WO2015065898A1 - Methods and devices for soft tissue dissection - Google Patents

Methods and devices for soft tissue dissection Download PDF

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Publication number
WO2015065898A1
WO2015065898A1 PCT/US2014/062382 US2014062382W WO2015065898A1 WO 2015065898 A1 WO2015065898 A1 WO 2015065898A1 US 2014062382 W US2014062382 W US 2014062382W WO 2015065898 A1 WO2015065898 A1 WO 2015065898A1
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
differential dissecting
ddm
force
instrument
Prior art date
Application number
PCT/US2014/062382
Other languages
English (en)
French (fr)
Inventor
Ryan Moody
Charles Anthony Pell
Eric Torr ESPENHAHN
Hugh Charles Crenshaw
Original Assignee
Physcient, 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
Priority claimed from US14/065,191 external-priority patent/US9592069B2/en
Application filed by Physcient, Inc. filed Critical Physcient, Inc.
Priority to MX2016005573A priority Critical patent/MX2016005573A/es
Priority to KR1020167013851A priority patent/KR20160077140A/ko
Priority to CN201480071443.8A priority patent/CN105848596B/zh
Priority to EP14857187.0A priority patent/EP3062715A4/en
Priority to SG11201603273PA priority patent/SG11201603273PA/en
Priority to CA2928627A priority patent/CA2928627A1/en
Priority to JP2016526849A priority patent/JP6580038B2/ja
Priority to AU2014342631A priority patent/AU2014342631B2/en
Publication of WO2015065898A1 publication Critical patent/WO2015065898A1/en
Priority to AU2019253899A priority patent/AU2019253899A1/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
    • A61B17/32—Surgical cutting instruments
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • 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
    • 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
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • 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
    • A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00858—Material properties high friction, non-slip
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • 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
    • A61B2017/320044—Blunt dissectors
    • 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
    • A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—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
    • A61B2018/1412—Blade
    • 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
    • A61B2018/1422—Hook
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Gynecology & Obstetrics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
PCT/US2014/062382 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection WO2015065898A1 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
MX2016005573A MX2016005573A (es) 2013-10-28 2014-10-27 Metodos y dispositivos para diseccion de tejidos blandos.
KR1020167013851A KR20160077140A (ko) 2013-10-28 2014-10-27 연조직 절제를 위한 방법 및 장치
CN201480071443.8A CN105848596B (zh) 2013-10-28 2014-10-27 用于软组织解剖的方法和装置
EP14857187.0A EP3062715A4 (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection
SG11201603273PA SG11201603273PA (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection
CA2928627A CA2928627A1 (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection
JP2016526849A JP6580038B2 (ja) 2013-10-28 2014-10-27 軟組織切開するための方法及び装置
AU2014342631A AU2014342631B2 (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection
AU2019253899A AU2019253899A1 (en) 2013-10-28 2019-10-25 Methods and devices for soft tissue dissection

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/065,191 2013-10-28
US14/065,191 US9592069B2 (en) 2012-04-28 2013-10-28 Methods and devices for soft tissue dissection

Publications (1)

Publication Number Publication Date
WO2015065898A1 true WO2015065898A1 (en) 2015-05-07

Family

ID=53004990

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/062382 WO2015065898A1 (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection

Country Status (9)

Country Link
EP (1) EP3062715A4 (ja)
JP (2) JP6580038B2 (ja)
KR (1) KR20160077140A (ja)
CN (2) CN110403673A (ja)
AU (2) AU2014342631B2 (ja)
CA (1) CA2928627A1 (ja)
MX (1) MX2016005573A (ja)
SG (1) SG11201603273PA (ja)
WO (1) WO2015065898A1 (ja)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020230131A1 (en) * 2019-05-15 2020-11-19 CardioVia Ltd. Non-penetrating tissue separator
US11298151B2 (en) 2017-06-18 2022-04-12 Yissum Research Development Company Of The Hebrew University Of Jerusalem Ltd. Device, system and method for pericardial access

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111465355B (zh) * 2017-09-25 2023-06-09 保罗·韦伯 组织微创解剖设备和系统
AU2020310129B2 (en) * 2019-07-08 2023-06-08 Cook Medical Technologies Llc Endoscopic resection cap with built-in oscillating dissector
CN111012549B (zh) * 2019-12-27 2022-05-20 先健科技(深圳)有限公司 测力装置
CN112635022B (zh) * 2020-11-27 2023-07-25 易波 用于吸持生物组织的亲水界面的评价方法及系统

