US20090209947A1 - Interchangeable tips and tool box for assisting surgical procedures - Google Patents
Interchangeable tips and tool box for assisting surgical procedures Download PDFInfo
- Publication number
- US20090209947A1 US20090209947A1 US12/418,128 US41812809A US2009209947A1 US 20090209947 A1 US20090209947 A1 US 20090209947A1 US 41812809 A US41812809 A US 41812809A US 2009209947 A1 US2009209947 A1 US 2009209947A1
- Authority
- US
- United States
- Prior art keywords
- interchangeable
- body cavity
- working tip
- tip
- interchangeable working
- 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.)
- Abandoned
Links
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- 238000004873 anchoring Methods 0.000 claims abstract description 27
- 238000004891 communication Methods 0.000 claims abstract 3
- 238000000034 method Methods 0.000 claims description 46
- 210000000683 abdominal cavity Anatomy 0.000 claims description 15
- 238000002324 minimally invasive surgery Methods 0.000 claims description 9
- 238000001574 biopsy Methods 0.000 claims description 6
- 239000008280 blood Substances 0.000 claims description 6
- 210000004369 blood Anatomy 0.000 claims description 6
- 238000005286 illumination Methods 0.000 claims description 6
- 238000003384 imaging method Methods 0.000 claims description 6
- 230000005291 magnetic effect Effects 0.000 claims description 6
- 238000007789 sealing Methods 0.000 claims description 6
- 238000002357 laparoscopic surgery Methods 0.000 claims description 5
- 239000000853 adhesive Substances 0.000 claims description 4
- 230000001070 adhesive effect Effects 0.000 claims description 4
- 230000002441 reversible effect Effects 0.000 claims 4
- 230000003213 activating effect Effects 0.000 claims 1
- 210000000056 organ Anatomy 0.000 description 61
- 230000002980 postoperative effect Effects 0.000 description 35
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 15
- 238000010586 diagram Methods 0.000 description 4
- 238000002674 endoscopic surgery Methods 0.000 description 4
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
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- 239000003302 ferromagnetic material Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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- 230000003287 optical effect Effects 0.000 description 1
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Images
Classifications
-
- 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
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- 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
- A61B1/12—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 with cooling or rinsing arrangements
- A61B1/121—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 with cooling or rinsing arrangements provided with means for cleaning post-use
- A61B1/122—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 with cooling or rinsing arrangements provided with means for cleaning post-use using cleaning tools, e.g. brushes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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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
- A61B1/313—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
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00283—Type of minimally invasive operation with a device releasably connected to an inner wall of the abdomen during surgery, e.g. an illumination source
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- A—HUMAN NECESSITIES
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00362—Packages or dispensers for MIS instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/2939—Details of linkages or pivot points
- A61B2017/294—Connection of actuating rod to jaw, e.g. releasable
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- 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
- A61B90/70—Cleaning devices specially adapted for surgical instruments
- A61B2090/701—Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
-
- 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
- A61B90/70—Cleaning devices specially adapted for surgical instruments
Definitions
- the present invention generally relates to anchoring devices attached to internal surface of a cavity for assisting laparoscopic procedures. More specifically, the present invention relates to interchangeable tips and a toolbox for minimal invasive surgery.
- Endoscopic interventions represent a significant advance in various fields of surgery permitting the performance of the majority of interventions through a number of small incisions reducing postoperative pain and enhancing the postoperative recovery.
- the surgeons need more than one tool during the laparoscopic surgery.
- a surgical device comprising: (a) at least two interchangeable tip (tool head); and (b) at least one control unit; wherein said device is adapted with means such that the replacement of said interchangeable tip via said control unit is enabled within the abdominal cavity and/or within a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces, during minimally invasive surgical procedure; further wherein said control unit is adapted to actuate said interchangeable tip.
- control unit is adapted to engages and disengage said interchangeable tip within said abdominal cavity and/or within said hollow body organs and/or said natural/artificial orifices and/or said spaces and/or said post operative spaces, during minimally invasive surgical procedure; further wherein said control unit is adapted to introduce said interchangeable tip through an incision and/or trocar and/or natural orifice to the abdominal cavity and/or body cavity and/or hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces; further wherein said control unit is adapted to extract said interchangeable tip from said abdominal cavity and/or said body cavity and/or said hollow body organs and/or said natural/artificial orifices and/or said spaces and/or said post operative spaces.
- attachment means are selected from a group comprising magnetic attachment means, suction attachment, adhesive attachment, mechanical attachment such as hook or loop attachments or other minimally invasive means any combination of these means, or other non-invasive or minimally invasive anchoring means.
