WO2012102509A2 - Capsules éclairante pour positionnement chirurgical - Google Patents

Capsules éclairante pour positionnement chirurgical Download PDF

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Publication number
WO2012102509A2
WO2012102509A2 PCT/KR2012/000378 KR2012000378W WO2012102509A2 WO 2012102509 A2 WO2012102509 A2 WO 2012102509A2 KR 2012000378 W KR2012000378 W KR 2012000378W WO 2012102509 A2 WO2012102509 A2 WO 2012102509A2
Authority
WO
WIPO (PCT)
Prior art keywords
capsule
light
forceps
surgical
light emitting
Prior art date
Application number
PCT/KR2012/000378
Other languages
English (en)
Korean (ko)
Other versions
WO2012102509A3 (fr
Inventor
신경민
Original Assignee
(주)태웅메디칼
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 (주)태웅메디칼 filed Critical (주)태웅메디칼
Publication of WO2012102509A2 publication Critical patent/WO2012102509A2/fr
Publication of WO2012102509A3 publication Critical patent/WO2012102509A3/fr

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Classifications

    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21—LIGHTING
    • F21V—FUNCTIONAL FEATURES OR DETAILS OF LIGHTING DEVICES OR SYSTEMS THEREOF; STRUCTURAL COMBINATIONS OF LIGHTING DEVICES WITH OTHER ARTICLES, NOT OTHERWISE PROVIDED FOR
    • F21V33/00—Structural combinations of lighting devices with other articles, not otherwise provided for
    • 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
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • 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
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/08—Materials for coatings
    • A61L31/10—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21—LIGHTING
    • F21W—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO USES OR APPLICATIONS OF LIGHTING DEVICES OR SYSTEMS
    • F21W2131/00—Use or application of lighting devices or systems not provided for in codes F21W2102/00-F21W2121/00
    • F21W2131/20—Lighting for medical use

