WO2023079424A1 - Connection interface for a surgical instrument - Google Patents

Connection interface for a surgical instrument Download PDF

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Publication number
WO2023079424A1
WO2023079424A1 PCT/IB2022/060386 IB2022060386W WO2023079424A1 WO 2023079424 A1 WO2023079424 A1 WO 2023079424A1 IB 2022060386 W IB2022060386 W IB 2022060386W WO 2023079424 A1 WO2023079424 A1 WO 2023079424A1
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WO
WIPO (PCT)
Prior art keywords
connection interface
surgical instrument
ring
lever
instrument
Prior art date
Application number
PCT/IB2022/060386
Other languages
French (fr)
Inventor
Yann Rossé
Original Assignee
Mps Micro Precision Systems Ag
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 Mps Micro Precision Systems Ag filed Critical Mps Micro Precision Systems Ag
Publication of WO2023079424A1 publication Critical patent/WO2023079424A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • A61B17/1617Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0813Accessories designed for easy sterilising, i.e. re-usable

Definitions

  • the invention relates to surgical devices formed mainly of an instrument connected to an instrument support, the latter comprising a connection interface making it possible to connect, respectively disconnect, an instrument to the support.
  • Figure 1 illustrates a prior art surgical instrument holder 14. It consists of a rod 2 between a connection interface 1 and a handle 3 arranged respectively towards the distal and proximal end of the rod 2.
  • the position of the handle 3 can be aligned or perpendicular to the rod 2.
  • the handle 3 is arranged perpendicular to the rod 2.
  • connection interfaces eg AO, AO large or Hudson.
  • connection interface 1 comprises two pins 4 mounted in V-shaped grooves 5 (see figure 2).
  • Two washers 6 sandwich a compression spring 7 and thus push the pins 4 towards the central axis of the connection interface 1, which has the effect of locking an instrument to the instrument support 14 (see figure 3) .
  • the spring 7 is compressed. In this case, unlike the locking operation, no force is exerted on the pins 4, so that the unlocking mechanism tends to seize up, sometimes making it difficult , if not impossible, the disconnection of an instrument to support 14. Besides the aforementioned problem, the connection interface 1 is difficult to clean. The locking/unlocking mechanism is not removable and anything that gets into the spring 7 cannot be removed.
  • the locking/unlocking mechanism according to the present invention differs in particular from the mechanisms of the state of the art in that the pins are replaced by a pivoting lever.
  • the present invention relates to a connection interface for a surgical instrument as described in the main claim.
  • connection interface can be used with any suitable surgical instrument, such as for example a drill, a cutting tool, a screwdriver or a reamer.
  • Figure 1 illustrates a prior art surgical instrument holder.
  • Figure 2 shows an exploded view of the support connection interface of Figure 1.
  • Figure 3 shows a section of the connection interface of the support of Figure 1.
  • FIG. 4 represents a perspective section of an example of a connection interface (locking position) according to the invention.
  • Figure 5 shows a cross-sectional view from the right of the example of Figure 4.
  • Figure 6 is similar to that of Figure 4 but with the presence of a surgical instrument.
  • Figure 7 is similar to that of Figure 5 but with the presence of a surgical instrument.
  • Figure 8 is similar to that of Figure 4 but in which the connection interface is unlocked.
  • Figure 9 shows a cross-sectional view from the right of the example of Figure 8.
  • Figure 10 is similar to that of Figure 8 but with the presence of a surgical instrument.
  • Figure 11 is similar to that of Figure 9 but with the presence of a surgical instrument.
  • Figure 12 shows the connection interface of Figures 4 to 11, with the mechanism mounted.
  • Figure 13 shows the same interface as Figure 12 but with the mechanism removed.
  • Figure 14 shows a surgical instrument holder with the mechanism mounted.
  • Figure 15 shows the same support as that of Figure 14 but with the mechanism removed.
  • connection interface 1 illustrated in Figures 4 to 15 comprises an instrument locking/unlocking mechanism 10 which mainly consists of a sliding ring 11, a coil spring 7, the distal end of the stem 2 of an instrument holder 14, a pivoting lever 8 and a bayonet slider 9.
  • instrument locking/unlocking mechanism 10 which mainly consists of a sliding ring 11, a coil spring 7, the distal end of the stem 2 of an instrument holder 14, a pivoting lever 8 and a bayonet slider 9.
  • the lever 8 pivots around an axis 15 which is fixed towards the distal end of the rod 2.
  • the locking position of the lever 8 (see Figures 4 to 7) is achieved by the distal sliding of the ring 11; the latter being driven in the direction of the instrument by the spring 7 (see FIG. 4).
  • the ring 11 bears against an annular stop 16 arranged at the distal end of the rod 2.
  • the connection interface 1 also comprises a bayonet slider 9 arranged along the rod 2, between the handle 3 and the ring 11. In the locked position, the slider 9 is fixed and covers the spring 7.
  • An additional advantage of the locking/unlocking mechanism according to the invention lies in the fact that it can be completely dismantled and gives access to all places for complete cleaning (see FIGS. 13 and 15).
  • the slider 9 is released from the rod 2 by retracting it in the direction of the handle 3.
  • the spring for example, is not necessarily of helical shape.
  • the slider does not necessarily include a bayonet mechanism.

