JP2015518739A - 腹腔鏡ポート - Google Patents
腹腔鏡ポート Download PDFInfo
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- JP2015518739A JP2015518739A JP2015510827A JP2015510827A JP2015518739A JP 2015518739 A JP2015518739 A JP 2015518739A JP 2015510827 A JP2015510827 A JP 2015510827A JP 2015510827 A JP2015510827 A JP 2015510827A JP 2015518739 A JP2015518739 A JP 2015518739A
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- laparoscopic port
- proximal
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- seal
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- 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
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- 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
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- 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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- 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
- A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing 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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
- A61B2017/3464—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
-
- 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
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/042—Force radial
- F04C2270/0421—Controlled or regulated
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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)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
Description
Claims (22)
- 腹腔鏡ポートであって、
近位端、遠位端、及び前記近位端と前記遠位端との間に延びるルーメンを有する管状部材と、
前記ルーメン内に設けられていて、前記管状部材の前記遠位端から前記近位端への加圧ガスの流れを阻止するようになった少なくとも1つのシール部材と、
前記ルーメン内で前記シール部材の遠位側に位置決めされた遮蔽トリガと、を有し、
前記遮蔽トリガは、前記遮蔽トリガの少なくとも近位部分が前記シール部材に向かって延びる、狭まっている断面を有するよう形作られ、前記近位部分は、アーチファクトの遠位端部から近位側に及ぼされた圧力を受けると前記シール部材の可逆的な開放及び保護を行うようになっていることを特徴とする腹腔鏡ポート。 - 前記遮蔽トリガは、硬化材料及び/又は補強柔軟性又は半柔軟性材料で作られている請求項1記載の腹腔鏡ポート。
- 前記アーチファクトを選択された位置合わせ状態で位置合わせするようになった心出し手段を更に有する請求項1又は2に記載の腹腔鏡ポート。
- 前記選択された位置合わせ状態は、前記ルーメンの軸線との同心性である請求項3記載の腹腔鏡ポート。
- 前記心出し手段は、前記アーチファクトに設けられている請求項3又は4に記載の腹腔鏡ポート。
- 前記心出し手段は、前記ルーメン内で前記遮蔽トリガの遠位側に設けられている請求項3又は4に記載の腹腔鏡ポート。
- 前記心出し手段は、膨張可能な部分を含む請求項3乃至6の何れか1項に記載の腹腔鏡ポート。
- 前記膨張可能部分は、インフレート可能である請求項7記載の腹腔鏡ポート。
- 前記遮蔽トリガは、前記心出し手段である請求項3又は4に記載の腹腔鏡ポート。
- 前記シール部材は、近位側に到来するアーチファクトを受け入れるようになった遠位側の末広がり表面、遠位側に引き出されているアーチファクトを受け入れるようになった近位側の先細表面、及び前記遠位側の末広がり表面と前記近位側の先細表面との間に設けられた常態では封止された通路を備えた鼓形のメンブレンを有する請求項1乃至9の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガは、前記シール部材の前記遠位側末広がり表面内に埋め込まれ又は該遠位側末広がり表面を覆っている請求項10記載の腹腔鏡ポート。
- 前記遮蔽トリガの少なくとも前記近位部分は、閉じられると、円錐台若しくはドームとして形作られ、或いは、切頭円錐形又は漏斗形又はテーパー付きである請求項1乃至11の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガは、単一品であり或いはスリット付き又は相互に連結された遮蔽部材である請求項12記載の腹腔鏡ポート。
