WO2008016962A2 - Instruments chirurgicaux et éléments de fixation à cet effet - Google Patents

Instruments chirurgicaux et éléments de fixation à cet effet Download PDF

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Publication number
WO2008016962A2
WO2008016962A2 PCT/US2007/074949 US2007074949W WO2008016962A2 WO 2008016962 A2 WO2008016962 A2 WO 2008016962A2 US 2007074949 W US2007074949 W US 2007074949W WO 2008016962 A2 WO2008016962 A2 WO 2008016962A2
Authority
WO
WIPO (PCT)
Prior art keywords
tube
surgical
operating table
equipment supporting
supporting frame
Prior art date
Application number
PCT/US2007/074949
Other languages
English (en)
Other versions
WO2008016962A3 (fr
Inventor
Michael Edward Theran
John Francis Irving
Original Assignee
Michael Edward Theran
John Francis Irving
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
Priority claimed from US11/831,456 external-priority patent/US20080047064A1/en
Priority claimed from US11/831,536 external-priority patent/US20080047549A1/en
Application filed by Michael Edward Theran, John Francis Irving filed Critical Michael Edward Theran
Publication of WO2008016962A2 publication Critical patent/WO2008016962A2/fr
Publication of WO2008016962A3 publication Critical patent/WO2008016962A3/fr

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Classifications

    • 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
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical 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
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1475—Electrodes retractable in or deployable from a housing