Definitions

  • the present invention relates to a surgical positioning device, in particular clamped with the forceps around the lesion for surgery to emit light to recognize the correct position of the procedure to the operator does not require a procedure position confirmation procedure is not limited to the shape of the forceps
  • the present invention relates to a light emitting capsule for confirming the position of surgery.
  • laparoscopic surgery is a method of surgery using a surgical instrument while observing the inside of the abdominal cavity after inserting a laparoscope through the hole about 1 cm into the abdomen and looking inside the abdomen, unlike conventional open surgery .
  • Laparoscopic surgery is applied to various long-term tumor resections such as cholecystectomy and appendectomy, and there are few postoperative pains, less complications, shorter recovery periods, and smaller scars. It is being performed.
  • a plurality of trocars are inserted into the abdomen of the patient, and gas is blown to facilitate the observation of the inside of the abdominal cavity, and then using endoscopes and surgical instruments inserted through the trocars. Observing the surgical site, the affected area is performed.
  • a device for indicating the location of resection is performed the day before laparoscopic surgery.
  • FIG. 1A A typical example of such a conventional ablation position indicator is shown in FIG. 1A.
  • the conventional ablation position display apparatus is pulled out from the inside of the holder 1 to be in contact with the human organs, and then inserted into the inside of the holder 1, whereby a pair of forceps pieces 2a clamping the human organ tissues.
  • the display device 4 is configured in which the light emitting part 3 is coupled to the tongs 2 through the holes 2b formed in the "
  • the conventional cutting position display device as described above is inserted into the holder 1 in a state in which the forceps 2a of the forceps 2 are pressed to abut each other, and the holder 1 is connected so as not to be separated from the endoscope. And, the tongs 2 are connected to be withdrawn / inserted in the holder (1) by the withdrawal / insertion operation to the endoscope.
  • the conventional ablation position display apparatus checks the lesion site 200 through the endoscope while inserting the endoscope through the incision site partially cut in the human body. .
  • the holder 1 of the display device 3 is pushed in the forward direction of the tongs 2, the holder 1 is moved while the tong pieces 2a of the tongs 2 clamp the organ tissue. It is narrowed to and attached to normal tissues of human organs around the lesion site 200.
  • the light emitting unit 3 emits light to confirm the position of the procedure through the endoscope through light or from the outside and to clamp the boundary of the lesion site 200 to be resected to the human organs during laparoscopic procedure to confirm the surgical position. Can be.
  • the holder and tongs are formed of only a metal material, and thus, the laparoscopic procedure requires a surgeon and an endoscope to switch to various directions in a state in which the surgeon predicts the ablation position and finds the surgical position. There was an uncomfortable problem.
  • the conventional ablation position display device identifies the surgical position by emitting light by coupling the light emitting part to the forceps, but the light emitting part is in close contact with the human organs, thereby reducing the amount of light emitted and confirming the position when the light emitting part is embedded in the organ tissue. There was a problem that became unclear.
  • the boundary of the lesion to be resected can be easily and easily identified through the light emitted while being located on the surface of the organ of the human body, and the accuracy of the operation can be improved and the burden on the operator and the patient can be reduced by accurately identifying the ablation boundary.
  • an object of the present invention is to provide a surgical positioning light emitting capsule that can be used in conjunction with forceps or other surgical instruments by escaping the method of coupling to forceps in view of the problems of the prior art as described above.
  • Another object of the present invention is to enable the insertion into the human body in the form of a capsule smoothly and emit light as needed.
  • another object of the present invention is to weave the suture in the form of a loop to the capsule clamped to the forceps with the suture at the point to mark the position so that the display position does not change, it is made easy to remove by acting as a ring when removing the capsule To lose.
  • another object of the present invention is to place a metal clip in a manner that does not use the method of calculating by CT imaging in the existing method where the metal clip is located in addition to installing only the marking (light-emitting body) cancer that occurs in the stomach or colon This is to simplify the preparation of resection for ablation.
  • the present invention is composed of a pair of tongs integrally formed with a pair of forceps pieces formed with a pair of forceps to clamp the human organ tissue while being drawn from the inside of the holder and contacting the human organs and then inserted into the holder.
  • the light emitter is the first capsule and the light of the male and female form is coupled to each other Comprising the projected second capsule, the battery is coupled to the inside of the first capsule exposed, a small lamp is installed in the inside of the second capsule, the first capsule and the second capsule by combining and assembling the battery The small lamp is lighted on the contact point, the light emitter is positioned on the patient's lesion, and the forceps are inserted into the holder by the surgical instrument.
  • the boundary between the light emitter and the lesion is It provides a surgical position confirmation light emitting capsule, characterized in that configured to clamp the tissue together to confirm the surgical position through light emission.
  • the present invention has an effect that can be used together with forceps or other surgical instruments by removing the manner of coupling to forceps.
  • the capsule is inserted into the human body smoothly and has an effect of emitting light as needed.
  • Figure 1a and 1b is a perspective view and a surgical view of a conventional excision surgery positioning device
  • Figure 2 is a perspective view of the holder and the forceps used in the present invention
  • Figure 3 is an exploded perspective view showing a surgical position confirming light emitting capsule according to the present invention
  • Figure 4 is a cross-sectional view showing a surgical position confirming light emitting capsule according to the present invention
  • FIG. 5 is a cross-sectional view of the PTFE coating layer formed on the surface of the surgical position confirmation light emitting capsule according to the present invention.
  • 6 and 7 are a plan view showing a position in which a hole is formed in the surgical positioning light emitting capsule according to the present invention.
  • FIG. 8 is a perspective view showing a surgical position confirmation light emitting capsule according to another embodiment
  • FIG. 9 is a cross-sectional view of pressing the light emitting capsule of FIG. 8 to emit light
  • FIG. 10 is a plan view showing a position in which a hole is formed in the surgical position confirmation light emitting capsule
  • FIG. 11 is a cross-sectional view of the PTFE coating layer is formed on the surface of the surgical position confirmation light emitting capsule
  • FIG. 12 is a view illustrating a state in which two light emitters are treated.
  • the present invention is to be clamped together with the forceps around the lesion site for surgery to emit light to recognize the correct position to the operator without the need for procedure location confirmation procedure can be used without being limited to the shape of the forceps.
  • the surgical positioning light emitting capsule of the present invention is drawn out from the inside of the holder 10 to contact the human organs and then inserted into the inside of the holder 10 to clamp the human organ tissues
  • a pair of forceps 21 formed with a pair of forceps 21a is composed of forceps 20 integrally formed, and the light emitter 30 when clamping a plurality of boundary portions of the lesion site 200 to be excised to the human organs during laparoscopic surgery.
  • the small lamp 34 is light-contacted to the battery 33 is configured so that the position is fixed by the clamping of the forceps 20 do.
  • the light emitter 30 constitutes a male and female first capsule 31 coupled to each other and a second capsule 32 on which light is projected.
  • the female capsule end 31a is formed in the first capsule 31, and the male thread end 32b is formed in the second capsule 32, and is coupled to each other when helix is coupled.
  • the first capsule 31 of the light emitter 30 is composed of any one of transparent, translucent, opaque
  • the second capsule 32 is composed of a transparent light is projected.
  • first and second capsules 31 and 32 may be made of a harmless PTFE material or may be formed by forming a PTFE coating layer P on a surface thereof.
  • first and second capsules 31 and 32 may be made of a harmless material other than PTFE.
  • the battery 33 is coupled to the inside of the first capsule 31 to be exposed.
  • the battery 33 has a positive (+) pole and a negative (-) pole at both terminals of the small lamp 34. As much as possible.
  • the small lamp 34 is installed in the second capsule 32, the terminal in contact with the positive (+) and negative (-) pole toward the battery 33 is formed to protrude.
  • the small lamp 34 may be configured as a light emitting diode or an LED lamp in a very small form.
  • the suture 40 is passed through the suture 40 through one or more holes 32a formed at the end of the second capsule 32 opposite to the first capsule 31 and woven in a ring shape.
  • the suture 40 is clamped together in the forceps piece 21a so that the position mechanism is configured to serve as a ring to prevent the removal of the position and the removal mechanism is caught.
  • the hole 32a may be configured at the end of the first capsule 31 opposite to the second capsule 32.
  • the hole 32a may be configured at the opposite end to which the first capsule 31 and the second capsule 32 are coupled to each other.
  • the small lamp 34 contacts light on the battery 33.
  • the forceps 20 are inserted into the holder 10 by a surgical instrument, and the boundary tissues of the light emitter 30 and the lesion site 200 are clamped together. It is configured to check the surgical position through light emission.
  • the surgical positioning light emitting capsule of the present invention is drawn out from the inside of the holder 10 to be in contact with the human organs, and then inserted into the holder 10.
  • Light emitter 60 is a light emitting body of the device to check the operation position by coupling the light emitting body 60 to the forceps piece 21, the light emitting body injection-molded so that the space around the battery 33 and the small lamp 34 spaced apart from each other by the capsule 50 60 is configured so that the position is fixed by the clamping of the forceps 20.
  • the light emitter 60 closely installs the battery 33 and the small lamp 34.
  • the surface of the battery 33 and the small lamp 34 is integrally formed by wrapping the flexible capsule 50 having elastic force by using an injection method.
  • the capsule 50 of the light emitter 60 is transparent to the light is projected, it is composed of a harmless PTFE material of human body or to form a PTFE coating layer (P) on the surface.
  • the suture 40 is passed through one or more holes 32a formed at one end of the capsule 50 and woven in a ring shape.
  • the suture 40 is clamped together in the forceps piece (21a) to prevent the positional deviation is configured to serve as a ring that the removal mechanism is locked during removal.
  • the hole 32a may be configured at both ends of the capsule 50, so that there is no procedure such as turning the clamping position to the forceps 20 or when removing.
  • the small lamp 34 contacts the light to the battery 33 to position the light emitter 60 at the lesion site 200 of the patient.
  • the forceps 20 are inserted into the holder 10 as a surgical instrument to clamp the boundary tissues of the light emitter 60 and the lesion site 200 together to configure the surgical position through light emission.
  • the battery 33 may be configured as a battery that can be charged for recycling.
  • the battery 33 is configured to maintain a power supply time of 24 to 25 hours when light is supplied by supplying power to the small lamp 34.
  • the reason for limiting the power capacity of the battery 33 is that the time to mark the site to be excised when performing laparoscopy is usually performed the day before, so that the power can be emitted by supplying power to the small compact lamp 34 for more than one day. It is intended to be.
  • the light emitter 30, 60 is mainly used when performing laparoscopic surgery, the endoscope device to mark the boundary of the lesion site 200 to be excised to the organs in the human body Can be installed using (not shown in the drawing).
  • Such a portion to which the light emitters 30 and 60 are applied will be described by taking an example that is applied to the intestine of the stomach, small intestine, large intestine, etc., which constitute the digestive organs.
  • the male threaded end 32b of the second capsule 32 is inserted into the female threaded end 31a of the first capsule 31 and then screwed together.
  • the terminals of the small lamp 34 contacts the positive and negative electrodes of the batteries 33 installed inside the first and second capsules 31 and 32 coupled by the helical coupling and emit light.
  • the light emitting unit 60 emits light when the terminals of the small lamp 34 are in contact with the positive electrode and the negative electrode of the battery 33 when the both ends of the capsule 50 are pressed.
  • the suture 40 is woven through the suture 40 through the holes 32a formed in the light emitting bodies 30 and 60 in common, and if necessary, all the sutures 40 may be woven into all the holes 32a. will be.
  • the patient swallows through the esophagus, and then inserts the inside of the holder 10 in a state in which the forceps 21a of the forceps 20 are pressed to abut each other. 10 is connected so as not to be separated from the endoscope, the forceps 20 is connected to the endoscope to be pulled out / inserted in the holder 10 by the withdrawal / insertion operation is inserted along the esophagus.
  • the number of the small lamp 34 and the tongs 20 is prepared as many as necessary.
  • the operator checks the lesion site 200 through the endoscope while inserting the endoscope connected to the forceps 20.
  • the holder 10 is pushed in the forward direction from the rear of the forceps 20, the holder 10 is moved and the forceps end 21a of the forceps 20 is narrowed in the state of clamping the organ tissue. 100 is attached to the human organs normal tissue around the lesion site (200).
  • the light emitters 30 and 60 are surgically removed in order to form a boundary line to be excised around the lesion site 200, and when the laparoscopic surgery is performed, the doctor checks the resection position through a laparoscopic surgery trocar. Surgery can be performed.
  • the portion to be excised from the lesion site 200 is easily guided by the light emitted from the light emitting unit 30, thereby saving time for identifying a position.
  • the operator can determine the exact resection area, and thus, the resection operation can be performed in a stable state.
  • the removal instrument may be caught by the suture 40 to remove each or a plurality of them at once.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Reproductive Health (AREA)
  • Epidemiology (AREA)
  • General Engineering & Computer Science (AREA)
  • Surgical Instruments (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

