ES2723024T3 - Dispositivos para realizar procedimientos quirúrgicos mínimamente invasivos a través de una única incisión - Google Patents

Dispositivos para realizar procedimientos quirúrgicos mínimamente invasivos a través de una única incisión Download PDF

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Publication number
ES2723024T3
ES2723024T3 ES09820021T ES09820021T ES2723024T3 ES 2723024 T3 ES2723024 T3 ES 2723024T3 ES 09820021 T ES09820021 T ES 09820021T ES 09820021 T ES09820021 T ES 09820021T ES 2723024 T3 ES2723024 T3 ES 2723024T3
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Spain
Prior art keywords
bulb
surgical access
length
access port
condition
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ES09820021T
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English (en)
Inventor
Dominick Mastri
Kurt Azarbarzin
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Surgiquest Inc
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Surgiquest Inc
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Priority claimed from PCT/US2009/060296 external-priority patent/WO2010042913A2/en
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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, 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
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • 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
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—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
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • 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
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982—General structural features
    • A61B2017/00986—Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982—General structural features
    • A61B2017/00991—Telescopic means
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447—Linked multiple cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/347—Locking means, e.g. for locking instrument in 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
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486—Balloon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0279—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing medical instruments into the body, e.g. endoscope, surgical tools
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0291—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body method or device for implanting it in the body
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0626—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof used with other surgical instruments, e.g. endoscope, trocar
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • A61M2039/0646—Duckbill-valve
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/04—Access sites having pierceable self-sealing members
    • A61M39/045—Access sites having pierceable self-sealing members pre-slit to be pierced by blunt instrument

Landscapes

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

Abstract

Sistema para realizar una intervención quirúrgica mínimamente invasiva que comprende una pluralidad de puertos de acceso quirúrgico (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) y que está compuesto por: a) un cuerpo alargado (118, 720, 920, 1518, 2718, 3318, 3618, 3918, 4218, 5100) que tiene partes de extremo proximal y distal opuestas, el cuerpo (118, 720, 920, 1518, 2718, 3318, 3618, 3918, 4218, 5100) que tiene un lumen central (106, 1006, 1506, 1706, 2006, 2406) que se extiende a través del mismo y que tiene una porción de bulbo elástica (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128) formada entre sus partes de extremo proximal y distal, en el cual la parte del bulbo elástica (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128) está adaptada y configurada para hacer una transición entre una primera condición en la cual la parte del bulbo (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128) presenta un primer diámetro y una primera longitud y una segunda condición en la cual la parte del bulbo (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128) presenta un segundo diámetro que es menor que el primer diámetro y una segunda longitud que es mayor que la primera longitud; y b) un conjunto de tubo guía telescópico dispuesto en el lumen central (106, 1006, 1506, 1706, 2006, 2406) del cuerpo (118, 720, 920, 1518, 2718, 3318, 3618, 3918, 4218, 5100), en el cual el conjunto de tubo guía está adaptado y configurado para hacer una transición entre una primera longitud que corresponde a la primera condición de la parte del bulbo (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128) y una segunda longitud que corresponde a la segunda condición de la parte del bulbo (105, 719, 729, 1005, 1705, 2005, 2405, 2505, 2705, 3305, 3605, 3905, 4205, 5128), caracterizado por que el sistema para realizar una intervención quirúrgica mínimamente invasiva comprende una pluralidad de dichos puertos de acceso quirúrgico (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210), en el cual por lo menos uno de los puertos de acceso quirúrgico (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) presenta una longitud total mayor que la de por lo menos uno de los otros puertos de acceso quirúrgico (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) provistos (provided) en el sistema para facilitar el anidamiento adyacente entre la pluralidad de puertos de acceso (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210), en el cual el puerto de acceso quirúrgico más largo (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) presenta una longitud superior a la del puerto de acceso más corto (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) en una cantidad suficiente para permitir que el puerto de acceso más largo (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) permanezca con el bulbo en el primer estado asentándose más allá del puerto de acceso quirúrgico más corto (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) en una distancia suficiente para permitir que una porción de extremo proximal del puerto de acceso quirúrgico más corto (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210) anide por debajo de la parte del extremo proximal del puerto de acceso quirúrgico (110, 700a, b, 800, 900, 900a, b, 1010, 1410, 1710, 2010, 2410, 2510, 2610, 2710, 3310, 3610, 3910, 4210).
ES09820021T 2008-10-10 2009-10-10 Dispositivos para realizar procedimientos quirúrgicos mínimamente invasivos a través de una única incisión Active ES2723024T3 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10450108P 2008-10-10 2008-10-10
PCT/US2009/060296 WO2010042913A2 (en) 2006-10-06 2009-10-10 Devices for and methods of performing minimally-invasive surgical procedures through a single incision

Publications (1)

Publication Number Publication Date
ES2723024T3 true ES2723024T3 (es) 2019-08-21

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Application Number Title Priority Date Filing Date
ES09820021T Active ES2723024T3 (es) 2008-10-10 2009-10-10 Dispositivos para realizar procedimientos quirúrgicos mínimamente invasivos a través de una única incisión

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Country Link
EP (1) EP2337508B1 (es)
JP (2) JP2012505055A (es)
KR (1) KR101622426B1 (es)
ES (1) ES2723024T3 (es)

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WO2015033904A1 (ja) 2013-09-03 2015-03-12 富士フイルム株式会社 内視鏡下外科手術装置及び外套管
WO2015033908A1 (ja) 2013-09-03 2015-03-12 富士フイルム株式会社 内視鏡下外科手術装置、外套管、及び内視鏡
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JP6099754B2 (ja) 2013-09-03 2017-03-22 富士フイルム株式会社 内視鏡下外科手術装置及び外套管
DE112014004014B4 (de) 2013-09-03 2023-12-14 Fujifilm Corporation Endoskopisches chirurgisches Gerät und Überrohr
US9801656B2 (en) * 2015-01-30 2017-10-31 Surgiquest, Inc. Self-adjusting pneumatically sealed trocar
EP3320866A4 (en) * 2015-07-09 2019-02-06 Olympus Corporation DEVICE FOR INTRODUCTION OF MEDICAL INSTRUMENT
US9974983B2 (en) * 2015-11-12 2018-05-22 SonaCare Medical, LLC Tissue stabilization for therapeutic ultrasound
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KR102051035B1 (ko) * 2018-09-14 2019-12-02 재단법인 아산사회복지재단 맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램

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Publication number Publication date
EP2337508B1 (en) 2018-12-05
JP2014239907A (ja) 2014-12-25
JP2012505055A (ja) 2012-03-01
EP2337508A4 (en) 2012-12-19
KR20110079896A (ko) 2011-07-11
EP2337508A2 (en) 2011-06-29
KR101622426B1 (ko) 2016-05-18

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