Abstract

Connection interface (1) for a surgical instrument (10), comprising a locking/unlocking mechanism having at least one spring (7) and a retention element mounted movably in such a way as to respectively retain or disconnect the proximal end of a surgical instrument (10), characterized in that the locking/unlocking mechanism comprises a sliding ring (11) and in that said retention element is a lever (8) arranged inside the ring (11) and having a free end forming a protuberance (12); the spring (7) being arranged in such a way as to exert a force on the ring (11) in the direction of the distal end of the connection interface (1); the lever (8) being pivotably mounted to be able to pivot between: - a locking position, in which the ring (11) surrounds the lever (8) and exerts a radial force on the latter, in such a way that the protuberance (12) retains an instrument (10), and - an unlocking position, in which the ring (11) is retracted in the direction of the proximal part of the connection interface (1) and the lever (8) is oriented in such a way as to be disconnected from the instrument (10).

Description

Interface de connexion pour instrument chirurgical Connection interface for surgical instrument
Domaine de l'invention Field of the invention
L'invention concerne les dispositifs chirurgicaux formés principalement d'un instrument connecté à un support d'instrument, ce dernier comportant une interface de connexion permettant de connecter, respectivement déconnecter, un instrument au support. The invention relates to surgical devices formed mainly of an instrument connected to an instrument support, the latter comprising a connection interface making it possible to connect, respectively disconnect, an instrument to the support.
État de la technique State of the art
La figure 1 illustre un support d'instrument chirurgical 14 de l'état de la technique. Il est constitué d'une tige 2 comprise entre une interface de connexion 1 et une poignée 3 disposées respectivement vers l'extrémité distale et proximale de la tige 2. Figure 1 illustrates a prior art surgical instrument holder 14. It consists of a rod 2 between a connection interface 1 and a handle 3 arranged respectively towards the distal and proximal end of the rod 2.
La position de la poignée 3 peut être alignée ou perpendiculaire à la tige 2. Dans cet exemple illustré la poignée 3 est disposée perpendiculairement par rapport à la tige 2. The position of the handle 3 can be aligned or perpendicular to the rod 2. In this illustrated example the handle 3 is arranged perpendicular to the rod 2.
Il existe plusieurs types d'interfaces de connexion, p.ex. AO, AO large ou Hudson. There are several types of connection interfaces, eg AO, AO large or Hudson.
L'interface de connexion 1 comprend deux goupilles 4 montées dans des rainures en V 5 (voir figure 2). The connection interface 1 comprises two pins 4 mounted in V-shaped grooves 5 (see figure 2).
Deux rondelles 6 prennent en sandwich un ressort de compression 7 et poussent ainsi les goupilles 4 vers l'axe central de l'interface de connexion 1, ce qui a pour effet de verrouiller un instrument au support d'instrument 14 (voir figure 3). Two washers 6 sandwich a compression spring 7 and thus push the pins 4 towards the central axis of the connection interface 1, which has the effect of locking an instrument to the instrument support 14 (see figure 3) .
Du fait de la forme des rainures en V 5 et de la force exercée par le ressort 7, les goupilles 4 coulissent en direction de l'extrémité distale de la tige 2 et se rapprochent de son axe, ce qui a pour effet de verrouiller un instrument chirurgical (non illustré) au support d'instrument 14.Due to the shape of the V-shaped grooves 5 and the force exerted by the spring 7, the pins 4 slide in the direction of the distal end of the rod 2 and approach its axis, which has the effect of locking a surgical instrument (not shown) to the instrument holder 14.
Pour déverrouiller la connexion, on comprime le ressort 7. Dans ce cas, contrairement à l'opération de verrouillage, aucune force ne s'exerce sur les goupilles 4, de sorte que le mécanisme de déverrouillage a tendance à se gripper, rendant parfois difficile, voire impossible, la déconnexion d'un instrument au support 14. Outre le problème précité, l'interface de connexion 1 est difficilement nettoyable. Le mécanisme verrouillage/déverrouillage est non démontable et tout ce qui s'introduit dans le ressort 7 ne peut être retiré. To unlock the connection, the spring 7 is compressed. In this case, unlike the locking operation, no force is exerted on the pins 4, so that the unlocking mechanism tends to seize up, sometimes making it difficult , if not impossible, the disconnection of an instrument to support 14. Besides the aforementioned problem, the connection interface 1 is difficult to clean. The locking/unlocking mechanism is not removable and anything that gets into the spring 7 cannot be removed.