Definitions

  • the present disclosure relates to surgical equipment supporting frames and
  • suction tubes for example, suction tubes, irrigation tubes, scopes, smoke exhaust ducts, cautery pens,
  • a known device may be designed for a specific type of
  • a known device mounted to an operating table can have a limited range of motion, and while useful for a surgery at one part of the body, for example, the head, is not useful for a surgery at another part body, such as the legs, which are outside of the device's range of motion.
  • Known devices are also designed for specific purposes, such as retraction, and are limited to such functions. Such devices are not equipped to handle multiple functions that may be needed for different surgeries.
  • a device to support surgical tools which has an increased range of motion, is universal to multiple types of surgical procedures, and is capable of supporting a variety of surgical tools for multiple procedures.
  • Embodiments of the present invention provide medical practitioners, such as surgeons, with facilitated access to tools and other utilities to improve operating room efficiency by reducing labor requirements or by reducing the time to perform various procedures.
  • Tools and utilities such as suction tubes, irrigation tubes, scopes, smoke exhaust ducts, cautery pens, common hand tools and auxiliary lights are examples of the types of tools and utilities that can be supported.
  • a surgical equipment supporting frame in accordance with an embodiment of the present invention, comprises a plurality of interconnected branches, an arm portion connected to at least one of the plurality of branches, wherein the arm portion extends over an operating table, and moves to different positions along the operating table, and a surgical tool connected at an end of the arm portion.
  • the arm portion may comprise at least one limb connected to a first rotatable joint, wherein the at least one limb rotates around an arc having a center at the first rotatable joint.
  • the arm portion may comprise at least one other limb connected to a second rotatable joint, wherein the at least one other limb rotates around an arc having a center at the second rotatable joint, and wherein the second rotatable joint is formed at or adjacent an end of the at least one limb.
  • the end may be opposite the end of the at least one limb connected to the first rotatable joint.
  • the at least one limb may be connected to and positioned between two rotatable joints.
  • the at least one limb may be connected to and positioned between the first rotatable joint and a third rotatable joint.
  • the second rotatable joint may be positioned adjacent the third rotatable joint.
  • the second and third rotatable joints may be positioned on a base portion.
  • the arm portion may telescope to different lengths.
  • the surgical tool may attach to the arm portion via an interface positioned at an end of the arm portion.
  • the interface may include a stepped portion and mate with a corresponding interface having a corresponding stepped portion, the surgical tool being attached to the corresponding interface.
  • the corresponding interface may include more than one surgical tool attached to the corresponding interface.
  • the corresponding interface may include a sterile sheath attached to the corresponding interface, wherein the sterile sheath covers the arm portion.
  • the frame may be attached to the operating table, and when the frame is attached to the operating table, at least one of the plurality of branches may include a portion curved away from a body positioned on the operating table.
  • the frame may be free standing, wherein the arm portion moves to the different positions along the operating table by moving the frame to the different positions along the operating table.
  • the arm portion may be positioned substantially over a longitudinal centerline of the operating table and may extend substantially parallel to a longitudinal centerline of the operating table.
  • a surgical equipment supporting frame in accordance with an embodiment of the present invention, comprises a portion suspending a surgical tool therefrom, wherein the portion extends over an operating table from a head of the operating table in a direction toward the foot of the operating table.
  • the portion may extend substantially parallel to a longitudinal centerline of the operating table.
  • the surgical tool may be a tube.
  • a surgical utility tube in accordance with an embodiment of the present invention, comprises an outer surface, an inner surface, a wall formed between the inner and outer surfaces, and a plurality of wires formed in the wall between the outer and inner surfaces.
  • the wires may be spaced apart at predetermined intervals around the wall of the tube.
  • the tube may be used for at least one of suction and irrigation.
  • the tube may be used as a smoke duct or to support a light.
  • the wires at a first end of the tube may have less rigidity than the wires at a second end of the tube.
  • the wires at an end of the tube may have less rigidity than the wires at a portion of the tube between ends of the tube.
  • the first end of the tube may be attached to a frame positioned at a side of an operating table and a second free end of the tube may be self-suspended over the operating table.
  • the surgical utility tube may further comprise a pig tail wire attached to the tube, and a surgical tool attached to the pig tail wire.
  • the surgical utility tube may further comprise a recoiling spool attached to the tube, and a surgical tool attached to the recoiling spool.
  • a surgical utility tube in accordance with an embodiment of the present invention, comprises a plurality of members, wherein the plurality of members are joined together to form a continuous first tube, wherein the first tube is bendable to a plurality of angles along a length of the first tube, and wherein the first tube locks at each of the plurality of angles, and a second tube positioned in the first tube.
  • the second tube may be flexible and may be used for at least one of suction and irrigation, or as a smoke duct.
  • the plurality of members may comprise a plurality of interlocking knuckles or adjacent sections of a helix.
