WO2018165365A3 - Surgical visualization systems and related methods - Google Patents

Surgical visualization systems and related methods Download PDF

Info

Publication number
WO2018165365A3
WO2018165365A3 PCT/US2018/021449 US2018021449W WO2018165365A3 WO 2018165365 A3 WO2018165365 A3 WO 2018165365A3 US 2018021449 W US2018021449 W US 2018021449W WO 2018165365 A3 WO2018165365 A3 WO 2018165365A3
Authority
WO
WIPO (PCT)
Prior art keywords
systems
methods
related methods
surgical visualization
visualization systems
Prior art date
Application number
PCT/US2018/021449
Other languages
French (fr)
Other versions
WO2018165365A2 (en
Inventor
William Kane
Daniel Thommen
Judith Flock
Veronique Christine Zollmann
Original Assignee
Medos International Sàrl
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 US15/692,845 external-priority patent/US11331090B2/en
Application filed by Medos International Sàrl filed Critical Medos International Sàrl
Priority to AU2018231239A priority Critical patent/AU2018231239B2/en
Priority to EP18764249.1A priority patent/EP3749168A4/en
Publication of WO2018165365A2 publication Critical patent/WO2018165365A2/en
Publication of WO2018165365A3 publication Critical patent/WO2018165365A3/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
    • 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
    • A61B1/00163—Optical arrangements
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • 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
    • A61B1/12—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 with cooling or rinsing arrangements
    • A61B1/126—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 with cooling or rinsing arrangements provided with means for cleaning in-use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • 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
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2017/00938—Material properties hydrophobic
    • 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
    • A61B2017/00946—Material properties malleable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A61B2017/0262—Joint distractors for the spine with a provision for protecting nerves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3443—Cannulas with means for adjusting the length of a cannula
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system

Abstract

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.
PCT/US2018/021449 2017-03-08 2018-03-08 Surgical visualization systems and related methods WO2018165365A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2018231239A AU2018231239B2 (en) 2017-03-08 2018-03-08 Surgical visualization systems and related methods
EP18764249.1A EP3749168A4 (en) 2017-03-08 2018-03-08 Surgical visualization systems and related methods

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201762468475P 2017-03-08 2017-03-08
US62/468,475 2017-03-08
US15/692,845 US11331090B2 (en) 2015-09-04 2017-08-31 Surgical visualization systems and related methods
US15/692,845 2017-08-31

Publications (2)

Publication Number Publication Date
WO2018165365A2 WO2018165365A2 (en) 2018-09-13
WO2018165365A3 true WO2018165365A3 (en) 2020-03-26

Family

ID=63447982

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2018/021449 WO2018165365A2 (en) 2017-03-08 2018-03-08 Surgical visualization systems and related methods

Country Status (1)

Country Link
WO (1) WO2018165365A2 (en)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113143355A (en) 2015-09-04 2021-07-23 美多斯国际有限公司 Multi-shield spinal access system
US10987129B2 (en) 2015-09-04 2021-04-27 Medos International Sarl Multi-shield spinal access system
US11439380B2 (en) 2015-09-04 2022-09-13 Medos International Sarl Surgical instrument connectors and related methods
US11744447B2 (en) 2015-09-04 2023-09-05 Medos International Surgical visualization systems and related methods
US11672562B2 (en) 2015-09-04 2023-06-13 Medos International Sarl Multi-shield spinal access system
WO2019164893A1 (en) * 2018-02-21 2019-08-29 Medos International Sàrl Surgical visualization systems and related methods
DE102019101089A1 (en) * 2019-01-16 2020-07-16 Vizaar Industrial Imaging Ag Endoscopic probe actuator, endoscopic probe, and method for controlling an endoscopic probe actuator
WO2021053392A2 (en) * 2019-09-20 2021-03-25 Axis Spine Technologies Ltd. Radiolucent surgical retractor
EP4329584A1 (en) * 2021-04-26 2024-03-06 Stryker Corporation Systems and methods for arthroscopic visualization
WO2022234160A1 (en) * 2021-05-07 2022-11-10 Deneb Medical, S.L. Surgical access port with cleaning capability
DE102021124453B4 (en) 2021-09-21 2023-12-07 Karl Storz Se & Co. Kg Outer shaft for an endoscope and endoscopy system

