WO2022015041A1 - 트로카가 불필요한 복강경 수술기구 - Google Patents
트로카가 불필요한 복강경 수술기구 Download PDFInfo
- Publication number
- WO2022015041A1 WO2022015041A1 PCT/KR2021/009019 KR2021009019W WO2022015041A1 WO 2022015041 A1 WO2022015041 A1 WO 2022015041A1 KR 2021009019 W KR2021009019 W KR 2021009019W WO 2022015041 A1 WO2022015041 A1 WO 2022015041A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- surgical instrument
- trocar
- coupled
- laparoscopic
- needle
- Prior art date
- Legal status (The legal status 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 status listed.)
- Ceased
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00283—Type of minimally invasive operation with a device releasably connected to an inner wall of the abdomen during surgery, e.g. an illumination source
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00681—Aspects not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
Definitions
- the present invention relates to a laparoscopic surgical instrument that does not require a trocar, and more particularly, by having a surgical instrument inserted into the body of the abdominal cavity and a manipulation unit that is coupled with the surgical instrument outside the body to manipulate the operating state of the surgical instrument, thereby causing scars on the abdominal wall It relates to a laparoscopic surgical instrument that does not require a trocar (with a built-in trocar function) that can perform laparoscopic surgery without creating a wound that leaves a trocar.
- At least three surgical instruments are required for laparoscopic surgery. Specifically, a camera (laparoscope), which is an essential component for observing the inside of the abdominal cavity during surgery, forceps (a type of laparoscopic instruments) to hold tissue, and a cutter or ultrasound generator for cutting or treating tissue A surgical energy device or the like is required.
- a camera laser scanner
- forceps a type of laparoscopic instruments
- a cutter or ultrasound generator for cutting or treating tissue
- An object of the present invention is to have a surgical instrument inserted into the body of the abdominal cavity and operated outside the body and an operation unit that can be combined with an intraperitoneal surgical instrument outside the body to perform surgery as a single device, and has a minimized coupling site. It is to provide a laparoscopic surgical instrument that does not require a trocar to perform laparoscopic surgery without leaving a scar due to a trocar wound by not inserting a trocar.
- the laparoscopic surgical instrument does not require a trocar according to an embodiment of the present invention, is inserted into the body of the abdominal cavity, a first part having a surgical instrument; and a second part disposed outside the body of the abdominal cavity and coupled to the first part to manipulate an operating state of the surgical instrument, wherein the first part and the second part are the first part inserted into the body. It is characterized in that they are primarily coupled to each other by magnetic force in the state.
- a laparoscopic surgery using a surgical instrument inserted into the body of the abdominal cavity and a surgical instrument outside the body without using a separate trocar for laparoscopic surgery and a manipulation unit capable of manipulating the operating state of the surgical instrument surgery can be performed.
- 1 is a photograph showing a conventional laparoscopic instrument.
- Figure 2 is a conceptual diagram showing a conventional single port surgery.
- FIG. 3 is a conceptual diagram illustrating a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention.
- FIG. 4 is a conceptual diagram illustrating a state in which a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention is coupled.
- FIG. 5 is a flowchart illustrating a method of using a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention.
- FIG. 3 is a conceptual diagram illustrating a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention
- FIG. 4 is a conceptual diagram illustrating a state in which a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention is coupled.
- the laparoscopic surgical instrument 10 that does not require a trocar according to an embodiment of the present invention includes a first part 110 inserted into the body and a second part 120 disposed outside the body. included, and the first part 110 and the second part 120 may be coupled to each other by magnetic force while the first part 110 is inserted into the body.
- the first part 110 is inserted into the body of the abdominal cavity and includes a first body 111 , a surgical instrument 112 , a first magnet 113 , and a needle receiving part 114 .
- the first part 110 may be inserted into the body, for example, through a trocar installed for conventional single-port laparoscopic surgery.
- the first body 111 serves to support the surgical instrument 112 , and may be formed to extend in one direction to support the surgical instrument 112 .
- the first body 111 may include a communication module, a battery, and the like.
- the communication module forms a communication channel between the first part 110 and the second part 120 when the first part 110 and the second part 120 are coupled to each other.
- a signal is transmitted according to the manipulation in the second part 120 through the formed communication channel, so that the surgical instrument 112 of the first part 120 is operated.
