WO2007147439A1 - Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren - Google Patents
Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren Download PDFInfo
- Publication number
- WO2007147439A1 WO2007147439A1 PCT/EP2006/063425 EP2006063425W WO2007147439A1 WO 2007147439 A1 WO2007147439 A1 WO 2007147439A1 EP 2006063425 W EP2006063425 W EP 2006063425W WO 2007147439 A1 WO2007147439 A1 WO 2007147439A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- outer sheath
- surgical instrument
- front part
- arrangement
- patient
- Prior art date
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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B46/00—Surgical drapes
- A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
Definitions
- the present invention relates to a device for introducing and positioning surgical instruments. More particularly, the present invention relates to an apparatus for introducing surgical instruments into the body of a patient through a suitable body opening and positioning it at the site of use. In addition, the present invention relates to a corresponding method.
- Surgical interventions in the human or animal body are one of the tools of modern medicine used to accelerate recovery of the patient. These measures often allow a complete cure of the disease, but also cause a relatively large trauma in the affected tissue itself, from which the patient's body subsequently has to recover. Many postoperative ailments can be attributed to cuts in the skin and other soft tissues of the body. For this reason, it has always been an objective of surgical treatment to cause as little discomfort as possible after the operation, i. To make the surgical procedure as gentle as possible.
- laparoscopic or thoracoscopic surgical procedures provide the ability to perform a detailed examination of the abdominal or chest space for diagnostic purposes, which would not normally be possible with conventional access.
- a laparoscopic examination is also performed before a more complex operation in order to carry out a status survey and thus to be able to better plan the further course of action.
- staplers are complex medical devices that combine different functionalities in one place. For example, parts of diseased or damaged organs can be removed with a stapler (resection), sections can be made in organs and tissues (transection), or connections can be made between blood vessels, nerves and hollow organs (anastomosis).
- resection parts of diseased or damaged organs can be removed with a stapler (resection)
- sections can be made in organs and tissues (transection)
- connections can be made between blood vessels, nerves and hollow organs (anastomosis).
- the advantage of these devices is in particular a faster and more efficient operation, since different phases of operation can be performed with a single instrument.
- the conventional stapling devices usually have the disadvantage that they are often built relatively large because of their complexity.
- the front part of the stapler with the actual work, but also front parts of other surgical instruments often a very irregular shape, sometimes making it very difficult to insert these surgical instruments into the patient's body, as well as their precise positioning at the site.
- the objects of the invention are achieved in that in a device for inserting and positioning surgical instruments in the body of a patient, with an outer sheath, in which outer sheath at least a front part of the surgical instrument is used, and which outer sheath for positioning the surgical instrument at the point of use is removable, so that the outer sheath is wegziehbar by means of a pulling arrangement of the front part of the surgical instrument.
- a device for inserting and positioning surgical instruments in the body of a patient with an outer sheath, in which outer sheath at least a front part of the surgical instrument is used, and which outer sheath for positioning the surgical instrument at the point of use is removable, so that the outer sheath is wegziehbar by means of a pulling arrangement of the front part of the surgical instrument.
- Such a device has the particular advantage that at least the front part of the surgical instrument during its insertion into the body of the patient protected by the outer sheath is. Since the front part of many surgical instruments, such as a stapler, often has an irregular
- the outer sheath solves this problem by completely or partially covering the front part of the surgical instrument to be inserted or positioned, thus enabling easier insertion.
- this outer sheath must be removed to allow the use of the surgical instrument so that it can be pulled away from the front part of the surgical instrument by means of a suitable pulling arrangement.
- the device according to the invention for introducing and positioning surgical instruments thus enables easy and gentle insertion as well as precise and rapid positioning of the surgical instrument in the body of the patient.
- the outer covering can be pulled over to the rear by means of a pulling arrangement over the front part of the surgical instrument.
- This variant has the particular advantage that the outer sheath is not pulled forward or sideways on the one hand, but to the rear. As a result, the front part of the surgical instrument can be freed from this outer sheath in the simplest way. On the other hand, the outer sheath may follow the course of the surgical instrument as it pulls away, thus preventing further potential injury to the surrounding tissue.
- the outer envelope can be returned to the starting position by means of a return arrangement.
