WO2013003256A3 - Forceps de pincement et procédés associés - Google Patents

Forceps de pincement et procédés associés Download PDF

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Publication number
WO2013003256A3
WO2013003256A3 PCT/US2012/043940 US2012043940W WO2013003256A3 WO 2013003256 A3 WO2013003256 A3 WO 2013003256A3 US 2012043940 W US2012043940 W US 2012043940W WO 2013003256 A3 WO2013003256 A3 WO 2013003256A3
Authority
WO
WIPO (PCT)
Prior art keywords
clamping
clamp
clamp member
respect
associated methods
Prior art date
Application number
PCT/US2012/043940
Other languages
English (en)
Other versions
WO2013003256A2 (fr
Inventor
Paras PATANI
Sanjeev KAUL
Aaron ASCH
Rahman NABULSI
James Brown
Original Assignee
Castle Surgical, Inc.
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 Castle Surgical, Inc. filed Critical Castle Surgical, Inc.
Priority to EP12804815.4A priority Critical patent/EP2757980A4/fr
Publication of WO2013003256A2 publication Critical patent/WO2013003256A2/fr
Publication of WO2013003256A3 publication Critical patent/WO2013003256A3/fr
Priority to US14/140,193 priority patent/US20140107697A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • 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
    • A61B17/2804—Surgical forceps with two or more pivotal connections
    • 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
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0495—Reinforcements for suture lines
    • 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
    • A61B2017/2808—Clamp, e.g. towel clamp
    • 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
    • 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
    • A61B2017/2945—Curved jaws
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0225—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument for clamping tissue, e.g. forceps
    • 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
    • A61B2018/145—Probes having pivoting end effectors, e.g. forceps wherein the effectors remain parallel during closing and opening
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N7/022—Localised ultrasound hyperthermia intracavitary

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne, dans des modes de réalisation décrits à titre d'exemple, des forceps de pincement et des procédés associés, le forceps comprenant généralement : une section de tête comprenant des premier et deuxième éléments de pince configurés et dimensionnés pour pincer de façon coopérative de façon à encercler au moins partiellement une tumeur ou autre structure ; une section de corps allongé en coopération avec la section de tête ; et un mécanisme de pincement monté de façon au moins partiellement mobile par rapport à la section de corps allongé. Des modes de réalisation décrits à titre d'exemple peuvent comprendre au moins un composant parmi un mécanisme de commande servant à réguler de façon variable une force de pincement, au moins un capteur monté par rapport à au moins un des premier et deuxième éléments de pince, un moyen de fixation d'au moins un des premier et deuxième éléments de pince par rapport à un tissu, les premier et deuxième éléments de pince étant structurés de façon à définir une étendue de périmètre variable, et un mécanisme de pincement qui s'adapte à des vitesses variables d'action de pincement.
PCT/US2012/043940 2011-06-25 2012-06-25 Forceps de pincement et procédés associés WO2013003256A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP12804815.4A EP2757980A4 (fr) 2011-06-25 2012-06-25 Forceps de pincement et procédés associés
US14/140,193 US20140107697A1 (en) 2012-06-25 2013-12-24 Clamping Forceps and Associated Methods

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161501198P 2011-06-25 2011-06-25
US61/501,198 2011-06-25

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US14/140,193 Continuation-In-Part US20140107697A1 (en) 2012-06-25 2013-12-24 Clamping Forceps and Associated Methods

Publications (2)

Publication Number Publication Date
WO2013003256A2 WO2013003256A2 (fr) 2013-01-03
WO2013003256A3 true WO2013003256A3 (fr) 2013-04-11

Family

ID=47424754

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2012/043940 WO2013003256A2 (fr) 2011-06-25 2012-06-25 Forceps de pincement et procédés associés

Country Status (2)

