KR102256358B1 - 수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 - Google Patents

수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 Download PDF

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Publication number
KR102256358B1
KR102256358B1 KR1020157029608A KR20157029608A KR102256358B1 KR 102256358 B1 KR102256358 B1 KR 102256358B1 KR 1020157029608 A KR1020157029608 A KR 1020157029608A KR 20157029608 A KR20157029608 A KR 20157029608A KR 102256358 B1 KR102256358 B1 KR 102256358B1
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South Korea
Prior art keywords
end effector
drive element
surgical instrument
push
exemplary embodiment
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Korean (ko)
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KR20150127284A (ko
Inventor
사무엘 크루스
존 리안 스테거
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인튜어티브 서지컬 오퍼레이션즈 인코포레이티드
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • 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
    • A61B34/35Surgical robots for telesurgery
    • 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
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • 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
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • 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
    • A61B2017/2947Pivots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)
KR1020157029608A 2013-03-18 2014-03-13 수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 Active KR102256358B1 (ko)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361803046P 2013-03-18 2013-03-18
US61/803,046 2013-03-18
PCT/US2014/026137 WO2014151633A1 (en) 2013-03-18 2014-03-13 Surgical instrument drive element, and related devices, systems, and methods

Publications (2)

Publication Number Publication Date
KR20150127284A KR20150127284A (ko) 2015-11-16
KR102256358B1 true KR102256358B1 (ko) 2021-05-27

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KR1020157029608A Active KR102256358B1 (ko) 2013-03-18 2014-03-13 수술 기구 구동 요소 및 관련 장치, 시스템 및 방법

Country Status (6)

Country Link
US (4) US9498242B2 (enExample)
EP (2) EP3488807B1 (enExample)
JP (4) JP6383780B2 (enExample)
KR (1) KR102256358B1 (enExample)
CN (4) CN113331951B (enExample)
WO (1) WO2014151633A1 (enExample)

