WO2011038820A1 - Instrument chirurgical possédant une tige incurvée - Google Patents

Instrument chirurgical possédant une tige incurvée Download PDF

Info

Publication number
WO2011038820A1
WO2011038820A1 PCT/EP2010/005354 EP2010005354W WO2011038820A1 WO 2011038820 A1 WO2011038820 A1 WO 2011038820A1 EP 2010005354 W EP2010005354 W EP 2010005354W WO 2011038820 A1 WO2011038820 A1 WO 2011038820A1
Authority
WO
WIPO (PCT)
Prior art keywords
shaft
instrument
transport
plane
packaging
Prior art date
Application number
PCT/EP2010/005354
Other languages
German (de)
English (en)
Inventor
Hannes Miersch
Antonios Vonofakos
Original Assignee
Olympus Winter & Ibe Gmbh
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 Winter & Ibe Gmbh filed Critical Olympus Winter & Ibe Gmbh
Publication of WO2011038820A1 publication Critical patent/WO2011038820A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00362Packages or dispensers for MIS instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00738Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2904Details of shaft curved, but rigid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/291Handles the position of the handle being adjustable with respect to the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2911Handles rings

Definitions

  • the invention relates to a surgical instrument according to claim 1, an instrument-containing shipping unit according to claim 5 and a packaging method according to claim 6.
  • Surgical instruments with a shank bent in a shaft extending shaft are particularly suitable for laparoscopic applications, and in particular for the introduction of multiple instruments through a port.
  • the actuators are arranged on the shanks in such a rotational position that the grips of the actuators protrude from the shaft plane.
  • the shaft is rotatably mounted on the actuating device and can thus be brought into different working positions, e.g. are suitable for left-handed or right-handed operation.
  • a fixing device
  • CONFIRMATION COPY ensures that the shaft is fixable to the actuator in the selected working position.
  • a transport lock is provided according to claim 1, with which the instrument is fixable in a transport position, in which the grips lie in the shaft plane, so the entire instrument is largely in one plane. In this design, it can be very flat and thus save space.
  • an external support provided as a transport lock, which is particularly advantageous according to claim 4 designed as a transport packaging.
  • a fixation of the transport position on the instrument itself can be omitted.
  • a shipping unit according to the invention consists according to claim 5 of the instrument according to the invention in transport position and this surrounding transport packaging. This shipping unit has great advantages, especially in terms of space requirements.
  • a method for packaging an instrument is specified in claim 6.
  • Fig. 1 is a side view of an instrument according to the invention, the
  • FIG. 1 an end view of the proximal end region of the instrument of FIG. 1, showing two additional rotational positions of the shaft, FIG.
  • FIG. 3 is a section along line 3 - 3, in Fig. 1,
  • Fig. 4 is a view of the instrument of Fig. 1-3 in transport position with a transport packaging and
  • Fig. 5 is a representation corresponding to FIG. 3 in another embodiment.
  • FIG. 1 shows an instrument 1 according to the invention with an elongated shaft 2, which is formed bent several times in the plane of the drawing, as shown in FIG. 1.
  • an end effector 3 which is indicated in the embodiment as a pair of pliers.
  • an actuating device 4 depart from the grips 5, which carry finger rings 6 in the embodiment at their ends.
  • the grips 5 are pivotally mounted on the actuator 4 and drive via not shown, internal devices the end effector 3 for opening and closing movement.
  • Fig. 1 shows in the view of the section along line 2 - 2 in Fig. 1 is an end view of the actuator 4.
  • the shaft 2 is shown in solid lines in a first working position AI against the handle pieces 5, the in Fig. 1 Corresponding angular position corresponds.
  • the shaft 2 is rotatably mounted on the actuator 4 about the axis of the proximal end of the shaft 2, so that the instrument 1 by turning the shaft 2 relative to the actuator 4 from the working position AI in the Working position A2 of the shaft is adjustable.
  • Fig. 3 shows in view of section line 3 - 3 in Fig. 1, a fixing device with a mounted on the shaft 2 wheel 7 with grooves 8, in which a pawl at the end of a locking spring 9 can engage, at its other end to the actuator 4 is attached, for example, with the two rivets shown. If the spring 9 lifted at its end carrying the pawl slightly from the wheel 7, as indicated by dashed lines in Fig. 3, the shaft 2 can be rotated relative to the actuator 4.
  • Fig. 3 shows three grooves 8, corresponding to three rotational positions of the shaft 2 relative to the actuator 4. The two positions AI and A2 were already mentioned.
  • a third position, the transport position T is also shown in dashed lines in Fig. 2.
  • the instrument 1 is shown in this transport position T.
  • the stretched in a plane shape of the instrument 1 is ideal for placement in a transport packaging, which is shown in Fig. 4, with two half-shells 10 and 11, is shown.
  • the half-shells 10, 11 are e.g. formed by deep drawing in a mold for all-round enclosing recording of the instrument 1 and can be attached to the edges together.
  • this consists of two half-shells 10 and 11, which are formed substantially identical and also made of the same plastic material.
  • only one of the two half-shells of FIG. 4 can be used, for. B.
  • Fig. 5 shows in illustration corresponding to FIG. 3 another embodiment of the fixing device with a instead of the wheel 7 mounted on the shaft 2 square piece 12.
  • an axle 13 is mounted, on which in turn a fork member 14 is mounted, which can be brought by pivoting about the axis 13 in or out of engagement with the square piece 12 with its matching the square piece 12 fork opening 12 to fix the rotational position of the shaft 2.
  • the shaft 2 can be adjusted relative to the actuating device 4 in 90 ° angles.
  • Fig. 2 would be adapted to the embodiment of FIG. 5 training so in each case a right angle between the positions A 1, T and A 2.
  • a hexagon piece or another fitting may be provided to which the fork member 14 is adapted for positive engagement accordingly.