Il existe donc un besoin d'améliorer les interfaces de connexion des instruments chirurgicaux précités. There is therefore a need to improve the connection interfaces of the aforementioned surgical instruments.
Description générale de l'invention General description of the invention
Le mécanisme de verrouillage/déverrouillage selon la présente invention se différencie notamment des mécanismes de l'état de la technique en ce que les goupilles sont remplacées par un levier pivotant. The locking/unlocking mechanism according to the present invention differs in particular from the mechanisms of the state of the art in that the pins are replaced by a pivoting lever.
De manière plus générale, la présente invention concerne une interface de connexion pour instrument chirurgical telle que décrite dans la revendication principale. More generally, the present invention relates to a connection interface for a surgical instrument as described in the main claim.
De modes de réalisation spécifiques de l'invention sont décrits dans les revendications dépendantes. Specific embodiments of the invention are described in the dependent claims.
L'interface de connexion selon l'invention peut être utilisée avec n'importe quel instrument chirurgical approprié, comme p.ex. un foret, un outil de coupe, un tournevis ou un alésoir. The connection interface according to the invention can be used with any suitable surgical instrument, such as for example a drill, a cutting tool, a screwdriver or a reamer.
Description détaillée de l'invention Detailed description of the invention
L'invention est décrite de manière un peu plus détaillée ci-dessous, au moyen d'un exemple non- limitatif illustré dans les figures 4 à 15. Liste des figures : The invention is described in a little more detail below, by means of a non-limiting example illustrated in Figures 4 to 15. List of Figures :
La figure 1 illustre un support d'instrument chirurgical de l'état de la technique. Figure 1 illustrates a prior art surgical instrument holder.
La figure 2 représente une vue éclatée de l'interface de connexion du support de la figure 1.Figure 2 shows an exploded view of the support connection interface of Figure 1.
La figure 3 représente une coupe de l'interface de connexion du support de la figure 1. Figure 3 shows a section of the connection interface of the support of Figure 1.
La figure 4 représente une coupe en perspective d'un exemple d'interface de connexion (position de verrouillage) selon l'invention. FIG. 4 represents a perspective section of an example of a connection interface (locking position) according to the invention.
La figure 5 représente une vue de droite en coupe de l'exemple de la figure 4. Figure 5 shows a cross-sectional view from the right of the example of Figure 4.
La figure 6 est similaire à celle de la figure 4 mais avec la présence d'un instrument chirurgical.Figure 6 is similar to that of Figure 4 but with the presence of a surgical instrument.
La figure 7 est similaire à celle de la figure 5 mais avec la présence d'un instrument chirurgical.Figure 7 is similar to that of Figure 5 but with the presence of a surgical instrument.
La figure 8 est similaire à celle de la figure 4 mais dans laquelle l'interface de connexion est déverrouillée. Figure 8 is similar to that of Figure 4 but in which the connection interface is unlocked.
La figure 9 représente une vue de droite en coupe de l'exemple de la figure 8. Figure 9 shows a cross-sectional view from the right of the example of Figure 8.
La figure 10 est similaire à celle de la figure 8 mais avec la présence d'un instrument chirurgical.Figure 10 is similar to that of Figure 8 but with the presence of a surgical instrument.
La figure 11 est similaire à celle de la figure 9 mais avec la présence d'un instrument chirurgical.Figure 11 is similar to that of Figure 9 but with the presence of a surgical instrument.
La figure 12 montre l'interface de connexion des figures 4 à 11, avec le mécanisme monté.Figure 12 shows the connection interface of Figures 4 to 11, with the mechanism mounted.
La figure 13 montre la même interface que celui de la figure 12 mais avec le mécanisme démonté.Figure 13 shows the same interface as Figure 12 but with the mechanism removed.
