WO2019212154A1 - Procédé d'insertion de canule pour procédure d'expansion et dispositif chirurgical utilisé dans ce procédé - Google Patents

Procédé d'insertion de canule pour procédure d'expansion et dispositif chirurgical utilisé dans ce procédé Download PDF

Info

Publication number
WO2019212154A1
WO2019212154A1 PCT/KR2019/003928 KR2019003928W WO2019212154A1 WO 2019212154 A1 WO2019212154 A1 WO 2019212154A1 KR 2019003928 W KR2019003928 W KR 2019003928W WO 2019212154 A1 WO2019212154 A1 WO 2019212154A1
Authority
WO
WIPO (PCT)
Prior art keywords
cannula
guide needle
endoscopic
procedure
expansion
Prior art date
Application number
PCT/KR2019/003928
Other languages
English (en)
Korean (ko)
Inventor
양희석
Original Assignee
Yang Hee Seok
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 Yang Hee Seok filed Critical Yang Hee Seok
Publication of WO2019212154A1 publication Critical patent/WO2019212154A1/fr

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—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
    • 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
    • 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
    • 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
    • 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
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • 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
    • A61B17/7071—Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips

Definitions

  • an extended cannula is inserted to secure an additional work space under the field of view of an existing spinal endoscope and to allow insertion of surgical tools of various angles.
  • a method of inserting a cannula and a surgical device used in the method more particularly comprising the steps of: inserting a cannula for endoscopic end with a magnet connector installed in the skin; Inserting the guide needle into the skin at an angle that requires an additional procedure to the end of the endoscopic cannula; inserting a dilator having the guide needle in the inner diameter to the end of the guide needle into the fascia and muscle; And inserting an extension surgical cannula having a magnet connector installed at an end thereof to an end of the endoscopic cannula, removing the guide needle and the dilator, and performing an additional surgical operation on the extension surgical cannula.
  • a cannula for insertion procedure relates to a method and a surgical device used in the method.
  • the spinal endoscope has a working system for working with the camera system that can see the affected area inside the endoscope, and thus, the spine has a straight shape due to the narrow endoscope working path and the fixed angle working path such as the camera system. Endoscopic limitations arise.
  • the spine has a thick muscle layer and a subcutaneous fat layer, which creates two surgical holes percutaneously to create an endoscope and a path for insertion of surgical instruments. It is not easy to produce and requires a lot of skill.
  • an externally movable arm-type fixing device is fixed to the endoscope cannula or the surgical device cannula and the fixing arm is fixed to the surgical bed. It was used to fix it, but it also had difficulty in keeping the work space exactly and stable.
  • the present invention has been researched and developed in order to solve the problems of the prior art, the step of inserting the cannula for endoscopic end with a magnet connector installed in the skin; Inserting the guide needle at an angle to the end of the endoscopic cannula into the skin at an angle that requires an additional procedure, and inserting the guide needle into the fascia and muscle to the end of the guide needle into the fascia and muscle; And inserting an extension surgical cannula having a magnet connector installed at an end thereof to an end of the endoscopic cannula, removing the guide needle and the dilator, and performing an additional surgical operation on the extension surgical cannula.
  • the present invention has another object to provide a surgical device used in the expansion cannula insertion method as described above.
  • Expansion cannula insertion method for achieving the above object, the step of inserting the endoscopic cannula with a magnet connector is inserted into the skin and the endoscope is inserted into the inner diameter of the endoscopic cannula ; Inserting the guide needle into the skin at an angle that requires an additional procedure up to the end of the endoscopic cannula; Inserting a dilator having the guide needle in the inner diameter to the end of the guide needle into the fascia and muscle; Inserting an extension surgical cannula having a magnet connector installed at an end thereof to an end of the endoscope cannula; Removing the guide needle and the diator; Inserting an additional surgical instrument into the expansion surgical cannula; It is characterized by consisting of.
  • the present invention is attached by a magnetic force between the magnet connector installed at the end of the endoscope cannula and the magnet connector provided at the end of the expansion cannula to allow the expansion procedure cannula is fixedly coupled to the endoscopic cannula. It is characterized by.
  • the surgical device used in the expansion procedure cannula insertion method according to the present invention and the endoscope cannula is equipped with a magnet connector at the end;
  • the present invention is characterized in that a magnet tip is installed at its end with respect to the guide needle, and the magnetic tip of the guide needle is attached to a magnet connector installed at the end of the endoscopic cannula.
  • the present invention is characterized in that the guide needle is divided into a guide needle body and the magnetic tip, the magnetic tip is movable at a predetermined angle from the guide needle body.