- This embodiment variant has the particular advantage that, for example, after the end of the surgical procedure, the front part of the surgical instrument can be covered again by means of the outer sheath before the surgical instrument is removed from the patient's body. This not only makes the surgical instrument much easier be led out of the body of the patient, but it can also prevent further injury to the surrounding tissue.
- the outer wrapper is automatically traceable to the starting position.
- This embodiment variant has the particular advantage that the return of the outer sheath can be done automatically in the starting position, and that it does not have to be made by the surgeon.
- the surgical intervention can be carried out with the surgical instrument while the outer sheath is then automatically pulled over the front part of the surgical instrument again. The surgical instrument can then be easily removed from the body of the patient.
- the outer sheath can be fastened to a shaft of the surgical instrument by means of a locking arrangement.
- This embodiment variant has the particular advantage that the outer sheath can be fixed in a fixed position after insertion of the surgical instrument into the body of the patient and after its withdrawal at the place of use. As a result, the outer sheath can be held in a fixed position, in particular during the surgical procedure, so that the operation is in no way impaired.
- the outer sheath according to this embodiment of the present invention can be pulled out of the patient's body together with the surgical instrument only after the surgical procedure. This can also save time, which can increase the chances of a quick recovery of the patient even further.
- the front part of the outer covering is closed, wherein an opening can be produced by means of the pulling arrangement and / or the perforations at the tip of the outer covering.
- This embodiment variant has the particular advantage that the front part of the surgical instrument can be completely protected in a particularly advantageous manner and, for example, only after insertion of the surgical instruments into the body of the patient from the outside. Serving can be exempted.
- the movement of the outer covering of the device for introducing and positioning surgical instruments can be made possible in a particularly simple manner.
- the outer covering is formed from a noble metal and / or plastic of different hardness.
- This embodiment variant has the particular advantage that both precious metal and plastic are already well-known and tested materials for the production of surgical instruments.
- both of these materials have particularly advantageous properties, which are particularly in the use of the device for inserting and positioning of surgical instruments in the body of the patient expressed and fully meet the licensing requirements for surgical instruments.
- the outer sheath is rotationally symmetrical.
- This embodiment variant has the particular advantage that the position of the device for introducing and positioning surgical instruments in the body of the patient according to this embodiment of the present invention is irrelevant relative to the surgical instrument itself.
- the advancing direction and / or the angle in the body of the patient can be changed, without the introduction would be impaired or even impossible.
- a rotationally symmetrical shape of the outer sheath can be made particularly advantageous, whereby the total cost of the device for inserting and positioning of surgical instruments in the body of the patient according to this embodiment of the present invention can be reduced.
- the outer sheath substantially has an olive-shaped and / or a conical shape.
- This embodiment variant has the particular advantage that this shape is particularly advantageous for insertion into the body of a patient.
- the surgical instrument can be guided to the place of use without much resistance.
- These special forms also allow insertion with As small as possible impairments of the surrounding tissue, which is pushed by the increasing from the top of the circumference of the mecanicumhül- ment according to this embodiment when poking on the page.
- the outer sheath is controllable by means of the pulling arrangement of the handle and / or the operating handle of the surgical instrument.
- This embodiment variant has the particular advantage that operations using the device for introducing and positioning surgical instruments into the body of the patient according to this embodiment of the present invention can be carried out in the conventional manner. The practicing physicians do not have to be trained anew for dealing with the inventive device and also do not have to change their usual surgical practice.
- the outer sheath according to this embodiment if necessary, even during the operation can be controlled and controlled.
- the present invention also relates to a corresponding method for introducing and positioning surgical instruments in the body of a patient.
- FIG. 1 shows a perspective schematic representation of a surgical instrument from the prior art.
- Figure 2 shows a perspective schematic representation of a device for insertion and positioning of surgical instruments in the body of a patient according to an embodiment of the present invention during insertion of the surgical instrument in the body of the patient.
- Figures 3A and 3B schematically show a cross-section through two devices for inserting and positioning surgical instruments in the body of a patient according to two embodiments of the present invention.
- FIG. 4 shows a perspective schematic illustration of a device for introducing and positioning surgical instruments in the body of a patient according to an embodiment of the present invention during the surgical procedure.
- FIG. 1 shows a surgical instrument, more particularly a stapling suturing device, from the prior art.
