WO2007067556A2 - Instruments endoscopiques combines de coupe et de saisie et procedes associes permettant de couper et de pieger generalement simultanement des restes de suture - Google Patents

Instruments endoscopiques combines de coupe et de saisie et procedes associes permettant de couper et de pieger generalement simultanement des restes de suture Download PDF

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Publication number
WO2007067556A2
WO2007067556A2 PCT/US2006/046430 US2006046430W WO2007067556A2 WO 2007067556 A2 WO2007067556 A2 WO 2007067556A2 US 2006046430 W US2006046430 W US 2006046430W WO 2007067556 A2 WO2007067556 A2 WO 2007067556A2
Authority
WO
WIPO (PCT)
Prior art keywords
suture
cutting
grasping
blade
forceps
Prior art date
Application number
PCT/US2006/046430
Other languages
English (en)
Other versions
WO2007067556A3 (fr
Inventor
Norihiko Ishikawa
L. Wiley Nifong
You Su Sun
Original Assignee
East Carolina University
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 East Carolina University filed Critical East Carolina University
Publication of WO2007067556A2 publication Critical patent/WO2007067556A2/fr
Publication of WO2007067556A3 publication Critical patent/WO2007067556A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient

Definitions

  • surgical tools are introduced into the body to carry out the desired cutting, forming or ablation procedure in the target location in the body.
  • one or more retractors can be used to provide a suitable access path or increased intra-body space for the tools to be able to reach the target location.
  • Figure 1 illustrates a robotic system 178 positioned to carry out a closed chest surgical procedure.
  • suitable systems and/or components see, e.g., U.S. Patent Nos. 6,936,042; 6,522,906; 6,371,952; 6,364,888; 6,346,072;
  • FIG. 3 illustrates a grasping scissors 201 embodiment of a combination instrument 200.
  • the distal portion of the instrument 201 comprises cooperating first and second blade members 220, 230.
  • Each of the blade members 220, 230 includes a resilient member 225, 235 on a primary surface thereof.
  • the resilient members 225, 235 are configured to press against each other to pinch or trap a segment or length of suture therebetween.
  • the resilient members 225, 235 meet to press against the other to capture the cut suture remnant, and the instrument can be withdrawn from the body, thereby removing the captured suture remnant.
  • the blade members 220, 230 can be pivotably attached via distal pivot 238 to be controllably opened and closed by a surgeon.
  • the resilient members 225, 235 can occupy a portion of at least one primary surface of the blade member 220, 230. In some embodiments, the resilient members 225, 235 can occupy at least a major portion of an outermost primary surface of the respective blade member 220, 230. In some embodiments, as shown in Figure 3, the resilient members 225, 235 can occupy or cover substantially all of one of the primary surfaces of the respective blade member 220, 230.
  • Figure 4A illustrates that the other side of the blade members 220, 230 may be devoid of the resilient material.

Landscapes

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

Abstract

Procédés et dispositifs chirurgicaux permettant d’assurant généralement simultanément la coupe et la saisie endoscopiques d’une partie d’une suture. Les procédés comprennent : (a) l’étape d’introduction endoscopique d’un instrument combiné de coupe et de saisie dans le corps ; (b) l’étape de saisie d’une longueur excédentaire d’une suture à l’aide de l’instrument combiné ; (c) l’étape de coupe de la longueur excédentaire de la suture à l’aide de l’instrument combiné, généralement simultanément à l’étape de saisie ; et (d) l’étape d’extraction de l’instrument combiné maintenant la longueur excédentaire coupée de la suture du corps.
PCT/US2006/046430 2005-12-07 2006-12-06 Instruments endoscopiques combines de coupe et de saisie et procedes associes permettant de couper et de pieger generalement simultanement des restes de suture WO2007067556A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US74809905P 2005-12-07 2005-12-07
US60/748,099 2005-12-07

Publications (2)

Publication Number Publication Date
WO2007067556A2 true WO2007067556A2 (fr) 2007-06-14
WO2007067556A3 WO2007067556A3 (fr) 2007-11-15

Family

ID=38123435

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/046430 WO2007067556A2 (fr) 2005-12-07 2006-12-06 Instruments endoscopiques combines de coupe et de saisie et procedes associes permettant de couper et de pieger generalement simultanement des restes de suture

Country Status (1)

Country Link
WO (1) WO2007067556A2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10702252B2 (en) 2015-01-12 2020-07-07 Epygon Device and method for transcatheter heart valve repair under triangular resection technique
WO2022159324A1 (fr) * 2021-01-25 2022-07-28 Forrester Matthew Donavon Dispositif de préhension tranchant pour lacération de feuillet valvulaire

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040167539A1 (en) * 1998-07-15 2004-08-26 St. Jude Medical, Inc. Mitral and tricuspid valve repair
US20040254598A1 (en) * 2003-06-16 2004-12-16 Schumacher Brian S. Suture cutter
US20050125013A1 (en) * 2003-11-14 2005-06-09 Alan Kessler Safety surgical forceps
US20050131390A1 (en) * 2002-04-25 2005-06-16 Russell Heinrich Surgical instruments including mems devices

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040167539A1 (en) * 1998-07-15 2004-08-26 St. Jude Medical, Inc. Mitral and tricuspid valve repair
US20050131390A1 (en) * 2002-04-25 2005-06-16 Russell Heinrich Surgical instruments including mems devices
US20040254598A1 (en) * 2003-06-16 2004-12-16 Schumacher Brian S. Suture cutter
US20050125013A1 (en) * 2003-11-14 2005-06-09 Alan Kessler Safety surgical forceps

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10702252B2 (en) 2015-01-12 2020-07-07 Epygon Device and method for transcatheter heart valve repair under triangular resection technique
WO2022159324A1 (fr) * 2021-01-25 2022-07-28 Forrester Matthew Donavon Dispositif de préhension tranchant pour lacération de feuillet valvulaire

Also Published As

Publication number Publication date
WO2007067556A3 (fr) 2007-11-15

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