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5591186A (en) * 1991-05-22 1997-01-07 Wurster; Helmut Self-cutting trocar
US7422592B2 (en) * 2000-12-29 2008-09-09 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US7540875B2 (en) * 1998-06-01 2009-06-02 Avatar Design & Development, Inc. Surgical cutting tool with automatically retractable blade assembly
US7842058B2 (en) 2003-01-31 2010-11-30 Flex Partners, Inc. Manipulation and cutting system and method
US8157832B2 (en) * 2006-08-03 2012-04-17 Biospine, Llc Blunt dissection and tissue elevation instrument

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CA1126134A (en) * 1979-05-29 1982-06-22 William P. Elzer Cam mechanism for imparting orbital movement to the blade of a reciprocating saw
US4490885A (en) * 1981-10-08 1985-01-01 Metro Iskiw Fish scaler
AT382776B (de) * 1985-05-07 1987-04-10 Ender Hans Georg Vorrichtung zur osteotomie und saegeblatt hiefuer
EP0702531B1 (en) * 1993-06-07 1999-01-07 TURJANSKI, Leon Instrument for removing neurologic tumors
US5643248A (en) * 1995-02-07 1997-07-01 Yoon; Inbae Medical instrument with force limiting mechanism
US5919203A (en) * 1998-01-21 1999-07-06 Royce H. Husted Powered surgical tool
US20050203561A1 (en) * 2004-03-09 2005-09-15 Palmer Joetta R. Lighted dissector and method for use
US7497860B2 (en) * 2004-07-09 2009-03-03 Stryker Corporation Surgical sagittal saw including a handpiece and a removable blade assembly, the blade assembly including a guide bar, a blade head capable of oscillatory movement and a drive rod for actuating the blade head
US8911465B2 (en) * 2006-08-16 2014-12-16 Pneumrx, Inc. Devices, systems, methods and kits for performing selective dissection of lung tissue
US20080119860A1 (en) * 2006-11-21 2008-05-22 Howmedica Osteonics Corp. System for preparing bone for receiving an implant
CN201189189Y (zh) * 2008-06-12 2009-02-04 北京迈迪顶峰医疗科技有限公司 组织剥离器
US8795278B2 (en) * 2008-06-23 2014-08-05 Microfabrica Inc. Selective tissue removal tool for use in medical applications and methods for making and using
KR20150003893A (ko) * 2012-04-28 2015-01-09 피사이언트, 인크. 소프트 조직 절개를 위한 방법들 및 디바이스들

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5591186A (en) * 1991-05-22 1997-01-07 Wurster; Helmut Self-cutting trocar
US7540875B2 (en) * 1998-06-01 2009-06-02 Avatar Design & Development, Inc. Surgical cutting tool with automatically retractable blade assembly
US7422592B2 (en) * 2000-12-29 2008-09-09 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US7842058B2 (en) 2003-01-31 2010-11-30 Flex Partners, Inc. Manipulation and cutting system and method
US8157832B2 (en) * 2006-08-03 2012-04-17 Biospine, Llc Blunt dissection and tissue elevation instrument

Non-Patent Citations (1)

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See also references of EP3062715A4 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11298151B2 (en) 2017-06-18 2022-04-12 Yissum Research Development Company Of The Hebrew University Of Jerusalem Ltd. Device, system and method for pericardial access
WO2020230131A1 (en) * 2019-05-15 2020-11-19 CardioVia Ltd. Non-penetrating tissue separator

Also Published As

Publication number Publication date
CN105848596B (zh) 2019-06-18
CN105848596A (zh) 2016-08-10
CA2928627A1 (en) 2015-05-07
MX2016005573A (es) 2016-08-11
SG11201603273PA (en) 2016-05-30
EP3062715A4 (en) 2017-07-12
JP2016534799A (ja) 2016-11-10
CN110403673A (zh) 2019-11-05
AU2014342631A1 (en) 2016-05-12
AU2019253899A1 (en) 2019-11-14
AU2014342631B2 (en) 2019-07-25
JP6580038B2 (ja) 2019-09-25
KR20160077140A (ko) 2016-07-01
EP3062715A1 (en) 2016-09-07
JP2019213922A (ja) 2019-12-19

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