  • a method for inserting a cannula for an extended procedure and a surgical device for use in the method comprising: inserting a endoscopic cannula having a magnet connector at an end into the skin; Inserting the guide needle into the skin at an angle that requires an additional procedure to the end of the endoscopic cannula; inserting a dilator having the guide needle in the inner diameter to the end of the guide needle into the fascia and muscle; And inserting an extension surgical cannula having a magnet connector installed at an end thereof to an end of the endoscopic cannula, removing the guide needle and the dilator, and performing an additional surgical operation on the extension surgical cannula.
  • a tool such as to ensure the additional work space under the field of view of the existing spinal endoscope, it is possible to insert a variety of surgical devices, the additional surgical tools can be located in the correct working space, the additional surgery Effective use of tools There is.
  • the present invention can be used in the operation of the spinal endoscopy as well as by the expansion cannula accurately attached to the end of the endoscopic cannula using the magnet connector, as well as additional instrument operation having a different angle of access under the view of the endoscope
  • the discharge of saline can also be discharged to a passage other than the saline discharge passage of the existing spinal endoscope, thereby helping to secure a surgical field of view.
  • the present invention is provided with a magnet tip at the end of the guide needle, the magnetic tip of the guide needle to be attached to the magnet connector installed at the end of the endoscope cannula, the endoscopic cannula If additional procedures are required in addition to the procedure using the additional surgical tools have the effect that can easily secure the correct position for the additional procedure.
  • the present invention is the guide needle is divided into a guide needle body and the magnetic tip, by allowing the magnetic tip to flow at a predetermined angle from the guide needle body, when the guide needle is inserted into the skin of the endoscope cannula Even if the position of the magnet connector installed at an end is somewhat different, the magnetic tip may flow to compensate for the insertion angle of the guide needle.
  • Figure 2 (a) to (d) is a diagram illustrating each process of the expansion cannula insertion method according to the present invention
  • Figure 3 (a) to (d) is a view showing several embodiments of the endoscopic cannula and expansion cannula in the present invention
  • FIG. 4 is a view showing an embodiment of a guide needle in the present invention.
  • FIG. 5 is a view showing an embodiment of a dither in the present invention
  • Figure 6 is a view showing an embodiment in which the cannula for endoscopic and cannula expansion expansion fixed by the magnet connector in the present invention
  • FIG. 7 is a view showing an embodiment in which the surgical tool is inserted into the expansion cannula for the present invention
  • Expansion method cannula insertion method according to the present invention and the surgical device used in the method, when the operation is performed by the spinal endoscope when an additional angle of operation is required by inserting the expansion procedure cannula under the view of the existing spinal endoscope additional work space It relates to a method for inserting an extended procedure cannula and to a surgical device used in the method to ensure the insertion of the surgical device of various angles, and will be described in detail with reference to the accompanying drawings.
  • the spinal endoscope cannula 11 having a magnet connector 12 installed at an end thereof is inserted into the skin S in order to proceed with the spinal endoscope, and the endoscope 10 is inserted into the inner diameter of the endoscope cannula 11.
  • Guide needle 20 is inserted into the skin (S) to the end of the endoscopic cannula 11 inclined at an angle that requires an additional procedure (step S11).
  • the magnetic tip 22 installed at the end of the guide needle 20 is attached to the magnet connector 12 installed at the end of the endoscopic cannula 11 to easily secure the correct position.
  • the guide needle into the fascia and muscle is placed in the fascia and the muscle of the guide needle 20 is inserted into the skin (S) at a predetermined angle in the inner diameter It inserts to the edge part of 20 (step S12).
  • the end of the endoscope cannula 40 is provided with a magnet connector 41 is inserted into the end of the endoscope cannula for the endoscope cannula 11 Is attached by a magnetic force between the magnet connector 12 installed at the end of the) and the magnet connector 41 installed at the end of the expansion cannula 40, the expansion cannula 40 is the endoscopic cannula 11 ) To be fixed and coupled (step S13).
  • step S14 the dilator 30 and the guide needle 20, which are disposed in the expansion cannula 40, are removed from the skin and removed from the skin to expand the surgical tool for the internal diameter of the expansion cannula 40. Secure a space to install 50 (step S14).
  • step S15 the additional surgical tool 50 to be additionally inserted into the expansion cannula is inserted (step S15).
  • the endoscope drill is shown in FIG. 2 (d) as an additional surgical instrument 50.
  • FIGS. 3A and 3B illustrate an end portion of the endoscope cannula 11.
  • 3 (c) and (d) are formed flat, the end of the endoscopic cannula 11 is formed to be inclined at a predetermined angle.
  • Material magnetic connector adapter can be installed.