- the surgical instrument 112 is coupled to one end of the first body 111 , and operates according to an operation in the second part 120 .
- the surgical instrument 112 is formed with forceps as an example, but is not necessarily limited thereto. That is, the surgical instrument 112 may be formed of any one of an energy device, forceps, and surgical scissors, and it is a self-evident fact that various surgical instruments that can be used in laparoscopic surgery can be applied.
- the surgical instrument 112 coupled to the first body 111 may be replaced with various types as needed.
- the first magnet 113 may be provided at the other end of the first body 111 coupled to the second body 121 .
- the first magnet 113 may be formed in a donut shape in consideration of the needle receiving portion 114 formed in the center thereof as described later, but the shape is not necessarily limited thereto.
- the first magnet 113 may be formed of a neodymium magnet so as not to be easily separated while being coupled to the second magnet 123 , but is not necessarily limited thereto.
- the first magnet 113 may be formed as an electromagnet.
- the needle receiving portion 114 may be additionally provided at the other end of the first body 111 coupled to the second body 121, for example, is formed in the center of the first magnet 113 to the second part ( It can accommodate the needle 124 protruding from the 120).
- the needle 124 is inserted into and coupled to the needle receiving part 114 as described later. , the coupling of the first part 110 and the second part 120 may be maintained more firmly.
- the second part 120 is disposed outside the body of the abdominal cavity, and is coupled to the first part 110 to manipulate the operating state of the surgical instrument 112 , the second body 121 , the manipulation unit 122 , and the second A magnet 123 and a needle 124 are provided.
- the second body 121 may be formed in a shape corresponding to the first body 111 so that one end can be coupled to the first body 111 , and the other end of the second body 121 is connected to the manipulation unit 122 and can be combined.
- the second body 121 may be formed to extend in one direction like the first body 111 .
- the second body 121 may include a communication module and a battery.
- the communication module forms a communication channel between the first part 110 and the second part 120 when the first part 110 and the second part 120 are coupled to each other as described above.
- a signal is transmitted according to the manipulation in the second part 120 through the formed communication channel, so that the surgical instrument 112 of the first part 120 is operated.
- the operation unit 122 serves to operate the surgical instrument 112, and may be provided with various setting buttons or operation buttons depending on the type or condition of the surgical instrument 112, and may be configured to operate the setting button or operation button. Accordingly, the input signal can be transmitted to the surgical instrument 112 of the first part 110 through the communication channel.
- the second magnet 123 may be provided at one end of the second body 121 coupled to the first body 111 .
- the second magnet 123 may be formed in a donut shape in consideration of the needle 124 protruding from the center thereof as will be described later, but the shape is not necessarily limited thereto.
- the second magnet 123 may be formed of a neodymium magnet so as not to be easily separated while being coupled to the first magnet 113 , but is not necessarily limited thereto.
- the second magnet 123 may be formed as an electromagnet.
- the needle 124 may be additionally provided at one end of the second body 121 coupled to the first body 111 , and may be formed to protrude from the center of the second magnet 123 , for example.
- the needle 124 protrudes according to the manipulation of the manipulation unit 122 and penetrates the patient's abdominal wall (W) to accommodate the needle formed in the first body 111 of the first part 110 located inside the abdominal wall (W). It is inserted into the portion 114 to be coupled. As such, when the needle 124 is coupled to the needle receiving part 114 , the coupling between the first part 110 and the second part 120 is more firmly maintained so that it is not easily separated.
- FIG. 5 is a flowchart illustrating a method of using a laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention.
- the laparoscopic surgical instrument that does not require a trocar according to an embodiment of the present invention may be performed in the following order.
- laparoscopic surgery is prepared (1).
- At least one wound may be formed on the abdominal wall for laparoscopic surgery.
- the present invention can be applied to both single-port or multi-port laparoscopic surgery.
- the first part is inserted into the body through the formed wound (2).
- the first part inserted into the body is combined with the second part (3).
- the first part and the second part are primarily coupled by magnetic force, and additionally may be induced to be more firmly coupled through the needle. In this way, laparoscopic surgery is performed in a state in which the first part and the second part are combined.
- FIG. 6 is a view for explaining the configuration of the guide part for safe coupling between the first part and the first part.
- any one of the first part and the second part is provided with a guide part (G) capable of accommodating the other part inside.