- 前記遮蔽トリガは、柔軟性があり且つ/或いは外方に回動可能であり、それにより前記シール部材を圧縮することによって前記開放を行わせる請求項10乃至13の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガは、管状部分を有する請求項1乃至14の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガが側方に伸長し、それにより前記アーチファクトの前記遠位端部からの前記近位側に及ぼされる圧力を受けると、前記シール部材の前記開放及び保護を行うことができるよう前記管状部分の近位端部から突き出た複数個のフラップ又は折り目又はプリーツ又はブレード又はリーフレットを有する請求項1乃至15の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガは、硬質材料及び/又は弾性材料及び/又は柔軟性材料及び/又はばね用金属及び/又は複合材料で作られている請求項15又は16に記載の腹腔鏡ポート。
- 前記腹腔鏡ポートは、前記アーチファクトを引き出しているとき、前記シール部材の可逆的開放及び保護を行うよう前記シール部材の前記近位側末広がり表面内に埋め込まれ又は該近位側末広がり表面を覆っている第2の遮蔽トリガを有する請求項10乃至14の何れか1項に記載の腹腔鏡ポート。
- 前記腹腔鏡ポートは、前記アーチファクトを引き出しているとき、前記シール部材又は前記シール部材の近位側に位置する第2のシール部材の可逆的開放及び保護を行うよう前記シール部材の近位側に位置決めされた第2の遮蔽トリガを有する請求項15乃至17の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガは、ゼロシール部材の遠位側に位置決めされている請求項1乃至19の何れか1項に記載の腹腔鏡ポート。
- 前記遮蔽トリガの剛性リーフレットの先端部は、前記剛性リーフレットの開閉により連結状態のリップの開閉が行われるよう前記ゼロシール部材の対応のリップに連結されている請求項20記載の腹腔鏡ポート。
- 腹腔鏡ポート内のシール部材を開放してアーチファクトによる損傷を受けないよう前記シール部材を保護する方法であって、前記方法は、
遮蔽トリガを前記シール部材の遠位側に設けるステップを含み、前記遮蔽トリガの近位端部は、側方に伸長可能であり、
近位側圧力を前記アーチファクトの遠位端部によって前記遮蔽トリガの遠位側部に及ぼすステップを含み、それにより、前記遮蔽トリガの前記近位端部は、側方に伸長して前記シール部材を開放すると共に保護することを特徴とする方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261644456P | 2012-05-09 | 2012-05-09 | |
US61/644,456 | 2012-05-09 | ||
PCT/EP2013/059693 WO2013167717A1 (en) | 2012-05-09 | 2013-05-09 | Laparoscopic port |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2015518739A true JP2015518739A (ja) | 2015-07-06 |
JP2015518739A5 JP2015518739A5 (ja) | 2016-07-28 |
JP6076469B2 JP6076469B2 (ja) | 2017-02-08 |
Family
ID=48463955
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015510827A Expired - Fee Related JP6076469B2 (ja) | 2012-05-09 | 2013-05-09 | 腹腔鏡ポート |
Country Status (5)
Country | Link |
---|---|
US (3) | US9615852B2 (ja) |
EP (1) | EP2846713A1 (ja) |
JP (1) | JP6076469B2 (ja) |
CA (1) | CA2872939C (ja) |
WO (1) | WO2013167717A1 (ja) |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2013167717A1 (en) * | 2012-05-09 | 2013-11-14 | EON Surgical Ltd. | Laparoscopic port |
DE112014001842T5 (de) | 2013-04-05 | 2015-12-31 | Nascent Surgical, Llc | Absaugsystem |
US10980952B2 (en) * | 2016-05-13 | 2021-04-20 | Intuitive Surgical Operations, Inc. | Universal cannula seal |
US20220047302A1 (en) * | 2018-11-22 | 2022-02-17 | Palliare Limited | A valve mechanism for a trocar, and a trocar |
US11406420B2 (en) * | 2019-10-11 | 2022-08-09 | Covidien Lp | Two point contact flange for instrument seals |
US20230172634A1 (en) * | 2020-05-27 | 2023-06-08 | Palliare Limited | A valve mechanism |
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JP2013538102A (ja) * | 2010-09-19 | 2013-10-10 | イーオーエヌ サージカル エルティーディ. | マイクロ腹腔鏡デバイス及びその配置 |
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US9615852B2 (en) | 2017-04-11 |
WO2013167717A1 (en) | 2013-11-14 |
US20160106460A1 (en) | 2016-04-21 |
EP2846713A1 (en) | 2015-03-18 |
US20190090903A1 (en) | 2019-03-28 |
US20170215920A1 (en) | 2017-08-03 |
CA2872939C (en) | 2018-03-06 |
JP6076469B2 (ja) | 2017-02-08 |
CA2872939A1 (en) | 2013-11-14 |
US10136918B2 (en) | 2018-11-27 |
US10856903B2 (en) | 2020-12-08 |
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