Country Link
EP (1) EP2757980A4 (fr)
WO (1) WO2013003256A2 (fr)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102012211886A1 (de) * 2012-07-06 2014-01-09 Technische Universität Berlin Medizinisches Instrument und Verfahren zum Verschwenken eines solchen medizinischen Instruments
EP3102115A4 (fr) * 2014-01-28 2017-11-08 University of Maryland, Baltimore Dispositif endoscopique extensible
EP2901949A1 (fr) * 2014-01-31 2015-08-05 Imperial Ventures B.V. Pince moulée par injection
DE102015002998A1 (de) 2014-10-09 2016-04-14 Cardiomedical Gmbh Chirurgisches Instrument
CN109310450A (zh) * 2016-05-06 2019-02-05 莫尔研究应用有限公司 具有增大的抓紧表面区域的抓紧器
WO2020121400A1 (fr) * 2018-12-11 2020-06-18 オリンパス株式会社 Appareil medical, applicateur et unite d'agrafage
EP3946130A4 (fr) * 2019-03-27 2023-05-10 Sina Robotics & Medical Innovators Co., Ltd Commande d'un instrument laparoscopique
CN112617988A (zh) * 2021-01-20 2021-04-09 济南市章丘区中医医院 一种妇产科用助产装置
CN113749707B (zh) * 2021-07-29 2024-08-20 鄂东医疗集团市中心医院 一种胸心血管外科用血管夹持器
CN115969354B (zh) * 2022-12-30 2024-04-09 昆明理工大学 一种胫骨旋转角测量器

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5514156A (en) * 1993-05-25 1996-05-07 Ethicon Endo-Surgery, Inc. Collapsible endoscopic forceps
US5618307A (en) * 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5893878A (en) * 1997-04-24 1999-04-13 Pierce; Javin Micro traumatic tissue manipulator apparatus
US20030055318A1 (en) * 1994-08-31 2003-03-20 Vierra Mark A. Device and method for isolating a surgical site
US20050215851A1 (en) * 2004-03-24 2005-09-29 Kim David J Methods and apparatus providing suction-assisted tissue engagment
WO2006010596A1 (fr) * 2004-07-30 2006-02-02 Price Invena Aps Dispositif pour l'incision et le clampage endoscopique
US20070049863A1 (en) * 2003-01-14 2007-03-01 Jahns Scott E Devices and methods for interstitial injection of biologic agents into tissue
US20090163948A1 (en) * 2007-12-21 2009-06-25 Kabushiki Kaisha Toshiba Manipulator system and method of controlling manipulator

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070038115A1 (en) * 2005-08-12 2007-02-15 Quigley David P High intensity ultrasound apparatus methods and systems
US20070049973A1 (en) * 2005-08-29 2007-03-01 Vascular Control Systems, Inc. Method and device for treating adenomyosis and endometriosis
US20100137845A1 (en) * 2008-12-03 2010-06-03 Immersion Corporation Tool Having Multiple Feedback Devices
US8444642B2 (en) * 2009-04-03 2013-05-21 Device Evolutions, Llc Laparoscopic nephrectomy device
US20110152895A1 (en) 2009-12-22 2011-06-23 Colin Nyuli Apparatus for clamping an organ during surgery

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5514156A (en) * 1993-05-25 1996-05-07 Ethicon Endo-Surgery, Inc. Collapsible endoscopic forceps
US20030055318A1 (en) * 1994-08-31 2003-03-20 Vierra Mark A. Device and method for isolating a surgical site
US5618307A (en) * 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5893878A (en) * 1997-04-24 1999-04-13 Pierce; Javin Micro traumatic tissue manipulator apparatus
US20070049863A1 (en) * 2003-01-14 2007-03-01 Jahns Scott E Devices and methods for interstitial injection of biologic agents into tissue
US20050215851A1 (en) * 2004-03-24 2005-09-29 Kim David J Methods and apparatus providing suction-assisted tissue engagment
WO2006010596A1 (fr) * 2004-07-30 2006-02-02 Price Invena Aps Dispositif pour l'incision et le clampage endoscopique
US20090163948A1 (en) * 2007-12-21 2009-06-25 Kabushiki Kaisha Toshiba Manipulator system and method of controlling manipulator

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2757980A4 *

Also Published As

Publication number Publication date
EP2757980A2 (fr) 2014-07-30
WO2013003256A2 (fr) 2013-01-03
EP2757980A4 (fr) 2015-06-17

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