L'invention concerne une capsule éclairante pour confirmer le positionnement chirurgical ne nécessitant pas de procédure de confirmation pour l'emplacement d'une opération, en informant l'opérateur de l'emplacement précis pour la procédure chirurgicale, par l'émission de lumière par clampage avec un clamp autour de la zone de la lésion à opérer, et pouvant être utilisée sans restriction quelle que soit la forme du clamp. Le système d'éclairage comprenant notamment une première capsule à parties mâle/femelle accouplées et une deuxième capsule qui projette de la lumière, une batterie étant accouplée à l'intérieur de la première capsule de manière exposée, et une lampe miniature étant montée à l'intérieur de la deuxième capsule, de sorte que lorsque les première et deuxième capsules sont assemblées par accouplement, la lampe miniature fasse contact avec la batterie et émette de la lumière. Le système d'éclairage est placé dans la zone de la lésion du patient, après quoi le clamp est inséré dans un support comme un instrument chirurgical, clampant ensemble le système d'illumination et le tissu de jonction de la zone de lésion, l'emplacement de l'opération chirurgicale pouvant être confirmé par l'émission de lumière. La présente invention permet d'écarter la méthode d'accouplement au clamp, ce qui en permet l'usage avec un clamp ou d'autres instruments chirurgicaux.
PCT/KR2012/000378 2011-01-25 2012-01-17 Capsules éclairante pour positionnement chirurgical WO2012102509A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020110007379A KR101163630B1 (ko) 2011-01-25 2011-01-25 수술위치 확인 발광체 캡슐
KR10-2011-0007379 2011-01-25