  • a ring-type magnet connector 12 may be installed at the end of the endoscopic cannula 11.
  • the existing endoscopic cannula 11 has a protrusion formed at an end thereof, so that the magnetic connector adapter can be pushed out when the magnetic connector adapter is inserted into the skin.
  • FIG. 3 (a) to (d) may also be various embodiments of the expansion procedure cannula 40, Figures 3 (a) and (b) is an end of the expansion procedure cannula 40 Is formed to be flat, Figure 3 (c) and (d) is the end of the expansion cannula 40 is formed to be inclined at a predetermined angle.
  • a plurality of magnetic connectors 12 may be spaced apart from the end of the expansion cannula 40, in which case the expansion cannula ( To allow the magnetic connector 12 to be attached to an end of the 40, a magnetic connector adapter of plastic or metal suitable for the size of the expansion cannula 40 may be installed.
  • the magnetic connector 12 may be embedded in the end of the expansion procedure cannula 40 (the fixing part is embedded and installed to protrude a portion of the magnet).
  • a ring-type magnet connector 12 may be installed at an end of the cannula 40 for expansion.
  • the guide needle 20 is divided into a guide needle body 21 and a magnetic tip 22 having magnetic properties installed at a lower end of the guide needle body 21, and the guide needle 20.
  • the magnetic tip 22 of the guide needle 20 is inserted at an angle to the end of the endoscopic cannula 11 to the end of the spine, the magnetic tip 22 of the endoscopic cannula 11 It is attached to the magnet connector 12 installed at the end of the.
  • the magnetic tip 22 is hinged to the lower end of the guide needle body 21 to be able to flow at a predetermined angle.
  • the magnetic tip 22 may be somewhat different from the position of the magnet connector 12 installed at the end of the endoscope cannula 11 when the guide needle 20 is inserted into the skin S. The magnetic tip 22 is flowed so that the magnetic tip 22 is attached to the magnet connector 12 by magnetic force, thereby compensating an insertion angle of the guide needle 20.
  • the diator 30 may be divided into a dither body 31 and a dirator end 32, and the diopter end 32 may be inserted into the skin S to facilitate insertion. Is formed in a narrow shape with a wide bottom.
  • FIG. 6 is a view illustrating an embodiment in which the endoscopic cannula 11 and the extended procedure cannula 40 are fixedly coupled by a magnet connector, and a magnet connector of the endoscopic cannula 11. 12) and the magnet connector 41 of the expansion cannula 40 shows a shape in which the magnetic coupling is fixed by magnetic force.
  • the magnet connectors 12 and 41 allow the angles to be formed according to the angles required for the insertion and work space of the cannula 11 and 40.
  • a plurality of magnet connectors 12 and 41 having inclined surfaces having different angles at the bottom of the cannula 11 and 40 are installed, and various angles required for the insertion and work space of the cannula 11 and 40 are installed.
  • the cannula 11 or 40 may be rotated so that both magnetic connectors 12 and 41 are attached at a necessary angle.
  • the expansion cannula 40 may be made of a metal material such as titanium or stainless steel, or may be made of a plastic material.
  • FIG. 7 is a view illustrating an embodiment in which an additional surgical tool 50 is inserted into an expanded surgical cannula 40 in the present invention, and a plug-in traction mechanism attached to a camera of the endoscopic camera 10 is plug-in.
  • the surgical tool 50 (in FIG. 7 shows the electric incinerator 51) is inserted into the inner diameter of the expansion cannula 40 while protecting the nerves or blood vessel structures using a retractor.
  • An embodiment is shown.
  • the magnet connector 12 installed at the end of the endoscopic cannula 11 and the magnet connector 41 provided at the end of the expansion procedure cannula 40 are fixedly coupled by magnetic force.
  • the extension procedure is directed upward of the endoscope 10.
  • the left outer side inserts the cannula 40 for expansion from the right side, and the right outer side is inserted from the left to expand the lesion outside the cannula 40 for expansion.
  • the procedure cannula 40 can be used to work.
  • the endoscopic approach through the spinal cavity can be inserted into the upper space of the endoscope 10 can be inserted into the expansion procedure cannula 40 to work the lesions above the spine.
  • an extended surgical cannula 40 into which a cage can be inserted during spinal endoscopic surgery for spinal fusion surgery is accurately positioned on the spinal endoscope using a magnet connector 41,
  • the plug-in retractor attached to the endoscopic camera under the field of view can safely insert the cage for spinal fusion while protecting the nerve.
  • the extended surgical cannula 40 provided with the magnet tip 22 and the magnet connector 41 of the guide needle 20 has a magnet connector 12 attached to a conventional endoscopic cannula 11.
  • a magnet connector 12 attached to a conventional endoscopic cannula 11.
  • the cannula 40 may use various types of surgical tools for endoscopic surgery that have been previously available, and can use the existing instruments stably in the expansion procedure cannula 40 by using additional adapters.
  • an extended cannula is inserted to secure an additional work space under the field of view of an existing spinal endoscope and to allow insertion of surgical tools of various angles.
  • the present invention relates to a cannula insertion method and a surgical device used in the method, and may be widely used in the field of endoscopic surgery.