  • the first end of the first tube may be attached to a frame positioned at a side of an operating table and a second free end of the first tube may be self-suspended over the operating table.
  • the surgical utility tube may further comprise a pig tail wire attached to the first tube, and a surgical tool attached to the pig tail wire.
  • the surgical utility tube may further comprise a recoiling spool attached to the first tube, and a surgical tool attached to the recoiling spool.
  • Figure 1 is a perspective view of a surgical equipment supporting frame in an extended position, according to an embodiment of the present invention
  • Figure 2 is a perspective view of a surgical equipment supporting frame in a partially extended position, according to an embodiment of the present invention
  • Figure 3 is a perspective view of a surgical equipment supporting frame in a retracted position, according to an embodiment of the present invention
  • Figure 4 is a perspective view of a surgical equipment supporting frame in a partially extended position and with a patient on the operating table, according to an embodiment of the present invention
  • Figure 5 is a perspective view of a surgical equipment supporting frame in a retracted position and with a patient on the operating table, according to an embodiment of the present invention
  • Figure 6 is an overhead perspective view of a surgical equipment supporting frame in an extended position, according to an embodiment of the present invention.
  • FIGS 7-10 are perspective views of an interface for consumable tools, according to an embodiment of the present invention.
  • Figure 11 is a perspective view of a surgical equipment supporting frame in an extended position, according to an embodiment of the present invention
  • Figure 12 is a perspective view of a surgical equipment supporting frame, according to an embodiment of the present invention
  • Figure 13 is a perspective view of a surgical equipment supporting frame, according to an embodiment of the present invention.
  • Figure 14 is a perspective view of a surgical equipment supporting frame, according to an embodiment of the present invention.
  • Figure 15 is a perspective view of a surgical equipment supporting frame, according to an embodiment of the present invention.
  • Figure 16 is a cross-sectional view of a co-extruded tube, according to an embodiment of the present invention.
  • Figure 17 shows a helix tube in snapped and unsnapped configurations, according to an embodiment of the present invention;
  • Figure 18 shows a tube including interlocking knuckles, according to an embodiment of the present invention
  • Figure 19 shows a tube including interlocking knuckles and a co-extruded tube at an end thereof, according to an embodiment of the present invention
  • Figure 20 shows a tube including interlocking knuckles including a standard tube therein, according to an embodiment of the present invention
  • Figure 21 shows a surgical tool attached to a pig tail wire, according to an embodiment of the present invention.
  • Figure 22 shows a surgical tool attached to a recoiling spool, according to an embodiment of the present invention.
  • a surgical equipment supporting frame 10 is shown attached to an operating table 5.
  • the frame 10 is attached to the operating table 5 using fixing devices, such as, for example, screws, bolts, and the like.
  • fixing devices such as, for example, screws, bolts, and the like.
  • screws 11 having a gripping handle, which can be hand tightened, are used.
  • the screws 11 allow for easy installation and removal of the frame 10 from the operating table 5.
  • the frame 10 includes a plurality of branches forming the structure of the frame.
  • the frame includes branches 12, 13, 14, 15 and 16.
  • the branches 12-16 can be molded as a single piece, and/or formed in separate parts and subsequently joined by, for example, welding, press fitting, and/or snap fitting, using, for example, spring-biased balls snapped into recesses.
  • the branches 13 each include a curved portion 13 A, which is curved around the shoulders and/or arms of a patient 7, so as not to obstruct access to these parts of the body.
  • Branches 13 also include a lower portion 13B substantially parallel to a side of the operating table 5 and an upper portion 13 C oblique to the operating table 5.
  • the curved portion 13 A is positioned between the upper and lower portions 13C and 13B.
  • the branch 12 extends between the upper and lower portions 13C and 13B behind the curved portion 13 A.
  • the fixing devices 11 are attached to the frame via, for example, holes in the lower portion 13B or loops 17 extending from the lower portion 13B.
  • Branch 14 extends substantially perpendicular to and between branches 13 C.
  • Branches 15 extend in-line from respective branches 13 C, and U-shaped branch 16 attaches to branches 15 and oblique to branches 15.
  • the branches 14 and 16 are sufficiently high above the patient 7 so as to provide an operator with required clearance for unobstructed access to the body.
  • Some of the branches may be removed depending on the use of the frame 10. For example, if the operation is on the head portion of the body, branch 12 may be removed to provide the operator with increased access to the head.
  • branches 15 could be removed to reduce the height of branch 16.
  • the frame 10 includes an arm portion 20.
  • the arm portion 20 includes a plurality of limbs 21, 22, 23, 24 connected to base portions 25, 26 and 27.
  • base portion 25 is connected to branch 16 by, for example, molding, welding, adhesive, or a mechanical fixing device, and limbs 21 and 22 extend from base portion 25.
  • the limbs 21 and 22 extend from upper and lower sides of the base portion 25 respectively.
  • the limbs 21 and 22 are connected to the base portion 25 at rotatable joints 28.
  • the limbs 21 and 22 end at base portion 26, and are connected to base portion 26 at respective upper and lower sides of the base portion 26 using the rotatable joints 28.
  • limbs 23 and 24 extend from upper and lower sides of base portion 26 to upper and lower sides of base portion 27, respectively.
  • the limbs 23 and 24 are connected to the base portions 26 and 27 using the rotatable joints 28.
  • the arm portion 20 like a human arm attached to a shoulder (e.g. , base portion