La figure 14 représente un support d'instrument chirurgical avec le mécanisme monté. Figure 14 shows a surgical instrument holder with the mechanism mounted.
La figure 15 représente le même support que celui de la figure 14 mais avec le mécanisme démonté. Figure 15 shows the same support as that of Figure 14 but with the mechanism removed.
Références numériques utilisées dans les figures : Numerical references used in the figures:
1. Interface de connexion 1. Login interface
2. Tige 2. Stem
3. Poignée 3. Handle
4. Goupille 4. Pin
5. Rainure en V 5. V-groove
6. Rondelle 6. Washer
7. Ressort 7. Spring
8. Levier 8. Lever
9. Coulisseau 9. Slider
10. Instrument chirurgical 11. Bague 10. Surgical instrument 11. Ring
12. Protubérance 12. Protuberance
13. Gorge 13. Throat
14. Support d'instrument chirurgical 14. Surgical instrument holder
15. Axe de pivotement 15. Pivot axis
16. Butée annulaire 16. Ring stop
L'interface de connexion 1 illustrée sur les figures 4 à 15 comprend un mécanisme de verrouillage/déverrouillage d'instrument 10 qui se compose principalement d'une bague coulissante 11, d'un ressort hélicoïdal 7, de l'extrémité distale de la tige 2 d'un support d'instrument 14, d'un levier pivotant 8 et d'un coulisseau à baïonnette 9. The connection interface 1 illustrated in Figures 4 to 15 comprises an instrument locking/unlocking mechanism 10 which mainly consists of a sliding ring 11, a coil spring 7, the distal end of the stem 2 of an instrument holder 14, a pivoting lever 8 and a bayonet slider 9.
Le levier 8 pivote autour d'un axe 15 qui est fixé vers l'extrémité distale de la tige 2. The lever 8 pivots around an axis 15 which is fixed towards the distal end of the rod 2.
La position de verrouillage du levier 8 (voir les figures 4 à 7) est réalisée par le coulissement distal de la bague 11 ; cette dernière étant entraînée en direction de l'instrument par le ressort 7 (voir figure 4). La bague 11 s'appuie contre une butée annulaire 16 disposée à l'extrémité distale de la tige 2. L'interface de connexion 1 comprend également un coulisseau à baïonnette 9 disposé le long de la tige 2, entre la poignée 3 et la bague 11. En position de verrouillage, le coulisseau 9 est fixe et recouvre le ressort 7. The locking position of the lever 8 (see Figures 4 to 7) is achieved by the distal sliding of the ring 11; the latter being driven in the direction of the instrument by the spring 7 (see FIG. 4). The ring 11 bears against an annular stop 16 arranged at the distal end of the rod 2. The connection interface 1 also comprises a bayonet slider 9 arranged along the rod 2, between the handle 3 and the ring 11. In the locked position, the slider 9 is fixed and covers the spring 7.
Pour le déverrouillage (voir les figures 8 à 11), la bague 11 est déplacée en direction de la poignée 3, ce qui a pour effet de libérer le levier 8 qui peut pivoter légèrement vers le haut, se loger dans une gorge annulaire 13 disposée sur la paroi intérieure de la bague 11 et ainsi libérer l'instrumentFor unlocking (see Figures 8 to 11), the ring 11 is moved in the direction of the handle 3, which has the effect of releasing the lever 8 which can pivot slightly upwards, lodge in an annular groove 13 arranged on the inner wall of the ring 11 and thus release the instrument
10 de l'interface de connexion 1 (voir figures 9 à 11). 10 of the connection interface 1 (see Figures 9 to 11).
Un avantage supplémentaire du mécanisme de verrouillage/déverrouillage selon l'invention réside dans le fait qu'il est totalement démontable et donne accès à tous les endroits pour un nettoyage complet (voir figures 13 et 15). Dans ce cas, le coulisseau 9 est libéré de la tige 2 en le rétractant en direction de la poignée 3. An additional advantage of the locking/unlocking mechanism according to the invention lies in the fact that it can be completely dismantled and gives access to all places for complete cleaning (see FIGS. 13 and 15). In this case, the slider 9 is released from the rod 2 by retracting it in the direction of the handle 3.
11 va de soi que la présente invention ne se limite pas aux exemples illustrés. Le ressort p.ex. n'est pas nécessairement de forme hélicoïdale. De même, le coulisseau ne comporte pas forcément un mécanisme à baïonnette. It goes without saying that the present invention is not limited to the examples illustrated. The spring, for example, is not necessarily of helical shape. Similarly, the slider does not necessarily include a bayonet mechanism.