- attachment means are releasable attachment means.
- the method comprises steps selected inter alia from (a) obtaining a device as defined above; (b) introducing said device through an incision into to a body cavity and/or to an organ and/or a body cavity and/or to an organ and/or to a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces and attaching said at least one interchangeable tip via attachment means to the undersurface of said cavity and/or to said organ and/or to said hollow body organs and/or to said natural/artificial orifices and/or to said spaces and/or to said post operative spaces; (c) interchanging said interchangeable tip via said control unit; wherein said interchanging step of said interchangeable tips is enabled within said abdominal cavity and/or within said hollow body organs and/or said natural/artificial orifices and/or said spaces and/or said post
- the method comprises steps selected inter alia from (a) obtaining a system as defined above; (b) introducing said system through an incision into to a body cavity and/or to an organ and/or to an organ and/or to a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative; (c) attaching said attachment means of said system to the undersurface of said body cavity and/or to said organ and/or to said hollow body organs and/or to said natural/artificial orifices and/or to said spaces and/or to said post operative spaces; (d) attaching said interchangeable tip of said device to said attachment means via said control unit; (e) interchanging said interchangeable tips via said control unit; wherein said interchanging step of said interchangeable tips is enabled within said abdominal cavity and/or within said hollow body organs and/or said natural/artificial orifice
- step of interchanging said interchangeable tip additionally comprising steps of (a) disengaging said interchangeable tip of said device via said control units; (b) attaching said interchangeable tip to said attachment means; and (c) engaging said interchangeable tip via said control units.
- FIG. 1 is a perspective view of a toolbox with a plurality of instrument tips magnetically fixed to an attachment means according to one embodiment of the present invention.
- FIG. 2 is a side view of the same.
- FIG. 3 is a perspective side view of a toolbox with a plurality of instrument tips hanging from hooks on an attachment means according to another embodiment of the present invention.
- FIG. 4 is a perspective view of a toolbox with a plurality of instrument tips attached to the wall of an internal body cavity according to another embodiment of the present invention.
- FIG. 5 is an enlarged cross sectional view of FIG. 4 , focused on the hook of an instrument tip as it is attached to the wall of an internal body cavity.
- FIG. 6 is a perspective view of a control unit system according to one embodiment of the present invention engaging an interchangeable instrument tip.
- FIG. 7 is a side perspective cross-sectional view of the body of the control unit.
- FIG. 8 is an enlarged perspective view of the engaging end of the control unit and instrument tip at one configuration of work.
- FIG. 9 is an enlarged perspective view of the engaging end of the control unit and instrument tip at a second configuration of work.
- FIG. 10 is an enlarged perspective view of the engaging end of the control unit and instrument tip at a third configuration of work.
- FIG. 11 is an enlarged perspective view of the engaging end of a control unit according to another embodiment of the present invention, engaging an interchangeable instrument tip at one configuration of work.
- FIG. 12 schematically represents in a flow diagram, the method for changing a wide variety of different tool heads, or interchangeable tips during minimally invasive surgical procedures.
- FIG. 13 schematically represents in a flow diagram, another method for changing a wide variety of different tool heads, or interchangeable tips during minimally invasive surgical procedure.
- the present invention provides a surgical device comprising:
- the device is adapted with means such that the replacement of the interchangeable tip via the control unit is enabled within the abdominal cavity and/or within a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces, during minimally invasive surgical procedure; further wherein the control unit is adapted to actuate the interchangeable tip.
- the present invention also provides a system adapted to change a wide variety of different tool heads, or interchangeable tips during minimally invasive surgery.
- the system comprising:
- the anchoring means is anchored to the internal wall of the abdominal cavity and/or body cavity and/or hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces during minimally invasive surgery.
- the interchangeable tip of said device is provided with means to be attached to the anchoring means whilst the interchangeable tip is not engaged to the control unit of the device during minimally invasive surgical procedures.
- the present invention also provides a method for changing a wide variety of different tool heads, or interchangeable tips during minimally invasive surgical procedure.
- the method comprises steps selected inter alia from:
- the present invention also provides another method for changing a wide variety of different tool heads, or interchangeable tips during laparoscopic surgery.
- the method comprises steps selected inter alia from:
- scope refers hereinafter to laparoscope, endoscope, coeloscope or optical device used for observation within a body cavity and/or procedures being performed within a body cavity.
- minimally invasive surgery refers hereinafter to a procedure that is carried out by entering the body through the skin or through a body cavity or anatomical opening, but with the smallest damage possible.