  • the arm portion 20 can be extended and fixed at a plurality of positions between the non-extended and fully extended positions. As shown in Figs. 4 and 5, the plurality of positions enable an operator to reach the surgical tools to different parts of the body of the patient 7. For example, referring to Figs. 4 and
  • the surgical tool 50 when in a partially extended position, can reach portions of the body closer to the feet than when in the folded position.
  • the rotatable joints 28 include a fixing device 30, such as a screw or a bolt, penetrating a sleeve 31 into which the end of a limb 21-24 is inserted and fixed.
  • the sleeve 31 may form part of the limb 21-24.
  • the sleeve 31 can be omitted and the limb 21-24 can include a hole through which the fixing device 30 passes.
  • the base portions 25-27 include holes 32 for receiving the fixing devices 30.
  • the arrangement of the fixing device 30 permits side to side movement of the limbs 21-24 about the joints 28.
  • a limb may rotate approximately 180 degrees to form an arc, wherein the rotatable joint 28 forms the center of the arc, and the length of the limb is the radius of the arc.
  • the limb 21 may form an arc from a right side of the operating table 5 to a left side of the operating table 5 across the width of the operating table 5.
  • the fixing devices 30 may be adjustable to be tightened and lock the arm portion 20 in the desired position.
  • the arm portion 20 and the fixing devices 30 may be readily moved from side to side to change the location of the arm portion 20.
  • the rotatable joints 28 may rotate around multiple axes, so as to permit, for example, side to side and up and down movement. To permit rotation around multiple axes, a ball and socket joint may be used.
  • the base portion 27 includes an interface 40 at the end of the base portion 27 opposite the end where the limbs 23 and 24 are attached.
  • the interface 40 is used to mount surgical tools 50, such as, for example, suction tubes, irrigation tubes, scopes, smoke exhaust ducts, cautery pens, common hand tools and auxiliary lights, on the frame 10.
  • surgical tools 50 such as, for example, suction tubes, irrigation tubes, scopes, smoke exhaust ducts, cautery pens, common hand tools and auxiliary lights
  • a kit of one or more tools 50 can be attached to the frame 10 via the interface 40.
  • a kit may include a plurality of consumable tubes used for suction, smoke exhaust, and irrigation, and be designated according to the type of surgery, for example, as an orthopedic kit or a cardiac kit. Further, each kit can be discarded after the surgery is completed.
  • each kit includes a sterile sheath (not shown) running therefrom, which covers the arm portion 20 after the kit and tools 50 are mounted to the frame 10 via the interface 40.
  • the sterile sheath may be attached to the mating cover portion 43, and extended therefrom to cover the arm portion 20.
  • the interface 40 includes a floor having portions 41 and
  • the interface 40 receives a cover portion 43, which sits on the stepped floor and functions as a mating interface portion.
  • the cover portion 43 includes portions 45 and 46, which correspond to portions 41 and 42, respectively. Like the portions 41 and 42, the portions 45 and 46 are at different heights, and include a step between them. Portion 46 overlaps portion
  • portion 45 extends through an opening at the back 47 of the interface 40 to lock the cover portion 43 in place.
  • other types of interfaces including, for example, snap-in or press-fit tabs, adhesives, latches, button or switch operated quick release mechanisms, and VELCRO type fasteners.
  • the cover portion 43 may have one or more surgical tools 50 attached thereto.
  • multiple interfaces 40 may be positioned on base portion 27 to mate with corresponding cover portions 43 including one or more surgical tools 50 attached thereto.
  • the respective sizes of the interface and cover portions 40, 43 may be reduced to accommodate multiple interfaces on the base portion 27.
  • Tubes or wires providing conduits for or power to the surgical tools can be attached to the surgical tools 50 at, for example, portion 46.
  • the tubes or wires can be extended to be dressed along and adjacent any or all of the limbs 21-24 of the arm portion 20, and any or all of the branches 12-16 of the frame 10 to their respective deposit tanks, and/or power sources.
  • a surgical equipment supporting frame 100 is shown.
  • the frame is mounted to the operating table 105 at a head or foot portion thereof in mount 111.
  • the mount 111 may also be located on a left or right side of the operating table 105.
  • the mount 111 is attached to the operating table 105 using for example, a fixing device, such as a clamp, screw, bolt or the like, and includes an opening into which a branch 112 of the frame 100 is inserted.
  • the mount 111 may also be molded or adhered to the operating table 105.
  • the mount 111 snugly holds the branch 112 therein, and may also permit the branch to rotate around the vertical axis, so that the frame 100 can be moved from side to side.
  • the frame 100 also includes an arm portion including branches 113 and 114 substantially perpendicular to branch 112. Like the frame 10, the branches of frame 100 can be molded as a single piece, and/or formed in separate parts and subsequently joined.
  • the branch 114 telescopes into and out of branch 113 to increase or decrease the size of the horizontal portion of the frame 100, so as to extend a surgical tool 150 to different portions ofthe body of a patient on the operating table 105.
  • One or more surgical tools 150 as described above may be attached to the frame 100 using any of the interfaces, kits and methods for tube or wire dressing described above in connection with frame 10.
  • a surgical equipment supporting frame 200 is shown.
  • the frame 200 is free standing on the floor of the operating room, and may be moved to different points along a length of the operating table 205 depending on the part of the body that is the focus of the operation.
  • the frame 200 may be braced to the operating table, using for example, a clamp, at a point where branches 212 are in contact with or close to the operating table 205.
