facing the cutting opening 7, and suction is carried out when necessary or constantly.

回収装置3つを作動して切片を外管4の吸引路10、前
部ハウジング12の空洞12a、吸引管口金22.デユ
ープ38を経て吸引9回収装置39に回収、排出するこ
とができる。
The three collection devices are activated to collect the sections into the suction path 10 of the outer tube 4, the cavity 12a of the front housing 12, the suction tube base 22, and the like. It can be collected and discharged through a duplex 38 to a suction 9 collection device 39.

尚、第3図中符号42は光源装置、43はライトガイド
ケーブル、44はテレビカメラのケーブルを示す。
In FIG. 3, reference numeral 42 indicates a light source device, 43 indicates a light guide cable, and 44 indicates a television camera cable.

このように本発明では、体腔内、例えば関節腔内の対象
組織を、体腔外から挿入した外科用切除器具1の挿入部
3を構成する外管4の先端屈曲部6の切削ロアに臨ませ
たブラシ状刃部8で切削。
As described above, in the present invention, the target tissue in a body cavity, for example, a joint cavity, is exposed to the cutting lower part of the distal end bending part 6 of the outer tube 4 that constitutes the insertion part 3 of the surgical resection instrument 1 inserted from outside the body cavity. Cutting with brush-like blade part 8.

剥離するので、効率よく対象組織を切削又は剥離できる
ものである。又、本発明の切削刃部8は、ブラシよりな
るので、その加工が容易であり、生産性に優れている。
Since it peels off, the target tissue can be efficiently cut or peeled off. Further, since the cutting edge portion 8 of the present invention is made of a brush, it is easy to process and has excellent productivity.

第3図は本発明の第2実施例に係る挿入部先端を示して
いる。
FIG. 3 shows the tip of the insertion portion according to the second embodiment of the present invention.

この第2実施例では、外管4先端の屈曲部6に設ける切
削ロアを、外側湾曲側面に形成したものである。
In this second embodiment, the cutting lower provided at the bent portion 6 at the tip of the outer tube 4 is formed on the outer curved side surface.

[発明の効果] 以上説明したように本発明によれば、回転駆動して組織
を切削、剥離する刃部の加工を簡単にして生産性の向上
を図ることができると共に、切削口がわかりやすく対象
組織への狙撃を正確、確実に行うことができ、しかも、
組織の切削性を良好にできる効果を有する。
[Effects of the Invention] As explained above, according to the present invention, it is possible to improve productivity by simplifying the machining of the blade portion that is rotationally driven to cut and exfoliate tissue, and the cutting opening is easy to understand. It is possible to accurately and reliably target the target organization, and
It has the effect of improving the machinability of tissue.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図ないし第3図は本発明の第1実施例に係り、第1
図は断面図、第2図は挿入部の先端を示す拡大断面図、
第3図は使用状態の一例を示す説明図、第4図は第2実
施例に係る挿入部の先端断面図である。 2・・・本体   3・・・挿入部 4・・・外管   5・・・回転駆動軸6・・・屈曲部
  7・・・切削口 8・・・ブラシ状刃部
Figures 1 to 3 relate to the first embodiment of the present invention.
The figure is a cross-sectional view, and Figure 2 is an enlarged cross-sectional view showing the tip of the insertion section.
FIG. 3 is an explanatory diagram showing an example of a usage state, and FIG. 4 is a sectional view of the distal end of the insertion portion according to the second embodiment. 2... Main body 3... Insertion part 4... Outer tube 5... Rotation drive shaft 6... Bent part 7... Cutting port 8... Brush-shaped blade part

Claims (2)

【特許請求の範囲】[Claims] (1)挿入部外形を形成する外管の有底状先端部側を所
定角度で屈曲し、この屈曲部の側面に切削口を形成する
一方、前記外管内に挿通した回転駆動軸にブラシ状刃部
を装着し、該刃部を前記切削口に臨ませて外管先端部の
屈曲部内に配設したことを特徴とする外科用切除器具。
(1) The bottomed tip side of the outer tube that forms the outer shape of the insertion portion is bent at a predetermined angle, and a cutting opening is formed on the side surface of this bent portion, while a brush-shaped 1. A surgical cutting instrument, comprising: a blade portion mounted thereon; the blade portion facing the cutting opening and disposed within the bent portion of the distal end portion of the outer tube;
(2)回転駆動軸は、その一部をフレキシブルな軟性部
材で形成したことを特徴とする特許請求の範囲第1項に
記載の外科用切除器具。
(2) The surgical cutting instrument according to claim 1, wherein the rotational drive shaft is partially formed of a flexible soft member.
JP60110013A 1985-05-21 1985-05-21 Incision instrument for surgery Pending JPS61265133A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP60110013A JPS61265133A (en) 1985-05-21 1985-05-21 Incision instrument for surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP60110013A JPS61265133A (en) 1985-05-21 1985-05-21 Incision instrument for surgery

Publications (1)

Publication Number Publication Date
JPS61265133A true JPS61265133A (en) 1986-11-22

Family

ID=14524903

Family Applications (1)

Application Number Title Priority Date Filing Date
JP60110013A Pending JPS61265133A (en) 1985-05-21 1985-05-21 Incision instrument for surgery

Country Status (1)