- virtual port refers hereinafter to a surgical device introduced within a body cavity without need of dedicated incision and/or port but by using other port.
- control unit refers hereinafter to any surgical instrument specially designed for providing access during a surgery or operation.
- rocar refers hereinafter to a surgical instrument passed through the body, used to allow easy exchange of endoscopic instruments during endoscopic surgery.
- body cavity refers hereinafter to any selected from the internal wall of the abdominal cavity and/or body cavity and/or hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces during minimally invasive surgery or any combination thereof.
- the present invention discloses a system adapted to change instruments during laparoscopic endoscopic surgery.
- FIGS. 1 and 2 schematically display a toolbox system 10 adapted to change a wide variety of different tool heads, or interchangeable tips during endoscopic surgery.
- the toolbox comprises an anchoring device 11 attached to the undersurface of the cavity 15 .
- the toolbox also comprises a plurality of interchangeable tips of surgical devices 12 , 13 (shown for illustration) independently and releasably attached by magnetic force to the anchoring device 11 by a magnetic strip 14 .
- the instrument tips all have a ferromagnetic adaptor at their proximal end by they are attached to the strip and by which a control unit engages the tip and enables its application.
- FIG. 3 schematically displays a toolbox system 30 which comprises an anchoring device 11 attached to the undersurface of the cavity 15 .
- the toolbox also comprises a plurality of interchangeable tips of surgical devices 12 , 13 , 32 (shown for illustration) independently and releasably attached by hanging on hooks 33 along a strip 34 attached to the anchoring device 11 .
- the use and application of the tips is a mentioned above (toolbox system 10 ) with the difference that the distal adaptors need not be made of ferromagnetic material.
- FIGS. 4-5 schematically illustrate a toolbox system 40 in which the various instrument tips 41 (shown for illustration) are directly and independently releasably attached to undersurface of the cavity 15 .
- the instrument tips are attached to the cavity undersurface by a hook 42 on the distal end of each tip which pierces the cavity and remains hooked until needed for use.
- FIGS. 6-8 schematically display a control unit 600 for the manipulation of the interchangeable instrument tip within body cavity.
- the control unit consists of a body 601 with a handle 606 , a trigger 605 , a stopper lever 602 and a tubular member 603 with an engaging site 604 at its distal end.
- the body 601 of the control unit conceals a piston 702 with three tabs 703 , 704 and 705 for engaging the stopper lever 602 .
- the piston is backed by a spring 701 which when compressed by proximal movement of the piston, tends to expand. Thus, applying force on the piston tends to return the piston to its distal position.
- a rigid wire 706 attached to the proximal end of the piston runs along its axis and extends through the tube 603 towards the distal engaging site 604 , attaching to the hook 802 within the tube.
- the hook 42 of an interchangeable instrument tip 41 is hinged on the control unit's ( 600 ) plate 801 and hook 802 system.
- FIG. 8 is an enlarged perspective view of the engaging end of the control unit and instrument tip in one work configuration.
- FIG. 8 illustrates plate 801 and hook 802 of the control unit in a separated state, as the trigger 605 of the control unit is fully released.
- the configuration illustrated in FIG. 8 allows “fishing” of a tip's hook 42 which is attached to the toolbox as described in any of the embodiments in the present invention.
- FIG. 9 is an enlarged perspective view of the engaging end of the control unit and the instrument tip at the second work configuration.
- FIG. 9 illustrates the plate 801 and hook 802 adjacent to each other, thus holding the tip 41 by its hook 42 , as the trigger 605 has been partially pulled proximally so that the piston 702 consequentially moves proximally and the stopper lever 602 temporarily locks it in position by engaging the middle tab 704 .
- the configuration illustrated in FIG. 9 allows attachment of the instrument tip to the toolbox.
- FIG. 10 is an enlarged perspective view of the engaging end of the control unit and instrument tip at a third configuration of work.
- the plate 801 and hook system 802 are concealed within tube 603 of the control unit, thus a ring 43 on the proximal end of an instrument tip 41 is adjacent to the tube's distal end 803 , as the trigger has been nearly completely pulled proximally so that the piston 702 is now temporarily locked in position by the stopper lever engaging the distal tab 705 .
- the configuration illustrated in FIG. 10 allows the manipulation of the interchangeable instrument tip 41 by further pulling the trigger in order to iteratively actuate and operate mechanical parts of the tip, or by moving and manipulating the tip within the body cavity. Furthermore, this configuration enables the insertion and extraction of the tip from within the body cavity through a trocar.
- FIG. 11 is an enlarged perspective view of the engaging end of a control unit according to another embodiment of the present invention, engaging an interchangeable instrument tip at one configuration of work.