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070049794A1 (en) * 2005-09-01 2007-03-01 Ezc Medical Llc Visualization stylet for medical device applications having self-contained power source
US20070255100A1 (en) * 2006-01-06 2007-11-01 Olympus Medical Systems Corporation Medical method and medical system conducted percutaneous or using naturally occurring body orifice
US20080064928A1 (en) * 2005-01-07 2008-03-13 Olympus Medical Systems Corp. Endoscope insertion portion
US20080260342A1 (en) * 2007-04-23 2008-10-23 Fujifilm Corporation Optical probe and optical tomography apparatus
US20130172674A1 (en) * 2011-12-29 2013-07-04 Cook Medical Technologies Llc Space-optimized visualization catheter with camera train holder in a catheter with off-centered lumens
US20140221749A1 (en) * 2013-02-01 2014-08-07 Deka Products Limited Partnership Endoscope with Pannable Camera
US20150133727A1 (en) * 2013-11-11 2015-05-14 Cross Bay Medical, Inc. Apparatus and methods for accessing and sealing bodily vessels and cavities
US20150223671A1 (en) * 2012-09-03 2015-08-13 Meta Biomed Co., Ltd. Catheter using optical fiber and camera
US20180008138A1 (en) * 2015-09-04 2018-01-11 Medos International Sarl Surgical visualization systems and related methods

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150313633A1 (en) 2014-05-05 2015-11-05 Rainbow Medical Ltd. Pericardial access device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080064928A1 (en) * 2005-01-07 2008-03-13 Olympus Medical Systems Corp. Endoscope insertion portion
US20070049794A1 (en) * 2005-09-01 2007-03-01 Ezc Medical Llc Visualization stylet for medical device applications having self-contained power source
US20070255100A1 (en) * 2006-01-06 2007-11-01 Olympus Medical Systems Corporation Medical method and medical system conducted percutaneous or using naturally occurring body orifice
US20080260342A1 (en) * 2007-04-23 2008-10-23 Fujifilm Corporation Optical probe and optical tomography apparatus
US20130172674A1 (en) * 2011-12-29 2013-07-04 Cook Medical Technologies Llc Space-optimized visualization catheter with camera train holder in a catheter with off-centered lumens
US20150223671A1 (en) * 2012-09-03 2015-08-13 Meta Biomed Co., Ltd. Catheter using optical fiber and camera
US20140221749A1 (en) * 2013-02-01 2014-08-07 Deka Products Limited Partnership Endoscope with Pannable Camera
US20150133727A1 (en) * 2013-11-11 2015-05-14 Cross Bay Medical, Inc. Apparatus and methods for accessing and sealing bodily vessels and cavities
US20180008138A1 (en) * 2015-09-04 2018-01-11 Medos International Sarl Surgical visualization systems and related methods

Also Published As

Publication number Publication date
WO2018165365A2 (en) 2018-09-13

Similar Documents

Publication Publication Date Title
WO2018165365A3 (en) Surgical visualization systems and related methods
WO2019118901A3 (en) Devices for ocular surgery
USD875963S1 (en) Diagnostic instrument for medical or laboratory purposes
EP3813744A4 (en) Ophthalmic microsurgical tools, systems, and methods of use
WO2008045940A3 (en) Adjustable line and net retractors
WO2017143024A3 (en) Pathogen vaccines and methods of producing and using the same
EP3432822A4 (en) Handheld surgical instrument, surgical tool system, methods of forming and operating the same
WO2014176141A3 (en) Minimally invasive methods for spinal facet therapy to alleviate pain and associated surgical tools, kits and instructional media
WO2017001379A3 (en) Devices and kits for assisting in open surgeries
WO2016115310A3 (en) Device for accommodating surgical tool prior to and during medical procedures
EP3829503A4 (en) Full depth laser ophthalmic surgical system, methods of calibrating the surgical system and treatment methods using the same
USD785173S1 (en) Handle for laparoscopic surgery instruments
WO2017070027A3 (en) Customized patient-specific orthopaedic instruments for component placement in a total hip arthroplasty
EP3847973C0 (en) Passage establishment device for posterior spinal fusion minimally invasive surgery
USD796042S1 (en) Handle for laparoscopic surgery instrument
Sakai et al. Practice Guidelines on Endoscopic Surgery for qualified surgeons by the Endoscopic Surgical Skill Qualification System.
GB201901851D0 (en) Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures,and methods
WO2015038923A3 (en) Computer-based operating room support system
EP3582728A4 (en) Devices, systems and methods for minimally invasive glaucoma surgery
WO2007136683A3 (en) Multi -instrument surgical access using a single access port
EP3399939A4 (en) Sheathes for surgical instruments, and related devices and methods
EP3866704A4 (en) Devices and methods for minimally invasive surgical procedures
EP3852848A4 (en) Multi-modal five lumen gas circulation system for use in endoscopic surgical procedures
IL277370A (en) Technologies for determining the spatial orientation of input imagery for use in an orthopaedic surgical procedure
EP3158958A3 (en) Biased angle screws

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18764249

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 18764249

Country of ref document: EP

Kind code of ref document: A2

ENP Entry into the national phase

Ref document number: 2018764249

Country of ref document: EP

Effective date: 20191008

121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18764249

Country of ref document: EP

Kind code of ref document: A2

ENP Entry into the national phase

Ref document number: 2018231239

Country of ref document: AU

Date of ref document: 20180308

Kind code of ref document: A