- the reference numeral 10 refers to the surgical instrument itself, the reference numeral 11 to the front part of the surgical instrument 10, and the reference numeral 13 to the shaft of the surgical instrument 10.
- the front part 11 of the surgical instrument 10 may in particular comprise various work inserts, which perform various functions, and therefore may also have different shapes and / or sizes.
- these work inserts can be made of a variety of materials, which may be the same or different than the materials of the surgical instrument 10 itself. In particular, these work inserts can also be exchanged as needed, so that the surgical instrument 10 can be used for various tasks.
- FIG. 2 illustrates a device 20 for inserting and positioning surgical instruments 10 in the body of a patient according to an embodiment of the present invention during insertion of the surgical instrument 10 into the body of the patient.
- reference numerals 13, 15 and 17 refer to the shaft, handle and operating handle of the surgical instrument 10 as previously shown in Figure 1.
- reference numeral 21 refers to a pulling assembly and reference numeral 22 to an outer casing.
- the outer cover 22 encloses the inner space 23, in which at least the front part 11 of the surgical instrument 10 can be accommodated with the associated work insert.
- reference numeral 24 refers to the perforation at the tip of the outer sheath 22 of the surgical instrument 10.
- the pulling assembly 21 is connected to the outer sheath 22, so that the outer sheath 22 can be pulled backwards by means of the pulling arrangement 21.
- the draw assembly 21 may be formed, for example, as a thin strand of the same material as the outer sheath 22. Of course, however, the train assembly 21 may also have a different shape or be made of a different material.
- the pulling assembly 21 can be connected to the handle 15 and / or to the operating handle of the surgical instrument 10 so that the outer sheath 22 can be controlled by the handle 15 of the surgical instrument 10.
- the outer sheath 22 may for example have an olive-shaped shape, but also be formed in a conical or other shape.
- the outer sheath 22 may also be rotationally symmetrical, for example about its longitudinal axis.
- This particular shape of the outer sheath 22 allows a particularly simple insertion of the surgical instrument 10 into the body of a patient, but also a simpler and thus more favorable production.
- both the outer sheath 22 and the pulling arrangement 21 or any other components of the device according to the invention for introducing and positioning surgical instruments 10 into the body of a patient can of course also have completely different shapes or functionalities.
- the outer sheath 22 at the front end during insertion of the surgical instrument 10 also be completely closed.
- the pulling arrangement 21 can also be connected not only to a single but also at several points to the outer casing 22.
- Figures 3A and 3B show two particular embodiments of the foremost part of the device 20 for inserting and positioning surgical instruments 10 in the body of a patient.
- the reference numeral 11 refers to the front part of the surgical instrument 10, the reference numeral 12 to the rear side of the front part of the surgical instrument 10 and the reference numeral 13 to the shaft of the surgical instrument 10.
- the reference numeral 21 to the pulling assembly which is connected to the outer sheath 22 of the device for insertion and positioning of surgical instruments 10.
- the reference numeral 23 refers to the inner space formed by the outer sheath 22.
- the outer sheath 22 can in each case in particular envelop the front part 11 of the surgical instrument 10 and a part of its shank 13.
- the outer sheath 22 may in particular have a shape in which its cross section at the tip is smaller than the cross section at a location which is closer to the shaft 13 of the surgical instrument 10. As a result, the outer sheath 22 can encounter as little resistance as possible when penetrating the body of the patient to the place of use. As shown in Figure 3A, the outer sheath 22 may be larger than the front part 11 of the surgical instrument 10 with the associated work insert, so that between the outer sheath 22 and the front part 11 of the surgical instrument 10, a gap 23 is formed. On the other hand, as in FIG. 3B, the outer sheath 22 can be adapted to the shape of the front part 11 of the surgical instrument 10 in the most exact manner. The outer sheath 22 may have an opening at the tip, as shown, but also be completely closed.
- the outer sheath 22 serves as a type of shield, which on the one hand supports the sensitive front part 11 of the surgical instrument 10 with the protects the work insert against damage, and on the other hand, thanks to its particular shape, assists insertion of the surgical instrument 10 into the patient's body in a positive manner.
- the particular shape of the outer sheath 22 also protects the surrounding tissue from injury by the surgical instrument 10.