  • the frame 200 includes branches 212, 214, 215, and 216.
  • the branches of frame 200 can be molded as a single piece, and/or formed in separate parts and subsequently joined.
  • One or more surgical tools 250 as described above may be attached to the frame 200 at an arm portion including branch 216 using any of the interfaces, kits and methods for tube or wire dressing described above in connection with frame 10.
  • Figs. 13 and 14 show surgical equipment supporting frames 300 and 400 positioned at a side of an operating table 305, 405.
  • the frame 300 is free standing on a floor of the operating room, and, like the frame 200, and may be moved to different points along a length of the operating table 305 depending on the part of the body that is the focus of the operation. Further, if necessary, the frame may also be moved to a head or foot of the operating table as needed.
  • the frame 300 includes a base 311, and a vertical branch 312 to which surgical tools 350 as described above are attached. Alternatively, the branch 312 may be attached to a side of the operating table, or to a wall, and the base 311 can be omitted.
  • the frame 400 includes a U-shaped member 412 attached to a side of the operating table 405 using, for example a clamp or fixing devices, such as screws or bolts.
  • the U-shaped member 412 may be attached to a wall.
  • the U-shaped member 412 may also be molded or adhered to the operating table 405.
  • U-shaped member 412 may be positioned at different points along a length of the operating table 405 depending on the part of the body that is the focus of the operation. Further, if necessary, the member 412 may also be moved to a head or foot of the operating table as needed. Surgical tools 450 as described above are attached to the U-shaped member 412.
  • One or more of the surgical tools 350, 450 may be attached to the frame 300, 400 using any of the interfaces, kits and methods for tube or wire dressing described above in connection with frame 10. Since the surgical tools 350, 450 are not suspended from a point above the patient 307, 407, the surgical tools 350, 450 can be used in conjunction with self-supporting tubes as described below in connection with Figs. 16-20.
  • the self-supporting tubes have the necessary rigidity to support themselves over the body without the need of an overhead frame suspending the tubes therefrom.
  • a surgical equipment supporting frame 500 is shown.
  • the frame 500 is positioned over and to the side of a patient 507 and the operating table 505.
  • the frame 500 includes branches 511, 512, 513, 514 and 515. Like the frame 10, the branches of frame 500 can be molded as a single piece, and/or formed in separate parts and subsequently joined. In addition, the L-shaped branch 514 and branch 516 are sufficiently high above the patient 507 so as to provide an operator with required clearance for unobstructed access to the body.
  • the branches 511, 512 can be located on both left and right sides of the operating table 505.
  • One or more surgical tools 550 as described above may be attached to the frame 500 using any of the interfaces, kits and methods for tube or wire dressing described above in connection with frame 10. Further, the tools 550 are attached to the frame 500 via an arm portion including telescoping supports 520.
  • the telescoping supports 520 telescope into and out of base 521 to increase or decrease the size of the telescoping supports 520, so as to extend the surgical tools 550 to different portions of the body of a patient 507 on the operating table 505.
  • the frame 500 includes IV bag supports 517, which may be used support IV bags during an operation.
  • the frame 500 also includes casters or wheels 518 so that the frame 500 may be easily moved into position for an operation, and out of position when the operation is finished.
  • the frame 500 also includes conduit channels 516 through which wires or tubes may pass to their source or deposit points.
  • the conduit channels 516 include holes 526 on sides thereof, which may serve as mounting locations for devices, such as, for example, patient monitors.
  • the frame 500 may be used in conjunction with self supporting tubes as described below in connection with Figs. 16-20, or tubes which are not self-supporting.
  • the frames 10 and 100-500 in addition to supporting surgical tools, may also support IV bags, sterile curtains or various patient monitors.
  • the frames 10 and 100-500 are made from, for example, plastic, PVC or metal and can be autoclavable.
  • the arm portions of the frames 10, 100, 200 and 500 are positioned to extend substantially over and/or parallel to a longitudinal (lengthwise) centerline of the operating table to permit delivery of the surgical tools to and along a centerline of the operating table.
  • self-supporting tubes 600, 700 and 800 are shown.
  • the self-supporting tubes 600, 700, and 800 have the necessary rigidity to support themselves over the body, or within reach of the surgeon, without the need of a frame suspending the tubes therefrom.
  • the self-supporting tubes 600, 700 and 800 are cantilevered from a point of origin, and have enough rigidity so that the cantilevered self-supporting tubes are taut and do not sag.
  • Fig. 16 is a cross-sectional view of co-extruded tubing 600.
  • the co-extruded tubing includes, for example, PVC tubing 601 with, for example, about 0.4" OD and about 0.3" ID.
  • Wires 602 made from, for example, metal or other rigid or semi-rigid material, are co-extruded into the wall 603 of the tube 600 so that the tube can be self supporting and used for functions, such as suction and irrigation.
  • the co-extruded tube 600 can be used in place of a PVC tube that is not co-extruded and not self supporting. There could be one or more support wires 602 that are co-extruded.
  • the cross section of the wire could be various shapes, including for example, circular, square, or oval. Versions of the tube 600, for example, up to about 3" in diameter or more, can be used as smoke ducts to convey cautery smoke, laser smoke or other kinds of undesirable airborne particles away from the operating table.
  • the co-extruded tube 600 can also be used to support lights and other tools and utilities.
  • Fig. 17 shows a helix tube 700 in snapped and unsnapped configurations.
