WO2008136160A1 - 処置具及び処置具を備える内視鏡処置システム - Google Patents

処置具及び処置具を備える内視鏡処置システム Download PDF

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Publication number
WO2008136160A1
WO2008136160A1 PCT/JP2007/074714 JP2007074714W WO2008136160A1 WO 2008136160 A1 WO2008136160 A1 WO 2008136160A1 JP 2007074714 W JP2007074714 W JP 2007074714W WO 2008136160 A1 WO2008136160 A1 WO 2008136160A1
Authority
WO
WIPO (PCT)
Prior art keywords
operating
same
system including
distal end
end portion
Prior art date
Application number
PCT/JP2007/074714
Other languages
English (en)
French (fr)
Inventor
Tsutomu Ishiguro
Toshio Nakamura
Jun Hasegawa
Original Assignee
Olympus Medical Systems Corp.
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 Olympus Medical Systems Corp. filed Critical Olympus Medical Systems Corp.
Priority to EP07851066A priority Critical patent/EP2140819A4/en
Priority to CN2007800526710A priority patent/CN101652104B/zh
Publication of WO2008136160A1 publication Critical patent/WO2008136160A1/ja
Priority to US12/573,201 priority patent/US8282543B2/en

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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B18/1477—Needle-like probes
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320073—Working tips with special features, e.g. extending parts probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320074—Working tips with special features, e.g. extending parts blade
    • A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • A61B2034/742—Joysticks
    • 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

Abstract

　高周波処置電極１１８を保持した保持部材１１９を先端部４７における収納孔１１７ａに進退自在に収納させ、保持部材１１９を後退させて先端部４７内に高周波処置電極１１８を収納する収納位置と保持部材１１９を前進させて先端部４７から高周波処置電極１１８を露出する処置位置に移動操作する処置具。
PCT/JP2007/074714 2007-04-20 2007-12-21 処置具及び処置具を備える内視鏡処置システム WO2008136160A1 (ja)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP07851066A EP2140819A4 (en) 2007-04-20 2007-12-21 OPERATING INSTRUMENT AND ENDOSCOPE OPERATING SYSTEM THEREWITH
CN2007800526710A CN101652104B (zh) 2007-04-20 2007-12-21 处置器械和具有处置器械的内窥镜处置系统
US12/573,201 US8282543B2 (en) 2007-04-20 2009-10-05 Surgical instrument and endoscope surgical system having surgical instrument

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2007112131A JP2008264253A (ja) 2007-04-20 2007-04-20 医療用処置具及び内視鏡処置システム
JP2007-112131 2007-04-20

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/573,201 Continuation US8282543B2 (en) 2007-04-20 2009-10-05 Surgical instrument and endoscope surgical system having surgical instrument

Publications (1)

Publication Number Publication Date
WO2008136160A1 true WO2008136160A1 (ja) 2008-11-13

Family

ID=39943281

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2007/074714 WO2008136160A1 (ja) 2007-04-20 2007-12-21 処置具及び処置具を備える内視鏡処置システム

Country Status (5)

Country Link
US (1) US8282543B2 (ja)
EP (1) EP2140819A4 (ja)
JP (1) JP2008264253A (ja)
CN (1) CN101652104B (ja)
WO (1) WO2008136160A1 (ja)

Cited By (3)

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EP2249736B1 (en) * 2008-03-27 2018-08-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Model catheter input device
WO2018174226A1 (ja) * 2017-03-24 2018-09-27 株式会社メディカロイド 張力調整機構、インターフェースおよび駆動機構
CN115607235A (zh) * 2022-10-28 2023-01-17 江苏邦士医疗科技有限公司 一种多自由度手术钳

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US9357983B2 (en) * 2010-06-11 2016-06-07 Carefusion 2200, Inc. Method of making reduced backlash joint
KR101146945B1 (ko) 2010-09-14 2012-05-23 주식회사 이턴 수술기구용 굴곡장치
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US20130103032A1 (en) * 2011-10-20 2013-04-25 Richard B. Beaven Laparoscopic endometriosis articulating fulgurator
US20130218005A1 (en) * 2012-02-08 2013-08-22 University Of Maryland, Baltimore Minimally invasive neurosurgical intracranial robot system and method
WO2013130828A1 (en) * 2012-02-29 2013-09-06 Boston Scientific Scimed, Inc. Electrosurgical device and system
DE102012203793A1 (de) * 2012-03-12 2013-08-08 Siemens Aktiengesellschaft Minimal-invasives Instrument zur Durchführung einer Cox-Maze-ähnlichen Intervention
JP6046371B2 (ja) * 2012-04-12 2016-12-14 カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト 医療用マニピュレータ
CN102697552B (zh) * 2012-04-24 2014-10-08 王东 软式内窥镜系统的执行器械
EP2868252A4 (en) * 2012-10-22 2016-07-13 Olympus Corp Borescope
US9795379B2 (en) 2013-02-28 2017-10-24 Ethicon Llc Surgical instrument with multi-diameter shaft
US9427251B2 (en) 2013-03-13 2016-08-30 Covidien Lp Saber tooth harvester
CN105050522B (zh) 2013-03-28 2017-10-20 奥林巴斯株式会社 医疗器具和医疗系统
WO2014156221A1 (ja) 2013-03-28 2014-10-02 オリンパス株式会社 医療器具及び医療システム
JP5826979B2 (ja) * 2013-11-20 2015-12-02 オリンパス株式会社 挿入機器及びその挿入機器を備えた挿入装置
US10080552B2 (en) * 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
JP6238844B2 (ja) 2014-06-17 2017-11-29 オリンパス株式会社 手術用マニピュレータ操作装置および手術用マニピュレータシステム
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CN107809940B (zh) 2015-05-27 2021-08-27 安布股份有限公司 内窥镜
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US10624617B2 (en) 2015-05-27 2020-04-21 Ambu A/S Endoscope
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WO2018040061A1 (zh) * 2016-09-02 2018-03-08 杭州安杰思医学科技有限公司 一种内镜用组织切开装置
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2249736B1 (en) * 2008-03-27 2018-08-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Model catheter input device
WO2018174226A1 (ja) * 2017-03-24 2018-09-27 株式会社メディカロイド 張力調整機構、インターフェースおよび駆動機構
JPWO2018174226A1 (ja) * 2017-03-24 2019-06-27 株式会社メディカロイド 手術器具
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CN115607235A (zh) * 2022-10-28 2023-01-17 江苏邦士医疗科技有限公司 一种多自由度手术钳

Also Published As

Publication number Publication date
JP2008264253A (ja) 2008-11-06
CN101652104B (zh) 2011-11-09
US20100022837A1 (en) 2010-01-28
EP2140819A1 (en) 2010-01-06
EP2140819A4 (en) 2011-05-25
CN101652104A (zh) 2010-02-17
US8282543B2 (en) 2012-10-09

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