- the outer sheath 22 may have, for example, at the top one or more perforations 24, which tear by the pulling action of the tension assembly 21 and allow the movements of the outer sheath 22. But there are of course other variants possible and conceivable.
- the front part 11 of the surgical instrument 10 can be freed from the outer sheath 22. Subsequently, the surgical instrument 10 can be used as usual.
- the outer sheath 22 may be removed from the body of the patient following removal from the front portion 11 of the surgical instrument 10, for example, in the same way, or may be placed in the vicinity of the surgical instrument 10 during the surgical procedure and only together with the surgical instrument 10 even taken out of the patient's body.
- FIG. 4 A device 20 for inserting and positioning surgical instruments 10 in the body of a patient according to this embodiment of the present invention is shown in FIG.
- the reference numeral 11 again refers to the front part of the surgical instrument 10, the reference numeral 13 to the shaft of the surgical instrument 10, the reference numeral 15 to the handle of the surgical instrument 10 and the reference numeral 13 to the operating handle of the surgical instrument 10.
- the reference numeral 21 again refers to the pulling arrangement, which with the outer sheath 22 of the device for inserting and positioning of surgical Instruments 10 is connected.
- the reference numeral 24 finally refers to the perforation 24 at the top of the outer sheath 22nd
- the device 20 for introducing and positioning surgical instruments 10 in the body of a patient may in particular also comprise further components, which are not shown in the accompanying drawings.
- the outer sheath 22 can be returned to the starting position by means of a return arrangement.
- This return assembly may be formed, for example, similar to the pull assembly 21 as a strand of a suitable material, but also as a separate more complex arrangement.
- the device 20 for inserting and positioning surgical instruments 10 into the body of a patient may include, for example, an assembly that may be used to automatically return the outer sheath 22 to the initial position. In this case, this arrangement may be designed in particular as a mechanical spring, or as any other suitable arrangement.
- the outer sheath 22 can be secured by means of a locking arrangement, for example, on the shaft 13 of the surgical instrument 10, so that they can not slip during surgery and cause damage.
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2006344926A AU2006344926B2 (en) | 2006-06-21 | 2006-06-21 | Device for introducing and positioning surgical instruments and corresponding method |
EP06777411A EP2049037B1 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten |
US12/302,871 US20090204108A1 (en) | 2006-06-21 | 2006-06-21 | Device for introducing and positioning surgical instruments and corresponding method |
CA2655770A CA2655770C (en) | 2006-06-21 | 2006-06-21 | Device for insertion and positioning of surgical instruments and corresponding method |
AT06777411T ATE460897T1 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten |
DE502006006482.0T DE502006006482C5 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten |
PCT/EP2006/063425 WO2007147439A1 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP2006/063425 WO2007147439A1 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren |
Publications (1)
Publication Number | Publication Date |
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WO2007147439A1 true WO2007147439A1 (de) | 2007-12-27 |
Family
ID=37671149
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2006/063425 WO2007147439A1 (de) | 2006-06-21 | 2006-06-21 | Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren |
Country Status (7)
Country | Link |
---|---|
US (1) | US20090204108A1 (de) |
EP (1) | EP2049037B1 (de) |
AT (1) | ATE460897T1 (de) |
AU (1) | AU2006344926B2 (de) |
CA (1) | CA2655770C (de) |
DE (1) | DE502006006482C5 (de) |
WO (1) | WO2007147439A1 (de) |
Cited By (255)
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EP2039316A3 (de) * | 2007-09-24 | 2011-11-16 | Tyco Healthcare Group LP | Einfügungsummantelung für ein chirurgisches Instrument |
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Also Published As
Publication number | Publication date |
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ATE460897T1 (de) | 2010-04-15 |
CA2655770C (en) | 2013-07-30 |
US20090204108A1 (en) | 2009-08-13 |
EP2049037B1 (de) | 2010-03-17 |
DE502006006482D1 (de) | 2010-04-29 |
EP2049037A1 (de) | 2009-04-22 |
DE502006006482C5 (de) | 2017-08-17 |
AU2006344926B2 (en) | 2013-02-14 |
AU2006344926A1 (en) | 2007-12-27 |
CA2655770A1 (en) | 2007-12-27 |
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