Landscapes

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

Abstract

La présente invention concerne un procédé d'insertion d'une canule pour une procédure d'expansion et un dispositif chirurgical utilisé dans le procédé, dans lequel, lorsqu'une procédure nécessite un angle supplémentaire tout en réalisant une chirurgie avec un endoscope spinal, une canule pour une procédure d'expansion est insérée pour fixer un espace de travail supplémentaire sous le champ de vision de l'endoscope spinal existant et pour permettre l'insertion d'un dispositif chirurgical à différents angles, le dispositif chirurgical comprenant une canule pour un endoscope spinal ayant un connecteur magnétique installé à l'extrémité de celui-ci, une aiguille de guidage, un dilatateur et une canule pour une procédure d'expansion.
PCT/KR2019/003928 2018-05-04 2019-04-03 Procédé d'insertion de canule pour procédure d'expansion et dispositif chirurgical utilisé dans ce procédé WO2019212154A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2018-0051618 2018-05-04
KR1020180051618A KR102112977B1 (ko) 2018-05-04 2018-05-04 척추 내시경 수술 중 확장 시술을 위한 수술 장치

Publications (1)

Publication Number Publication Date
WO2019212154A1 true WO2019212154A1 (fr) 2019-11-07

Family

ID=68387008

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2019/003928 WO2019212154A1 (fr) 2018-05-04 2019-04-03 Procédé d'insertion de canule pour procédure d'expansion et dispositif chirurgical utilisé dans ce procédé

Country Status (2)

Country Link
KR (1) KR102112977B1 (fr)
WO (1) WO2019212154A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113925547A (zh) * 2021-12-16 2022-01-14 珠海维尔康生物科技有限公司 一种脊柱内镜手术用的可变角度v型双通道工作鞘

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3147706B2 (ja) * 1995-03-22 2001-03-19 富士写真光機株式会社 経皮的に挿入される内視鏡装置
JP2007530130A (ja) * 2004-03-26 2007-11-01 ブリヴァント リサーチ アンド ディベロップメント リミテッド ヒト又は動物被験者における血管閉塞部位の再開通に用いるためのガイドワイヤー
WO2017210086A1 (fr) * 2016-06-01 2017-12-07 Becton, Dickinson And Company Dispositifs médicaux, systèmes et procédés utilisant un aimant permanent et une caractéristique magnétisable
KR101821889B1 (ko) * 2016-08-05 2018-01-25 양희석 자석 커넥터가 구비된 캐뉼라의 결합구조
KR101827675B1 (ko) * 2017-01-25 2018-02-08 김현주 경막외 카테터 수술도구 키트