Country Link
JP (1) JPS61265133A (en)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0159112U (en) * 1987-10-09 1989-04-13
JPH01229607A (en) * 1988-03-11 1989-09-13 Nippon Plast Co Ltd Mold equipped with device for curling terminal of skin
JPH01159825U (en) * 1988-04-28 1989-11-06
JPH01159824U (en) * 1988-04-28 1989-11-06
US5152744A (en) * 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
US5529580A (en) * 1987-10-30 1996-06-25 Olympus Optical Co., Ltd. Surgical resecting tool
US5618293A (en) * 1995-06-06 1997-04-08 Smith & Nephews Dyonics, Inc. Surgical instrument
US5620415A (en) * 1993-01-29 1997-04-15 Smith & Dyonics, Inc. Surgical instrument
US5620447A (en) * 1993-01-29 1997-04-15 Smith & Nephew Dyonics Inc. Surgical instrument
US5833692A (en) * 1993-01-29 1998-11-10 Smith & Nephew, Inc. Surgical instrument
US5922003A (en) * 1997-05-09 1999-07-13 Xomed Surgical Products, Inc. Angled rotary tissue cutting instrument and method of fabricating the same
US5964777A (en) * 1997-12-11 1999-10-12 Smith & Nephew, Inc. Surgical cutting instrument
US7244263B2 (en) 2002-04-09 2007-07-17 Stryker Corporation Surgical instrument
JP2011528962A (en) * 2008-07-25 2011-12-01 スパイン ビュー, インコーポレイテッド System and method for cable-based debridement

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH062665Y2 (en) * 1987-10-09 1994-01-26 宇部興産株式会社 Tumor scavenging equipment
JPH0159112U (en) * 1987-10-09 1989-04-13
US5529580A (en) * 1987-10-30 1996-06-25 Olympus Optical Co., Ltd. Surgical resecting tool
JPH01229607A (en) * 1988-03-11 1989-09-13 Nippon Plast Co Ltd Mold equipped with device for curling terminal of skin
JPH01159825U (en) * 1988-04-28 1989-11-06
JPH065771Y2 (en) * 1988-04-28 1994-02-16 オリンパス光学工業株式会社 Surgical cutting instrument
JPH065770Y2 (en) * 1988-04-28 1994-02-16 オリンパス光学工業株式会社 Surgical cutting instrument
JPH01159824U (en) * 1988-04-28 1989-11-06
US5707350A (en) * 1990-02-07 1998-01-13 Smith & Nephew Endoscopy Inc. Surgical instrument
US5152744A (en) * 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
US5322505A (en) * 1990-02-07 1994-06-21 Smith & Nephew Dyonics, Inc. Surgical instrument
US5510070A (en) * 1990-02-07 1996-04-23 Smith & Nephew Dyonics, Inc. Method of fabricating a surgical instrument
US5782834A (en) * 1993-01-29 1998-07-21 Smith & Nephew, Inc. Surgical instrument
US5620447A (en) * 1993-01-29 1997-04-15 Smith & Nephew Dyonics Inc. Surgical instrument
US5620415A (en) * 1993-01-29 1997-04-15 Smith & Dyonics, Inc. Surgical instrument
US5833692A (en) * 1993-01-29 1998-11-10 Smith & Nephew, Inc. Surgical instrument
US5618293A (en) * 1995-06-06 1997-04-08 Smith & Nephews Dyonics, Inc. Surgical instrument
US5922003A (en) * 1997-05-09 1999-07-13 Xomed Surgical Products, Inc. Angled rotary tissue cutting instrument and method of fabricating the same
USRE38018E1 (en) 1997-05-09 2003-03-04 Medtronic Xomed, Inc. Angled rotary tissue cutting instrument and method of fabricating the same
US5964777A (en) * 1997-12-11 1999-10-12 Smith & Nephew, Inc. Surgical cutting instrument
US7244263B2 (en) 2002-04-09 2007-07-17 Stryker Corporation Surgical instrument
JP2011528962A (en) * 2008-07-25 2011-12-01 スパイン ビュー, インコーポレイテッド System and method for cable-based debridement

Similar Documents

Publication Publication Date Title
US5085658A (en) Neurosurgical pathological tissue removing device
US4998527A (en) Endoscopic abdominal, urological, and gynecological tissue removing device
JPH0340614B2 (en)
US5027792A (en) Endoscopic revision hip surgery device
ES2233285T3 (en) CONTROL DEVICE FOR AN AUTOMATED SURGICAL BIOPSY DEVICE.
US6610059B1 (en) Endoscopic instruments and methods for improved bubble aspiration at a surgical site
US20040092992A1 (en) Disposable battery powered rotary tissue cutting instruments and methods therefor
CA3169535A1 (en) Suction and irrigation control system and method
JPS61265133A (en) Incision instrument for surgery
US20100121141A1 (en) Endoscopic cutting and debriding device mounted on a flexible and maneuverable tube employing a fluid-driven turbine
JP2911689B2 (en) Surgical handpiece
JPS60142842A (en) Surgical incision instrument
CN113576626A (en) Knife pipe assembly, planer and planing system
CN108742496A (en) A kind of laparoscope
EP3361971B1 (en) Surgical device
CN216455230U (en) Knife pipe assembly, planer and planing system
JPH0243501B2 (en)
JP4409059B2 (en) Endoscopic resection tool
US20160106300A1 (en) Flexible Endoscopic Exoskeleton Surgical System
JPH0557861B2 (en)
JPH0557860B2 (en)
JP2592472B2 (en) Surgical resection instrument
JPH065770Y2 (en) Surgical cutting instrument
JPS61199848A (en) Surgical incision instrument
JPH0572819B2 (en)