MX388649B - Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion. - Google Patents

Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion.

Info

Publication number
MX388649B
MX388649B MX2017013272A MX2017013272A MX388649B MX 388649 B MX388649 B MX 388649B MX 2017013272 A MX2017013272 A MX 2017013272A MX 2017013272 A MX2017013272 A MX 2017013272A MX 388649 B MX388649 B MX 388649B
Authority
MX
Mexico
Prior art keywords
articulation section
articulation
end effector
rigidizing
ultrasonic
Prior art date
Application number
MX2017013272A
Other languages
English (en)
Other versions
MX2017013272A (es
Inventor
Ryan M Asher
Benjamin D Dickerson
Cara L Shapiro
David A Monroe
Craig N Faller
Jacob S Gee
Kristen L Pirozzi
Jeffrey D Messerly
John B Schulte
Richard W Timm
Original Assignee
Ethicon Llc
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 Ethicon Llc filed Critical Ethicon Llc
Publication of MX2017013272A publication Critical patent/MX2017013272A/es
Publication of MX388649B publication Critical patent/MX388649B/es

Links

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
    • A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
    • 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
    • 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
    • A61B2017/00314—Separate linked members
    • 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
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • 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
    • A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • 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
    • A61B2017/2946—Locking means
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A61B2034/715—Cable tensioning mechanisms for removing slack

Landscapes

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

Abstract

Un aparato quirúrgico comprende un cuerpo, un transductor ultrasónico, un vástago, una guía de onda acústica, una sección de articulación, un efector de extremo y una unidad de bloqueo de articulación; el transductor ultrasónico es operable para convertir la energía eléctrica en vibraciones ultrasónicas; el vástago acopla el efector final y el cuerpo; la guía de onda acústica se acopla con el transductor e incluye una porción flexible; la sección de articulación se acopla con el vástago y abarca la porción flexible de la guía de onda; la sección de articulación comprende un primer elemento y un segundo elemento; el segundo elemento puede trasladarse longitudinalmente en relación con el primer elemento; el efector final comprende una cuchilla ultrasónica en comunicación acústica con el transductor ultrasónico; el mecanismo de bloqueo de articulación comprende un accesorio de tensado, el cual se configura para aplicar selectivamente tensión a al menos uno del primer elemento y el segundo elemento de la sección de articulación para aumentar, de esta manera, la rigidez en la sección de articulación.
MX2017013272A 2015-04-16 2016-04-15 Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion. MX388649B (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/688,458 US10034683B2 (en) 2015-04-16 2015-04-16 Ultrasonic surgical instrument with rigidizing articulation drive members
PCT/US2016/027680 WO2016168546A1 (en) 2015-04-16 2016-04-15 Ultrasonic surgical instrument with rigidizing articulation drive members

Publications (2)

Publication Number Publication Date
MX2017013272A MX2017013272A (es) 2018-01-26
MX388649B true MX388649B (es) 2025-03-20

Family

ID=55806884

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2017013272A MX388649B (es) 2015-04-16 2016-04-15 Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion.

Country Status (7)

Country Link
US (1) US10034683B2 (es)
EP (1) EP3282965B1 (es)
JP (1) JP6732792B2 (es)
CN (1) CN107530099B (es)
BR (1) BR112017022071B1 (es)
MX (1) MX388649B (es)
WO (1) WO2016168546A1 (es)

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Also Published As

Publication number Publication date
CN107530099A (zh) 2018-01-02
EP3282965A1 (en) 2018-02-21
WO2016168546A1 (en) 2016-10-20
JP2018511428A (ja) 2018-04-26
MX2017013272A (es) 2018-01-26
CN107530099B (zh) 2021-03-02
US10034683B2 (en) 2018-07-31
EP3282965B1 (en) 2024-11-06
BR112017022071B1 (pt) 2022-05-17
BR112017022071A2 (pt) 2018-07-03
JP6732792B2 (ja) 2020-07-29
US20160302812A1 (en) 2016-10-20

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