Claims

5 Revendications 5 Claims
1. Interface de connexion (1) pour instrument chirurgical (10) comprenant un mécanisme de verrouillage/déverrouillage comportant au moins un ressort (7) et un élément de retenue monté mobile de manière à retenir, respectivement désolidariser, l'extrémité proximale d'un instrument chirurgical (10) ; caractérisée par le fait que le mécanisme de verrouillage/déverrouillage comprend une bague coulissante (11) et que ledit élément de retenue est un levier (8) disposé à l'intérieur de la bague (11) et comportant une extrémité libre formant une protubérance (12) ; le ressort (7) étant disposé de manière à exercer une force sur la bague (11) en direction de l'extrémité distale de l'interface de connexion (1); le levier (8) étant monté pivotant entre: 1. Connection interface (1) for a surgical instrument (10) comprising a locking/unlocking mechanism comprising at least one spring (7) and a retaining element mounted so as to retain, respectively disengage, the proximal end of a surgical instrument (10); characterized in that the locking/unlocking mechanism comprises a sliding ring (11) and that the said retaining element is a lever (8) arranged inside the ring (11) and comprising a free end forming a protuberance ( 12); the spring (7) being arranged so as to exert a force on the ring (11) in the direction of the distal end of the connection interface (1); the lever (8) being pivotally mounted between:
- une position de verrouillage dans laquelle la bague (11) entoure le levier (8) et exerce une force radiale sur celui-ci, de manière à ce que la protubérance (12) retienne un instrument (10), et - a locking position in which the ring (11) surrounds the lever (8) and exerts a radial force on the latter, so that the protrusion (12) retains an instrument (10), and
- une position de déverrouillage dans laquelle la bague (11) est rétractée en direction de la partie proximale de l'interface de connexion (1) et le levier (8) orienté de manière à être désolidarisé de l'instrument (10). - an unlocking position in which the ring (11) is retracted towards the proximal part of the connection interface (1) and the lever (8) oriented so as to be detached from the instrument (10).
2. Interface de connexion (1) selon la revendication 1 comprenant un coulisseau (9) disposé autour du ressort (7). 2. Connection interface (1) according to claim 1 comprising a slider (9) arranged around the spring (7).
3. Interface de connexion (1) selon la revendication 2 comprenant un coulisseau à baïonnette (9). 3. Connection interface (1) according to claim 2 comprising a bayonet slider (9).