  • the helix tube 700 is flexible and hollow, and includes a snap together helix 701, which when snapped together, forms a continuous flexible tube 702 that may range in diameter from, for example, about 0.5" to about 3".
  • the material of the helix tube 700 can be, for example, metal or plastic, and is rigid or semi-rigid so that the tube can be self supporting.
  • Fig. 18 shows a tube 800 including interlocking knuckles 801 having axial flexibility that permits a self supporting flexible characteristic.
  • Each interlocking knuckle 801 includes top and bottom portions 802 and 803, which fit into respective bottom and top portions of adjacent interlocking knuckles 801.
  • the size of the resulting tube 800 can be in a range of, for example, about 0.5"to about 3" in diameter.
  • the tube material can be, for example, plastic or metal, and the tube 800 is rigid or semi-rigid so that the tube can be self-supporting.
  • Fig. 19 shows a tube including an interlocking knuckle tube 800 and a co-extruded tube 600 at an end thereof.
  • the tube shown in Fig. 19 is a staged design including a combination of the interlocking and co-extruded designs.
  • Other combinations are also contemplated.
  • a combination may also include a co-extruded tube 600 with weaker support wires 602 at the end of a co-extruded tube 600 having stronger wires 602, so as to enable greater flexibility of a tube at the end of the tube.
  • Any combination of the above supports is envisioned and the staged design could consist of more than two stages.
  • tubes 600 and 800 shown in Fig. 19 can be fused together in numerous ways, such as heat welding, ultrasonic welding or with adhesives.
  • Fig. 20 shows an interlocking knuckle tube 800 including a standard tube 575 therein.
  • standard tubes and/or wires such as, for example, PVC tubing used for suction or irrigation, can be placed within one of the self supporting structures 600-800 described and shown above. This would enable standard, inexpensive tubes and wires to be used, while providing, for example, the self-supporting features.
  • tubes and wires can also run on the outside of the self-supporting structures 600-800 with clips or other supports holding the tubes and wires to the self supporting structure 600-800.
  • tubes 700 and 800 when used for passing materials directly therethrough, are designed to be leak resistant.
  • tubes 700 and 800 may include a leak proof coating, such as, for example, silicone material, or the like, applied to the tubes 700 and 800.
  • the support wire could be flexible, but also include sufficient rigidity to be self-supporting.
  • the support wire structure utilizes unsupported tubes, wires, smoke ducts and other tools and utilities that clamp to the end of a support wire.
  • the support wire furnishes the self-supporting function for the tubes, wires, etc. attached at an end thereof, and can be, for example, an annealed metal wire with a diameter between, for example, about 0.1" to about 0.5".
  • fiber optic cables could also run through the self-supporting structures.
  • a supported holder could be mounted to any of the frames 10 and 100-500, and/or attached at an end of any of the self-supporting structures, for example, tubes 600-800, described above.
  • the supported holder includes a tray, a hook, a holster or another holder that allows tools that require very sensitive positioning to be unsecured, yet remain in easy reach for the surgeon.
  • Tethered tools such as laser cutting hand tools and cautery pens, are examples of tools that may require very sensitive positioning.
  • Other non-tethered tools including simple tools like scalpels, could also be positioned on the supported holder for easy access.
  • a self supporting smoke exhaust duct formed of the co-extruded tube 600 could have a supported holder mounted to it to support a cautery pen or a laser hand tool.
  • Other self supporting structures, for example tubes 700-800, could also include supported holders mounted thereto.
  • a coupling that allows very controlled motions or high flex life performance could be added to a tube, such as a non-supported tube, anywhere along the tube.
  • This coupling could be a "snap-in" tube holder that snaps onto a tube, receives the tube therethrough, and has a mechanical joint.
  • the coupling could also be an in-line tube of a different construction and/or material that allows improved bending performance.
  • the in-line tube could be a mostly metal constructed tube that is similar to goose neck type tubing.
  • surgical tools 950, 1050 attached to a pig tail wire support 900 and a recoiling spool support 1000 are shown. These designs allow tools, such as a cautery pen, to hang in place in easy reach of the surgeon.
  • the surgeon can extend the tool support 900, 1000 by simply extending the tool to the desired position.
  • the tool support 900, 1000 retracts and the tool returns to the initial position.
  • the pig tail wire support 900 includes, for example, spiraled wire 901 attached to the tool 950, which can be extended by a pulling force, and returns to its original position when the pulling force is decreased or ceases.
  • the recoiling spool support 1000 is attached to a tool 1050, and includes, for example, wire 1001 which winds around a spring loaded rotating spool 1002. Upon application of a pulling force, the wire 1001 is unwound and can be extended from the spool 1002, and upon completion of a task, the pulling force is decreased to allow spring force to rotate the spool 1002 and retract the wire 1001 around the spool 1002.
  • the spool support 1000 may lock at different positions corresponding to different lengths of the wire 1001.
  • the pig tail wire and recoiling spool supports may be attached to a frame 10 or 100-500, any one of the self-supporting structures 600-800, or attached to a wall, ceiling, or other structure in an operating room.
  • the self-supporting structure will have sufficient rigidity to maintain a substantially stationary position when a pulling force is applied to the pig tail wire and/or recoiling spool support.
  • robotic positioning controlled by, for example, retinal positioning and a confirmation/initiate button controlled by the eye, tongue, hand or foot, can be used by the surgeon to position various devices.