- FIG. 11 illustrates the engaging end 604 of the control unit with a loop 711 which is integral to the wire 706 of the control unit 600 .
- the loop is engaging with hook 52 of the interchangeable instrument tip 51 (located on its proximal end).
- Loop 711 has two configurations: an open configuration and a closed configuration. In the open configuration the loop 711 is open and hook 52 of the interchangeable instrument tip 51 can be engaged with said loop (i.e., inserted into the loop 711 ). In the closed configuration the loop 711 is closed and hook 52 can not be inserted into it or extracted from it.
- the trigger 605 is fully released, allowing attachment and release of the instrument tip hook to the loop. Pulling the trigger bring about the proximal retraction of the loop, thus retracting the instrument tip 51 until the ring 53 at its proximal end abuts against the distal rim 803 of the tube 603 , allowing the actuation and maneuvering of the instrument tip.
- FIG. 12 schematically represents in a flow diagram, a method ( 1200 ) for changing a wide variety of different tool heads, or interchangeable tips during minimally invasive surgical procedure.
- a device is obtained.
- the device is introduced through an incision into to a body cavity and/or to an organ and/or a body cavity and/or to an organ and/or to a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative spaces.
- At least one interchangeable tip is attached via attachment means to the undersurface of the cavity and/or to the organ and/or to the hollow body organs and/or to the natural/artificial orifices and/or to the spaces and/or to the post operative spaces.
- the last stage ( 123 ) the interchangeable tip is interchanges via said control unit.
- FIG. 13 schematically represents in a flow diagram, another method ( 1300 ) for changing a wide variety of different tool heads, or interchangeable tips during minimally invasive surgical procedure.
- a system is obtained.
- the system is introduced through an incision into to a body cavity and/or to an organ and/or to an organ and/or to a hollow body organs and/or natural/artificial orifices and/or spaces and/or post operative.
- the attachment means of the system is attached to the undersurface of the body cavity and/or to the organ and/or to the hollow body organs and/or to the natural/artificial orifices and/or to the spaces and/or to the post operative spaces.
- the interchangeable tip of the device is attached to the attachment means via the control unit.
- the final stage ( 135 ) is interchanging the interchangeable tips via the control unit.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/418,128 US20090209947A1 (en) | 2006-10-03 | 2009-04-03 | Interchangeable tips and tool box for assisting surgical procedures |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US84863606P | 2006-10-03 | 2006-10-03 | |
PCT/IL2007/001186 WO2008041227A2 (en) | 2006-10-03 | 2007-09-25 | Interchangeable tips and tool box for assisting surgical procedures |
US12/418,128 US20090209947A1 (en) | 2006-10-03 | 2009-04-03 | Interchangeable tips and tool box for assisting surgical procedures |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/IL2007/001186 Continuation-In-Part WO2008041227A2 (en) | 2006-10-03 | 2007-09-25 | Interchangeable tips and tool box for assisting surgical procedures |
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US20090209947A1 true US20090209947A1 (en) | 2009-08-20 |
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US12/418,030 Active 2029-12-28 US8397335B2 (en) | 2006-10-03 | 2009-04-03 | Device and method for lens cleaning for surgical procedures |
US12/418,128 Abandoned US20090209947A1 (en) | 2006-10-03 | 2009-04-03 | Interchangeable tips and tool box for assisting surgical procedures |
US12/418,094 Active 2029-07-05 US8945155B2 (en) | 2006-10-03 | 2009-04-03 | Clip for assisting surgical procedures |
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US12/418,030 Active 2029-12-28 US8397335B2 (en) | 2006-10-03 | 2009-04-03 | Device and method for lens cleaning for surgical procedures |
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US12/418,094 Active 2029-07-05 US8945155B2 (en) | 2006-10-03 | 2009-04-03 | Clip for assisting surgical procedures |
