JP2021500150A - 医療デバイス - Google Patents
医療デバイス Download PDFInfo
- Publication number
- JP2021500150A JP2021500150A JP2020522721A JP2020522721A JP2021500150A JP 2021500150 A JP2021500150 A JP 2021500150A JP 2020522721 A JP2020522721 A JP 2020522721A JP 2020522721 A JP2020522721 A JP 2020522721A JP 2021500150 A JP2021500150 A JP 2021500150A
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- Prior art keywords
- tube
- swivel head
- swivel
- guide tube
- pin
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- 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.)
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-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00112—Connection or coupling means
- A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
- A61B1/00128—Connectors, fasteners and adapters, e.g. on the endoscope handle mechanical, e.g. for tubes or pipes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1631—Special drive shafts, e.g. flexible shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
- A61B17/1617—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body 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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
Description
Claims (17)
- 医療デバイスであって、縦軸(A)を伴う誘導管(2.2)を有する誘導ユニット(2)と、前記誘導管(2.2)に固定して接続される第1の近位結合部(2.1)と、円柱面を伴う遠位旋回ヘッド(2.3)とを備え、前記医療デバイスは、また、前記誘導管(2.2)内で軸方向に移動可能であり、前記旋回ヘッド(2.3)に接続される作動管(3.3)を備え、前記作動管(3.3)は、近位動作要素(3.2)によって前記旋回ヘッド(2.3)の旋回移動を生じさせ、前記動作要素(3.2)は縦軸(A)を中心に旋回可能であり、前記作動管(3.3)の軸方向変位によって前記旋回ヘッド(2.3)の前記旋回移動を生じさせることを特徴とする、医療デバイス。
- 前記誘導管(2.2)の前記軸方向運動は、前記軸(A)に対して90°に等しくない角度で円周方向に延在するスロット(3.1.1)と、前記スロット(3.1.1)内に誘導されるピン(2.4)とを有するリンク誘導部を介して実行されることを特徴とする、請求項1に記載のデバイス。
- 前記ピン(2.4)は前記誘導管(2.2)に固定して接続され、前記スロット(3.1.1)は、具体的には、前記動作要素(3.2)に一体的に固定されるシリンダジャケット(3.1)上に形成されることを特徴とする、請求項2に記載のデバイス。
- 半径方向に延在するピン(3.4.2)は前記誘導管(3.3)に接続され、前記ピン(3.4.2)のそれぞれは、前記動作要素(3.2)の軸方向に前記ピン(3.4.2)の幅に一致する直径を有する内向きに配向される誘導溝内に係合することを特徴とする、請求項1〜3のいずれか一項に記載のデバイス。
- 前記ピン(3.4.2)のそれぞれは、前記誘導管(2.2)(具体的には、シリンダ部(2.1.1))に固定して接続される部分において、前記軸(A)の方向に延在する半径方向に配向される細長い孔を通って係合することを特徴とする、請求項4に記載のデバイス。
- 前記旋回ヘッド(3)は、前記誘導管(2.2)の遠位端に形成される対角線上で対向するジョイント(2.3.1)を介して前記誘導管(2)に対して旋回可能であることを特徴とする、請求項1〜5のいずれか一項に記載のデバイス。
- 前記作動管(3.3)は、前記旋回ヘッド(2.3)の前記旋回移動のために、前記旋回ヘッド(2.3)の近位エリア内でタブによって偏心して作用することを特徴とする、請求項1〜6のいずれか一項に記載のデバイス。
- 前記誘導管(2.2)に接続されるシリンダジャケット部(2.1.1)と、前記動作要素(3.2)に接続され、前記シリンダジャケット部(2.1.1)に係合するばねピン(3.1.1)との前記軸(A)に対して90°に等しくない角度で前記円周方向に相互に隣に配置されるラッチ凹部(2.2.1.1)によって特徴付けられる、請求項1〜7のいずれか一項に記載のデバイス。
- 前記誘導ユニット(2)に対して回転可能である回転ユニット(4)によって特徴付けられる、請求項1〜8のいずれか一項に記載のデバイス。
- 前記回転ユニット(4)は、前記第1の結合部(2.1)内で軸方向に固定されるが回転可能に配置される第2の結合部(4.1)を有することを特徴とする、請求項9に記載のデバイス。
- 前記回転ユニット(4)(具体的には、前記第2の結合部(4.1))は、前記ドライブシャフトに回転可能に固定接続するための結合スロット(4.2)を有することを特徴とする、請求項9または10に記載のデバイス。
- 前記第1の結合部(2.1)は、駆動部及び/または前記駆動部の筐体に軸方向に及び回転可能に固定接続するための形成部(2.1a,2.1b)を有することを特徴とする、請求項1〜11のいずれか一項に記載のデバイス。
- 前記誘導ユニット(2)及び作動ユニット(3)に対して回転可能であるが、前記作動ユニット(3)に軸方向に固定されることができる手術用回転ツール(5)によって特徴付けられる、請求項1〜12のいずれか一項に記載のデバイス。
- 前記回転ツール(5)は、シャンク(5.1)の近位端において、前記第2の結合ユニット(4.1)の対応する非円筒形(好ましくは、四角形)の凹部内で回転不可能に係合するような非円筒形(好ましくは、四角形)の構造(4.4)を有することを特徴とする、請求項13に記載のデバイス。
- 先細りエリアを有する前記ツール(5)のシャンク(5.1)は、前記第1の結合部(2.1)の解放及び遮断要素(2.1.3)の前記開口部内に係合することを特徴とする、請求項13または14に記載のデバイス。
- 前記作動管(3.3)は、前記誘導管(2.2)内で同軸上に配置されることを特徴とする、請求項1〜15のいずれか一項に記載のデバイス。
- 前記作動管(3.3)の外径は前記誘導管(2)の内径に一致することを特徴とする、請求項1〜16のいずれか一項に記載のデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102017010033.0A DE102017010033A1 (de) | 2017-10-27 | 2017-10-27 | Medizinische Vorrichtung |
DE102017010033.0 | 2017-10-27 | ||
PCT/EP2018/000412 WO2019081051A1 (de) | 2017-10-27 | 2018-08-23 | Medizinische vorrichtung |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2021500150A true JP2021500150A (ja) | 2021-01-07 |