Abstract

L'élément de fixation d'instruments chirurgicaux comprend une pluralité de branches interconnectées, un bras relié à au moins un des branches, le bras s'étendant au-dessus d'une table d'opération et se déplaçant dans plusieurs positions le long de la table d'opération, ainsi qu'un outil chirurgical relié à une extrémité du bras.
PCT/US2007/074949 2006-08-02 2007-08-01 Instruments chirurgicaux et éléments de fixation à cet effet WO2008016962A2 (fr)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US83496706P 2006-08-02 2006-08-02
US60/834,967 2006-08-02
US11/831,456 2007-07-31
US11/831,456 US20080047064A1 (en) 2006-08-02 2007-07-31 Surgical equipment supporting frames and attachments for same
US11/831,536 US20080047549A1 (en) 2006-08-02 2007-07-31 Surgical equipment supporting frames and attachments for same
US11/831,536 2007-07-31

Publications (2)

Publication Number Publication Date
WO2008016962A2 true WO2008016962A2 (fr) 2008-02-07
WO2008016962A3 WO2008016962A3 (fr) 2008-12-04

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5597146A (en) * 1991-08-05 1997-01-28 Putman; J. Michael Rail-mounted stabilizer for surgical instrument
US5899425A (en) * 1997-05-02 1999-05-04 Medtronic, Inc. Adjustable supporting bracket having plural ball and socket joints
US6387047B1 (en) * 1998-01-23 2002-05-14 Rultract, Inc. Low profile support member for a surgical retraction apparatus
US6592086B1 (en) * 2001-07-06 2003-07-15 Leica Microsystems Ag Microscope stand having X-Y-Z adjustment unit
US20040236316A1 (en) * 2003-05-23 2004-11-25 Danitz David J. Articulating mechanism for remote manipulation of a surgical or diagnostic tool

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5597146A (en) * 1991-08-05 1997-01-28 Putman; J. Michael Rail-mounted stabilizer for surgical instrument
US5899425A (en) * 1997-05-02 1999-05-04 Medtronic, Inc. Adjustable supporting bracket having plural ball and socket joints
US6387047B1 (en) * 1998-01-23 2002-05-14 Rultract, Inc. Low profile support member for a surgical retraction apparatus
US6592086B1 (en) * 2001-07-06 2003-07-15 Leica Microsystems Ag Microscope stand having X-Y-Z adjustment unit
US20040236316A1 (en) * 2003-05-23 2004-11-25 Danitz David J. Articulating mechanism for remote manipulation of a surgical or diagnostic tool

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