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US (3) | US8397335B2 (de) |
EP (2) | EP2076166A4 (de) |
JP (1) | JP5153776B2 (de) |
WO (3) | WO2008041225A2 (de) |
Cited By (37)
Publication number | Priority date | Publication date | Assignee | Title |
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US20090222029A1 (en) * | 2006-10-03 | 2009-09-03 | Udi Gordin | Clip for assisting surgical procedures |
US20100298774A1 (en) * | 2009-05-19 | 2010-11-25 | Igov Igor | Methods and devices for laparoscopic surgery |
US20110087267A1 (en) * | 2009-10-09 | 2011-04-14 | Spivey James T | Method for exchanging end effectors in vivo |
US20110087265A1 (en) * | 2009-10-09 | 2011-04-14 | Nobis Rudolph H | Laparoscopic instrument with attachable end effector |
US20110087266A1 (en) * | 2009-10-09 | 2011-04-14 | Conlon Sean P | Loader for exchanging end effectors in vivo |
US20110124962A1 (en) * | 2008-06-03 | 2011-05-26 | Udi Gordin | Multi-components device, system and method for assisting minimally invasive procedures |
US20120078290A1 (en) * | 2010-09-24 | 2012-03-29 | Nobis Rudolph H | Laparoscopic instrument with attachable end effector |
US20120078291A1 (en) * | 2010-09-24 | 2012-03-29 | Nobis Rudolph H | Laparoscopic instrument with attachable end effector |
CN103611219A (zh) * | 2013-12-16 | 2014-03-05 | 李宏奇 | 放射治疗用内脏相邻器官推开距离装置 |
US8721539B2 (en) | 2010-01-20 | 2014-05-13 | EON Surgical Ltd. | Rapid laparoscopy exchange system and method of use thereof |
US20140277044A1 (en) * | 2013-03-13 | 2014-09-18 | Boston Scientific Scimed, Inc. | Medical device with quick-release mechanism |
US20140336458A1 (en) * | 2009-02-27 | 2014-11-13 | Modular Surgical, Inc. | Apparatus and methods for hybrid endoscopic and laparoscopic surgery |
DE102013209211A1 (de) * | 2013-05-17 | 2014-11-20 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Instrumentenhalter für chirurgische Endeffektoren |
US9023015B2 (en) | 2013-02-01 | 2015-05-05 | Covidien Lp | Laparoscopic instruments, attachable end effectors and methods relating to same |
US9226689B2 (en) | 2009-03-10 | 2016-01-05 | Medtronic Xomed, Inc. | Flexible circuit sheet |
US9226800B2 (en) | 2010-04-30 | 2016-01-05 | Medtronic Xomed, Inc. | Navigated malleable surgical instrument |
US9226688B2 (en) | 2009-03-10 | 2016-01-05 | Medtronic Xomed, Inc. | Flexible circuit assemblies |
US9232985B2 (en) | 2009-03-10 | 2016-01-12 | Medtronic Xomed, Inc. | Navigating a surgical instrument |
US9750486B2 (en) * | 2011-10-25 | 2017-09-05 | Medtronic Navigation, Inc. | Trackable biopsy needle |
US9974501B2 (en) | 2011-01-28 | 2018-05-22 | Medtronic Navigation, Inc. | Method and apparatus for image-based navigation |
US10052088B2 (en) | 2010-01-20 | 2018-08-21 | EON Surgical Ltd. | System and method of deploying an elongate unit in a body cavity |
US10058343B2 (en) | 2013-03-14 | 2018-08-28 | Covidien Lp | Systems for performing endoscopic procedures |
US10251636B2 (en) | 2015-09-24 | 2019-04-09 | Ethicon Llc | Devices and methods for cleaning a surgical device |
US10265130B2 (en) | 2015-12-11 | 2019-04-23 | Ethicon Llc | Systems, devices, and methods for coupling end effectors to surgical devices and loading devices |
US10278729B2 (en) | 2013-04-26 | 2019-05-07 | Medtronic Xomed, Inc. | Medical device and its construction |
US10314565B2 (en) | 2015-08-26 | 2019-06-11 | Ethicon Llc | Surgical device having actuator biasing and locking features |
US10335196B2 (en) | 2015-08-31 | 2019-07-02 | Ethicon Llc | Surgical instrument having a stop guard |
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Also Published As
Publication number | Publication date |
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WO2008041227A2 (en) | 2008-04-10 |
JP5153776B2 (ja) | 2013-02-27 |
US20090250081A1 (en) | 2009-10-08 |
US8945155B2 (en) | 2015-02-03 |
EP2073721A4 (de) | 2014-12-31 |
WO2008041225A3 (en) | 2009-04-23 |
US8397335B2 (en) | 2013-03-19 |
EP2076166A2 (de) | 2009-07-08 |
WO2008041226A2 (en) | 2008-04-10 |
WO2008041226A3 (en) | 2009-05-07 |
EP2073721B1 (de) | 2018-11-07 |
JP2010505504A (ja) | 2010-02-25 |
EP2076166A4 (de) | 2015-03-11 |
WO2008041227A3 (en) | 2009-09-17 |
US20090222029A1 (en) | 2009-09-03 |
EP2073721A2 (de) | 2009-07-01 |
WO2008041225A2 (en) | 2008-04-10 |
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