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3488807B1 (en) 2013-03-18 2020-09-09 Intuitive Surgical Operations Inc. Surgical instrument drive element, related devices and systems
ITUB20154977A1 (it) 2015-10-16 2017-04-16 Medical Microinstruments S R L Strumento medicale e metodo di fabbricazione di detto strumento medicale
CN108289691B (zh) * 2015-11-13 2021-04-09 直观外科手术操作公司 具有二自由度腕部的推拉式缝合器
US10973517B2 (en) 2015-11-13 2021-04-13 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
NL2017630B1 (en) * 2016-10-17 2018-04-24 Surge On Medical B V A surgical device
US11364067B2 (en) * 2017-10-06 2022-06-21 Cilag Gmbh International Electrical isolation of electrosurgical instruments
EP3727140B1 (en) 2017-12-22 2023-11-01 Briteseed, LLC A compact system used to determine tissue or artifact characteristics
EP3578118B1 (de) 2018-06-05 2022-08-31 Erbe Elektromedizin GmbH Chirurgisches instrument
KR20210032998A (ko) * 2018-07-17 2021-03-25 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 감소된 커패시턴스를 갖는 수술 기구, 관련 디바이스, 및 관련 방법
USD904611S1 (en) 2018-10-10 2020-12-08 Bolder Surgical, Llc Jaw design for a surgical instrument
JP7066875B2 (ja) * 2018-11-30 2022-05-13 オリンパス株式会社 把持機構
WO2020131685A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments with switches for deactivating and/or identifying stapler cartridges
CN113194847A (zh) * 2018-12-21 2021-07-30 直观外科手术操作公司 用于外科手术器械的致动机构
WO2020214258A1 (en) 2019-04-15 2020-10-22 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
EP3975875B1 (en) 2019-05-31 2025-09-24 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
CA3165884A1 (en) * 2019-12-30 2021-07-08 Beijing Surgerii Technology Co., Ltd. Surgical effector, surgical tool and surgical robot
WO2021141971A1 (en) 2020-01-07 2021-07-15 Intuitive Surgical Operations, Inc. Surgical instruments for applying multiple clips
WO2022150212A1 (en) 2021-01-08 2022-07-14 Intuitive Surgical Operations, Inc. Surgical instrument with linear and purse string suture staples
DE102021201311A1 (de) * 2021-02-11 2022-08-11 Aesculap Ag Chirurgisches Instrument, Werkzeugeinrichtung für ein solches chirurgisches Instrument und Verfahren zur Herstellung einer solchen Werkzeugeinrichtung
US12433664B2 (en) 2021-05-03 2025-10-07 Covidien Lp Motor position control and methods for robotic assisted sealing instrument
US12257014B2 (en) * 2021-06-22 2025-03-25 Intuitive Surgical Operations, Inc. Devices and methods for crimp interface for cable tension sensor
US12065076B2 (en) * 2021-06-28 2024-08-20 Dana Automotive Systems Group, Llc High efficiency electrical conduit
GB2611346B (en) * 2021-10-01 2024-08-07 Cmr Surgical Ltd A robotic surgical instrument
WO2023101968A1 (en) 2021-11-30 2023-06-08 Endoquest Robotics, Inc. Steerable overtube assemblies for robotic surgical systems
KR20240153547A (ko) 2021-11-30 2024-10-23 엔도퀘스트 로보틱스 인코포레이티드 로봇 수술 시스템용 배리어 드레이프 어댑터
TWI838986B (zh) 2021-11-30 2024-04-11 美商安督奎斯特機器人公司 患者控制台、具有該患者控制台的機器人手術系統及其執行方法
KR20240134850A (ko) 2021-11-30 2024-09-10 엔도퀘스트 로보틱스 인코포레이티드 로봇 수술 시스템용 마스터 제어 시스템
WO2023101974A1 (en) 2021-11-30 2023-06-08 Endoquest Robotics, Inc. Force transmission systems for robotically controlled medical devices
KR20240144086A (ko) 2021-11-30 2024-10-02 엔도퀘스트 로보틱스 인코포레이티드 일회용 엔드 이펙터
IT202300012834A1 (it) 2023-06-21 2024-12-21 Medical Microinstruments Inc Strumento attivo elettrochirurgico e cuffia di protezione, particolarmente per teleoperazione medico-chirurgica, e relativo sistema robotizzato
IT202300017115A1 (it) 2023-08-10 2025-02-10 Medical Microinstruments Inc Strumento elettrochirurgico bipolare per teleoperazione medico-chirurgica e metodo di fabbricazione
IT202300025815A1 (it) 2023-12-04 2025-06-04 Medical Microinstruments Inc Strumento chirurgico o microchirurgico per teleoperazione robotizzata comprendente un manicotto flessibile munito di almeno una pista elettricamente conduttiva
CN119632663B (zh) * 2025-02-14 2025-12-02 温州医科大学附属第一医院 手术执行器、手术工具及手术机器人

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999015089A1 (en) 1997-09-25 1999-04-01 Allegiance Corporation Surgical device with malleable shaft
US20060217706A1 (en) 2005-03-25 2006-09-28 Liming Lau Tissue welding and cutting apparatus and method
US20100057085A1 (en) * 2008-09-03 2010-03-04 Ethicon Endo-Surgery, Inc. Surgical grasping device