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6575979B1 (en) * 2000-02-16 2003-06-10 Axiamed, Inc. Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3147706B2 (ja) * 1995-03-22 2001-03-19 富士写真光機株式会社 経皮的に挿入される内視鏡装置
JP2007530130A (ja) * 2004-03-26 2007-11-01 ブリヴァント リサーチ アンド ディベロップメント リミテッド ヒト又は動物被験者における血管閉塞部位の再開通に用いるためのガイドワイヤー
WO2017210086A1 (fr) * 2016-06-01 2017-12-07 Becton, Dickinson And Company Dispositifs médicaux, systèmes et procédés utilisant un aimant permanent et une caractéristique magnétisable
KR101821889B1 (ko) * 2016-08-05 2018-01-25 양희석 자석 커넥터가 구비된 캐뉼라의 결합구조
KR101827675B1 (ko) * 2017-01-25 2018-02-08 김현주 경막외 카테터 수술도구 키트

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113925547A (zh) * 2021-12-16 2022-01-14 珠海维尔康生物科技有限公司 一种脊柱内镜手术用的可变角度v型双通道工作鞘
CN113925547B (zh) * 2021-12-16 2022-04-15 珠海维尔康生物科技有限公司 一种脊柱内镜手术用的可变角度v型双通道工作鞘

Also Published As

Publication number Publication date
KR20190127242A (ko) 2019-11-13
KR102112977B1 (ko) 2020-05-20

Similar Documents

Publication Publication Date Title
WO2015115809A1 (fr) Système de robot chirurgical pour la colonne vertébrale
WO2017069374A1 (fr) Vis chirurgicale et dispositif de fusion associé
WO2012157878A2 (fr) Canule réglable en longueur
EP0336399A1 (fr) Endoscope destiné à l'examen des voies biliaires et pancréatiques
AU2019335236B2 (en) Passage establishment device for posterior spinal fusion minimally invasive surgery
WO2012177087A2 (fr) Instrument chirurgical minimalement invasif pour fixation spinale
WO2006060657A2 (fr) Procedes et dispositifs de couplage d'une aiguille a un dispositif a ultrasons et guidage de la progression de l'aiguille
CN102202581A (zh) 用于患者外科手术的牵引装置
WO2011162491A2 (fr) Trocart pour une chirurgie à un seul orifice
WO2015115807A1 (fr) Instrument chirurgical pour colonne vertébrale et système de robot chirurgical l'utilisant
WO2018203675A1 (fr) Instrument microchirurgical capable de mouvement d'articulation et de mouvement de rotation
WO2010041900A2 (fr) Orifice et ensemble orifice destinés à être utilisés avec un instrument en chirurgie minimalement invasive, et procédé d'utilisation dudit orifice et dudit ensemble orifice
WO2019212154A1 (fr) Procédé d'insertion de canule pour procédure d'expansion et dispositif chirurgical utilisé dans ce procédé
EP4159152A1 (fr) Dispositif de positionnement et procédé de positionnement pour bras mécanique de robot chirurgical
US4727872A (en) Endotracheal intubation system
WO2016104971A1 (fr) Instrument d'injecteur pour opération endoscopique
US10251673B2 (en) Multiple section trocar
WO2013062232A1 (fr) Support d'implant pour guider une chirurgie d'implant dentaire et procédé pour séparer un support d'implant
WO2014021513A1 (fr) Appareil endoscopique amovible à usage gynécologique
WO2020153615A1 (fr) Pince de fixation interne
WO2016099028A1 (fr) Instrument de fixation pour ostéotomie tibiale distale de type ouvert
WO2015190861A1 (fr) Broche de fixation pour chirurgie orthopédique permettant une fixation interne
WO2018235994A1 (fr) Trocart médical
WO2016006983A1 (fr) Dispositif de foret médical
WO2016144116A1 (fr) Ensemble écarteur pour chirurgie mini-invasive

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: 19796631

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19796631

Country of ref document: EP

Kind code of ref document: A1