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WO2012102509A2 true WO2012102509A2 (fr) 2012-08-02
WO2012102509A3 WO2012102509A3 (fr) 2012-12-20

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PCT/KR2012/000378 WO2012102509A2 (fr) 2011-01-25 2012-01-17 Capsules éclairante pour positionnement chirurgical

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WO (1) WO2012102509A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITUB20153033A1 (it) * 2015-08-10 2017-02-10 Daniela Asti Dispositivo di illuminazione chirurgico stand-alone

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102032438B1 (ko) * 2017-06-12 2019-10-15 주식회사 크림슨스타 체내 부착 발광장치
KR102016960B1 (ko) * 2017-11-13 2019-09-02 재단법인 오송첨단의료산업진흥재단 위치 확인을 위한 부착식 rfid 클립 모듈

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006130186A (ja) * 2004-11-09 2006-05-25 Pentax Corp 照明カプセル
KR20100090987A (ko) * 2009-02-09 2010-08-18 (주) 태웅메디칼 절제 수술 위치 확인 장치
JP2010201178A (ja) * 2010-04-19 2010-09-16 Olympus Corp 光源マーカー、光源マーカーアプリケータ及び外科手術用病変部同定システム
KR20110000796A (ko) * 2009-06-29 2011-01-06 국립암센터 수술용 형광 표시 클립

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006130186A (ja) * 2004-11-09 2006-05-25 Pentax Corp 照明カプセル
KR20100090987A (ko) * 2009-02-09 2010-08-18 (주) 태웅메디칼 절제 수술 위치 확인 장치
KR20110000796A (ko) * 2009-06-29 2011-01-06 국립암센터 수술용 형광 표시 클립
JP2010201178A (ja) * 2010-04-19 2010-09-16 Olympus Corp 光源マーカー、光源マーカーアプリケータ及び外科手術用病変部同定システム

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITUB20153033A1 (it) * 2015-08-10 2017-02-10 Daniela Asti Dispositivo di illuminazione chirurgico stand-alone

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WO2012102509A3 (fr) 2012-12-20
KR101163630B1 (ko) 2012-07-09

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