4. Interface de connexion (1) selon l'une des revendications précédentes caractérisée par le fait que tous les éléments qui la constitue peuvent être démontés et remontés. 6 Interface de connexion (1) selon l'une des revendications précédentes comprenant également l'extrémité distale de la tige (2) du support d'un instrument chirurgical (14). Interface de connexion (1) selon la revendication 5 dans laquelle le levier (8) pivote autour d'un axe (15) qui est fixé à l'extrémité distale de la tige (2). Support d'instrument chirurgical (14) comprenant une poignée (3) , une tige (2) et une interface de connexion (1) selon l'une des revendications précédentes, la poignée (3) étant disposée vers l'extrémité proximale de la tige (2) et l'interface de connexion (1) vers l'extrémité distale de la tige (2). Support d'instrument chirurgical (14) selon la revendication 7 dans lequel la poignée (3) est orientée perpendiculairement par rapport à la tige (2). Dispositif chirurgical comprenant un instrument chirurgical (10) et un support d'instrument chirurgical (14) selon la revendication 7 ou 8. 4. Connection interface (1) according to one of the preceding claims characterized in that all the elements which constitute it can be disassembled and reassembled. 6 connection interface (1) according to one of the preceding claims also comprising the distal end of the rod (2) of the support of a surgical instrument (14). Connection interface (1) according to Claim 5, in which the lever (8) pivots around an axis (15) which is fixed to the distal end of the rod (2). Surgical instrument support (14) comprising a handle (3), a rod (2) and a connection interface (1) according to one of the preceding claims, the handle (3) being arranged towards the proximal end of the rod (2) and the connection interface (1) towards the distal end of the rod (2). Surgical instrument holder (14) according to claim 7 wherein the handle (3) is oriented perpendicular to the shaft (2). A surgical device comprising a surgical instrument (10) and a surgical instrument holder (14) according to claim 7 or 8.
PCT/IB2022/060386 2021-11-03 2022-10-28 Connection interface for a surgical instrument WO2023079424A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IBPCT/IB2021/060160 2021-11-03
IB2021060160 2021-11-03

Publications (1)

Publication Number Publication Date
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5540697A (en) * 1993-02-12 1996-07-30 U.S. Medical Products, Inc. Prosthetic socket installation apparatus and method
US20040220554A1 (en) * 2000-06-24 2004-11-04 Andre Lechot Hand-held instrument holder for surgical use
WO2008078170A1 (en) * 2006-12-21 2008-07-03 Precimed, S.A. Surgical tool holder and surgical tool
EP2674116A1 (en) * 2012-06-11 2013-12-18 Waldemar Link GmbH & Co. KG Tool holding and gripping part for a medical tool, in particular a surgical tool

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5540697A (en) * 1993-02-12 1996-07-30 U.S. Medical Products, Inc. Prosthetic socket installation apparatus and method
US20040220554A1 (en) * 2000-06-24 2004-11-04 Andre Lechot Hand-held instrument holder for surgical use
WO2008078170A1 (en) * 2006-12-21 2008-07-03 Precimed, S.A. Surgical tool holder and surgical tool
EP2674116A1 (en) * 2012-06-11 2013-12-18 Waldemar Link GmbH & Co. KG Tool holding and gripping part for a medical tool, in particular a surgical tool

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