- the two parts are integrated by magnetic force only when the first part and the second part directly contact into the guide part (G).
- FIG. 7 shows a configuration that further extends from the first part to the second part, and improves the unity of the surgical tool in a physical way after magnetic coupling through a cylinder (S) equipped with a surgical tool such as a needle do.
- the cylinder inside the first part extends in the direction of the second part.
- surgical tools such as needles also extend through the first part-second part to the surgical site stably through the cylinder, and have a more stable form compared to the case where the fastening structure is maintained only by magnetism.
- the present invention relates to a surgical instrument, and has industrial applicability.
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
Description
Claims (7)
- 복강의 체내에 삽입되며, 수술기구를 구비하는 제1 파트; 및복강의 체외에 배치되며, 상기 제1 파트에 결합되어 상기 수술기구의 작동상태를 조작하는 제2 파트를 포함하며,상기 제1 파트와 상기 제2 파트는 상기 제1 파트가 체내에 삽입된 상태에서 자력에 의해 1차로 서로 결합되는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 1 항에 있어서, 상기 제1 파트는,일방향으로 연장되어 형성되며 상기 수술기구를 지지하는 제1 몸체;상기 제1 몸체의 일단에 결합되는 상기 수술기구; 및상기 제1 몸체의 타단에 구비되는 제1 자석을 포함하는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 2 항에 있어서, 상기 제2 파트는,일방향으로 연장되어 형성되며 일단이 상기 제1 몸체와 결합되는 제2 몸체;상기 제2 몸체의 타단에 결합되며 상기 수술기구를 조작하는 조작부; 및상기 제2 몸체의 일단에 구비되는 제2 자석을 포함하는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 3 항에 있어서,상기 제2 파트는, 상기 제2 몸체의 일단에 구비되어 상기 조작부의 조작에 따라 돌출되는 니들을 더 포함하고,상기 제1 파트는, 상기 제1 몸체의 타단에 구비되며 상기 제2 파트에서 돌출되는 니들을 수용하는 니들 수용부를 더 포함하는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 4 항에 있어서,상기 제1 파트 및 상기 제2 파트가 복벽을 사이에 두고 자력에 의해 1차로 서로 결합된 상태에서 상기 니들이 돌출되어 상기 니들 수용부에 삽입되어 2차로 결합되는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 3 항에 있어서,상기 제1 몸체 및 상기 제2 몸체는 각각 통신모듈을 더 구비하며,상기 통신모듈은 상기 제1 파트 및 상기 제2 파트가 서로 결합되는 경우 상기 제1 파트와 상기 제2 파트 사이의 통신채널을 형성하여 상기 제2 파트에서의 조작에 따른 신호를 전달하는 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
- 제 1 항에 있어서,상기 수술기구는 에너지 디바이스, 겸자 및 수술용 가위 중 어느 하나로 형성되며, 교체 가능한 것을 특징으로 하는 트로카가 불필요한 복강경 수술기구.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US17/925,321 US12458384B2 (en) | 2020-07-14 | 2021-07-14 | Laparoscopic surgery instrument not requiring trocar |
| CN202180062533.0A CN116096308A (zh) | 2020-07-14 | 2021-07-14 | 不需要套管的腹腔镜手术器械 |
| JP2022569561A JP7385061B2 (ja) | 2020-07-14 | 2021-07-14 | 腹腔鏡手術器具 |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR10-2020-0087021 | 2020-07-14 | ||
| KR20200087021 | 2020-07-14 | ||
| KR1020210069961A KR102616402B1 (ko) | 2020-07-14 | 2021-05-31 | 트로카가 불필요한 복강경 수술기구 |
| KR10-2021-0069961 | 2021-05-31 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2022015041A1 true WO2022015041A1 (ko) | 2022-01-20 |
Family
ID=79555728
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/KR2021/009019 Ceased WO2022015041A1 (ko) | 2020-07-14 | 2021-07-14 | 트로카가 불필요한 복강경 수술기구 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US12458384B2 (ko) |
| JP (1) | JP7385061B2 (ko) |
| CN (1) | CN116096308A (ko) |