Landscapes

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

Abstract

L'invention concerne un instrument chirurgical (1) destiné à une application endoscopique, pourvu d'une tige (2) portant un effecteur terminal (3) à son extrémité distale, qui s'étend incurvée dans un plan de tige et dont l'embout proximal, tournant autour de son axe, est monté sur un dispositif d'actionnement (4) qui comprend des éléments de préhension (5) éloignés latéralement. La tige peut être fixée au moyen d'un dispositif de fixation (7, 9) dans au moins une position de travail (A1, A2) dans laquelle les éléments de préhension (5) font saillie du plan de la tige, une protection de transport (7, 10) fixant la tige (2) sur le dispositif d'actionnement (4) dans une position de transport (T) dans laquelle les éléments de préhension (5) sont disposés dans le plan de la tige.
PCT/EP2010/005354 2009-09-30 2010-09-01 Instrument chirurgical possédant une tige incurvée WO2011038820A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102009043471.2 2009-09-30
DE102009043471A DE102009043471A1 (de) 2009-09-30 2009-09-30 Chirurgisches Instrument mit gebogenem Schaft

Publications (1)

Publication Number Publication Date
WO2011038820A1 true WO2011038820A1 (fr) 2011-04-07

Family

ID=43271911

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2010/005354 WO2011038820A1 (fr) 2009-09-30 2010-09-01 Instrument chirurgical possédant une tige incurvée

Country Status (2)

Country Link
DE (1) DE102009043471A1 (fr)
WO (1) WO2011038820A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20200390488A1 (en) * 2019-06-17 2020-12-17 Covidien Lp Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5447230A (en) * 1993-07-23 1995-09-05 Ethicon, Inc. Package for surgical instruments
WO1997046163A1 (fr) * 1996-06-07 1997-12-11 Symbiosis Corporation Kit d'instrument laparoscopique comprenant une pluralite de tubes rigides
US20060020241A1 (en) * 2004-07-21 2006-01-26 Pnaval Systems, Inc. Laparoscopic instrument and cannula assembly and related surgical method
EP1749479A1 (fr) * 2005-08-02 2007-02-07 Marco Gandini Ecarteur
WO2009073577A2 (fr) * 2007-11-29 2009-06-11 Surgiquest, Inc. Instruments chirurgicaux améliorant la dextérité utilisables dans des interventions chirurgicales mini-invasives
US20090171147A1 (en) * 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
DE202009007592U1 (de) * 2008-12-05 2009-08-13 Olympus Winter & Ibe Gmbh Laparoskopisches Instrument mit langgestrecktem Schaft
EP2163216A2 (fr) * 2008-09-11 2010-03-17 Tyco Healthcare Group LP Instrument laparoscopique

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5353929A (en) * 1993-04-19 1994-10-11 United States Surgical Corporation Package for surgical instrument

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5447230A (en) * 1993-07-23 1995-09-05 Ethicon, Inc. Package for surgical instruments
WO1997046163A1 (fr) * 1996-06-07 1997-12-11 Symbiosis Corporation Kit d'instrument laparoscopique comprenant une pluralite de tubes rigides
US20060020241A1 (en) * 2004-07-21 2006-01-26 Pnaval Systems, Inc. Laparoscopic instrument and cannula assembly and related surgical method
EP1749479A1 (fr) * 2005-08-02 2007-02-07 Marco Gandini Ecarteur
WO2009073577A2 (fr) * 2007-11-29 2009-06-11 Surgiquest, Inc. Instruments chirurgicaux améliorant la dextérité utilisables dans des interventions chirurgicales mini-invasives
US20090171147A1 (en) * 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
EP2163216A2 (fr) * 2008-09-11 2010-03-17 Tyco Healthcare Group LP Instrument laparoscopique
DE202009007592U1 (de) * 2008-12-05 2009-08-13 Olympus Winter & Ibe Gmbh Laparoskopisches Instrument mit langgestrecktem Schaft
DE102008060418A1 (de) 2008-12-05 2010-06-10 Olympus Winter & Ibe Gmbh Laparoskopisches Instrument mit langgestrecktem Schaft

Also Published As

Publication number Publication date
DE102009043471A1 (de) 2011-03-31

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