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60107291U (ja) * 1983-12-27 1985-07-22 株式会社 ニチベイ ロ−ルスクリ−ン
US5396900A (en) 1991-04-04 1995-03-14 Symbiosis Corporation Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery
WO1994024947A1 (en) * 1993-04-30 1994-11-10 Minnesota Mining And Manufacturing Company Surgical instrument having an articulated jaw structure and a detachable knife
US5395369A (en) * 1993-06-10 1995-03-07 Symbiosis Corporation Endoscopic bipolar electrocautery instruments
US5782749A (en) * 1994-05-10 1998-07-21 Riza; Erol D. Laparoscopic surgical instrument with adjustable grip
CA2194775A1 (en) * 1994-07-14 1996-02-01 Symbiosis Corporation Track guided end effector assembly
US5478350A (en) * 1994-07-14 1995-12-26 Symbiosis Corporation Rack and pinion actuator handle for endoscopic instruments
US5695511A (en) * 1994-11-29 1997-12-09 Metamorphic Surgical Devices Surgical instruments for minimally invasive procedures
US5904702A (en) * 1997-08-14 1999-05-18 University Of Massachusetts Instrument for thoracic surgical procedures
US5919206A (en) * 1998-02-20 1999-07-06 C. M. Wright, Inc. Surgical tool
US6193718B1 (en) * 1998-06-10 2001-02-27 Scimed Life Systems, Inc. Endoscopic electrocautery instrument
US20040249374A1 (en) * 1998-10-23 2004-12-09 Tetzlaff Philip M. Vessel sealing instrument
CA2442960C (en) * 2001-04-06 2011-03-22 Sherwood Services Ag Vessel sealing instrument
US6733514B2 (en) 2001-10-05 2004-05-11 Pilling Weck Incorporated Jaw assembly for endoscopic instruments
DE202004010780U1 (de) * 2004-07-02 2004-09-09 Karl Storz Gmbh & Co. Kg Medizinisches Instrument für die Elektrochirurgie
US7918848B2 (en) * 2005-03-25 2011-04-05 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
US8771270B2 (en) 2008-07-16 2014-07-08 Intuitive Surgical Operations, Inc. Bipolar cautery instrument
US8968355B2 (en) * 2008-08-04 2015-03-03 Covidien Lp Articulating surgical device
CN102264307A (zh) * 2008-12-12 2011-11-30 伊顿株式会社 手术器械
US8333780B1 (en) * 2009-06-05 2012-12-18 Okay Industries, Inc. Surgical tool and method of operation
JP4841705B2 (ja) * 2009-09-15 2011-12-21 オリンパスメディカルシステムズ株式会社 内視鏡用処置具
US8545515B2 (en) 2009-09-23 2013-10-01 Intuitive Surgical Operations, Inc. Curved cannula surgical system
US9339341B2 (en) 2010-02-08 2016-05-17 Intuitive Surgical Operations, Inc. Direct pull surgical gripper
RO126740A2 (ro) * 2010-04-02 2011-10-28 Cătălin Eşanu Instrument chirurgical endoscopic cu clamp detaşabil, instrument extractor al clamp-ului şi metodă de utilizare
CN201752400U (zh) * 2010-06-25 2011-03-02 深圳市第二人民医院 宫腔检查电切镜
JP5704858B2 (ja) * 2010-08-24 2015-04-22 Hoya株式会社 内視鏡用鉗子
US9918731B2 (en) * 2012-07-06 2018-03-20 Intuitive Surgical Operations, Inc. Remotely actuated surgical gripper with seize resistance
KR101753504B1 (ko) * 2013-02-07 2017-07-03 텔리플렉스 메디컬 인코포레이티드 엔드 이펙터 연결 및 작동 시스템
EP3488807B1 (en) 2013-03-18 2020-09-09 Intuitive Surgical Operations Inc. Surgical instrument drive element, related devices and systems

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999015089A1 (en) 1997-09-25 1999-04-01 Allegiance Corporation Surgical device with malleable shaft
US20030191494A1 (en) * 1997-09-25 2003-10-09 Allegiance Healthcare Corporation Surgical device with malleable shaft
US20060217706A1 (en) 2005-03-25 2006-09-28 Liming Lau Tissue welding and cutting apparatus and method
US20100057085A1 (en) * 2008-09-03 2010-03-04 Ethicon Endo-Surgery, Inc. Surgical grasping device

Also Published As

Publication number Publication date
US20230210584A1 (en) 2023-07-06
EP2976026A1 (en) 2016-01-27
JP7286818B2 (ja) 2023-06-05
US20200397502A1 (en) 2020-12-24
KR20150127284A (ko) 2015-11-16
WO2014151633A1 (en) 2014-09-25
JP2018164829A (ja) 2018-10-25
JP6383780B2 (ja) 2018-08-29
JP7019747B2 (ja) 2022-02-15
JP2016518171A (ja) 2016-06-23
EP3488807A1 (en) 2019-05-29
CN108113756A (zh) 2018-06-05
US9498242B2 (en) 2016-11-22
JP6708710B2 (ja) 2020-06-10
CN105188572B (zh) 2017-12-26
CN113331951B (zh) 2024-08-06
US20170056098A1 (en) 2017-03-02
US20140277106A1 (en) 2014-09-18
CN113331951A (zh) 2021-09-03
CN108113756B (zh) 2021-07-30
EP2976026B1 (en) 2019-02-27
CN118892366A (zh) 2024-11-05
US11564734B2 (en) 2023-01-31
JP2022048308A (ja) 2022-03-25
EP2976026A4 (en) 2016-11-09
JP2020146477A (ja) 2020-09-17
EP3488807B1 (en) 2020-09-09
US10716617B2 (en) 2020-07-21
CN105188572A (zh) 2015-12-23

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