| WO (1) | WO2022015041A1 (ko) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009072368A (ja) * | 2007-09-20 | 2009-04-09 | Olympus Medical Systems Corp | 医療装置 |
| JP2010220876A (ja) * | 2009-03-24 | 2010-10-07 | Kansai Medical Univ | 磁石式鉗子 |
| KR101039102B1 (ko) * | 2009-07-15 | 2011-06-07 | 주식회사 엠비수스 | 복강경 또는 흉강경 수술 장치 |
| KR101082762B1 (ko) * | 2011-02-18 | 2011-11-10 | 이정삼 | 복강경 수술용 견인기구 시스템 |
| KR101716520B1 (ko) * | 2009-04-03 | 2017-03-27 | 더 보드 오브 트러스티스 오브 더 리랜드 스탠포드 주니어 유니버시티 | 수술 장비 및 방법 |
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| GB0315479D0 (en) | 2003-07-02 | 2003-08-06 | Paz Adrian | Virtual ports devices |
| JP4505360B2 (ja) | 2005-03-23 | 2010-07-21 | オリンパスメディカルシステムズ株式会社 | 磁性体留置具の探知及び把持装置 |
| JP4505361B2 (ja) | 2005-03-24 | 2010-07-21 | オリンパスメディカルシステムズ株式会社 | 把持鉗子 |
| EP1815950A1 (en) * | 2006-02-03 | 2007-08-08 | The European Atomic Energy Community (EURATOM), represented by the European Commission | Robotic surgical system for performing minimally invasive medical procedures |
| JP2008259835A (ja) | 2007-03-17 | 2008-10-30 | Akita Univ | 体腔内での外科手術を体腔外からの遠隔操作によって行える内視鏡手術用治療装置 |
| US8377044B2 (en) * | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
| JP5106908B2 (ja) | 2007-04-10 | 2012-12-26 | オリンパスメディカルシステムズ株式会社 | 組織の挙上システム |
| US8403916B2 (en) * | 2009-02-26 | 2013-03-26 | Enteroptyx | Surgical instrument having a magnetically driven detachable tool assembly |
| KR101330256B1 (ko) | 2011-12-21 | 2013-11-15 | 국립암센터 | 가요성 복강경 수술기구 |
| US9737364B2 (en) * | 2012-05-14 | 2017-08-22 | Vanderbilt University | Local magnetic actuation of surgical devices |
| EP2945551A4 (en) * | 2013-01-16 | 2016-10-19 | Teleflex Medical Inc | Rigid and flexible waves for laparoscopy devices and methods |
| KR20180058923A (ko) | 2016-11-25 | 2018-06-04 | 주식회사 이앰 | 복강경 수술 보조구 |
| US20200015808A1 (en) * | 2018-07-10 | 2020-01-16 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
| CN110123421A (zh) * | 2019-04-18 | 2019-08-16 | 朱育春 | 单孔腹腔镜多功能通道 |
| KR20210121665A (ko) | 2020-03-31 | 2021-10-08 | 한문석 | 트로카 일체형 봉합장치 |
-
2021
- 2021-07-14 JP JP2022569561A patent/JP7385061B2/ja active Active
- 2021-07-14 CN CN202180062533.0A patent/CN116096308A/zh active Pending
- 2021-07-14 US US17/925,321 patent/US12458384B2/en active Active
- 2021-07-14 WO PCT/KR2021/009019 patent/WO2022015041A1/ko not_active Ceased
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009072368A (ja) * | 2007-09-20 | 2009-04-09 | Olympus Medical Systems Corp | 医療装置 |
| JP2010220876A (ja) * | 2009-03-24 | 2010-10-07 | Kansai Medical Univ | 磁石式鉗子 |
| KR101716520B1 (ko) * | 2009-04-03 | 2017-03-27 | 더 보드 오브 트러스티스 오브 더 리랜드 스탠포드 주니어 유니버시티 | 수술 장비 및 방법 |
| KR101039102B1 (ko) * | 2009-07-15 | 2011-06-07 | 주식회사 엠비수스 | 복강경 또는 흉강경 수술 장치 |
| KR101082762B1 (ko) * | 2011-02-18 | 2011-11-10 | 이정삼 | 복강경 수술용 견인기구 시스템 |
Also Published As
| Publication number | Publication date |
|---|---|
| JP7385061B2 (ja) | 2023-11-21 |
| US12458384B2 (en) | 2025-11-04 |
| CN116096308A (zh) | 2023-05-09 |
| JP2023527138A (ja) | 2023-06-27 |
| US20230190318A1 (en) | 2023-06-22 |
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