JP7228272B2 JP7228272B2 (ja) | 2023-02-24 |
Family
ID=63517830
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020522721A Active JP7228272B2 (ja) | 2017-10-27 | 2018-08-23 | 医療デバイス |
Country Status (9)
Country | Link |
---|---|
US (1) | US11331108B2 (ja) |
EP (1) | EP3528688B1 (ja) |
JP (1) | JP7228272B2 (ja) |
KR (1) | KR102589449B1 (ja) |
CN (1) | CN111212590B (ja) |
CA (1) | CA3078524C (ja) |
DE (1) | DE102017010033A1 (ja) |
ES (1) | ES2892404T3 (ja) |
WO (1) | WO2019081051A1 (ja) |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
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NL2019175B1 (en) * | 2017-07-04 | 2019-01-14 | Fortimedix Surgical B V | Steerable instrument comprising a radial spacers between coaxial cylindrical elements |
DE102017010033A1 (de) * | 2017-10-27 | 2019-05-02 | Joimax Gmbh | Medizinische Vorrichtung |
US11364130B2 (en) | 2020-09-01 | 2022-06-21 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
DE102021115486A1 (de) | 2021-06-15 | 2022-12-15 | Joimax Gmbh | Medizinisches Instrument, medizinisches Instrumentenset, medizinische Vorrichtung und medizinisches Verfahren |
DE102021119386A1 (de) | 2021-07-27 | 2023-02-02 | Aesculap Ag | Abwinkelbarer Schaft für ein medizinisches Handinstrument |
DE102022107970A1 (de) | 2022-04-04 | 2023-10-05 | Aesculap Ag | Flexibles chirurgisches Werkzeug mit integrierter Lagerbaugruppe |
DE102022107972A1 (de) | 2022-04-04 | 2023-10-05 | Aesculap Ag | Medizinisches Werkzeugsystem |
DE102022119979A1 (de) | 2022-08-09 | 2024-02-15 | Aesculap Ag | Medizinisches Motorhandstück für 2-in-1-Bedienung sowie medizinisches Handinstrument mit 2-in-1-Bedienung |
DE102022119980A1 (de) | 2022-08-09 | 2024-02-15 | Aesculap Ag | Medizinisches Motorhandstück mit Rast- und/oder Anschlageinheit |
DE102022119983A1 (de) | 2022-08-09 | 2024-02-15 | Aesculap Ag | Medizinisches Motorhandstück mit Winkelstellring und medizinisches Handinstrument |
DE102022119982A1 (de) | 2022-08-09 | 2024-02-15 | Aesculap Ag | Motorhandstück mit rotierbarem Bedienelement sowie Medizinisches Handinstrument |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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US20110152867A1 (en) * | 2009-12-18 | 2011-06-23 | Joseph Petrzelka | Articulating Tool and Methods of Using |
US20170265874A1 (en) * | 2016-03-21 | 2017-09-21 | Jug Hee Hwang | Detachable medical cutting tool |
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-
2017
- 2017-10-27 DE DE102017010033.0A patent/DE102017010033A1/de not_active Withdrawn
-
2018
- 2018-08-23 CN CN201880066603.8A patent/CN111212590B/zh active Active
- 2018-08-23 CA CA3078524A patent/CA3078524C/en active Active
- 2018-08-23 EP EP18765554.3A patent/EP3528688B1/de active Active
- 2018-08-23 JP JP2020522721A patent/JP7228272B2/ja active Active
- 2018-08-23 WO PCT/EP2018/000412 patent/WO2019081051A1/de unknown
- 2018-08-23 KR KR1020207012346A patent/KR102589449B1/ko active IP Right Grant
- 2018-08-23 ES ES18765554T patent/ES2892404T3/es active Active
- 2018-08-23 US US16/758,511 patent/US11331108B2/en active Active
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20110152867A1 (en) * | 2009-12-18 | 2011-06-23 | Joseph Petrzelka | Articulating Tool and Methods of Using |
US20170265874A1 (en) * | 2016-03-21 | 2017-09-21 | Jug Hee Hwang | Detachable medical cutting tool |
Also Published As
Publication number | Publication date |
---|---|
KR102589449B1 (ko) | 2023-10-16 |
CN111212590A (zh) | 2020-05-29 |
CN111212590B (zh) | 2023-11-14 |
EP3528688B1 (de) | 2021-07-28 |
US11331108B2 (en) | 2022-05-17 |
JP7228272B2 (ja) | 2023-02-24 |
US20200253622A1 (en) | 2020-08-13 |
ES2892404T3 (es) | 2022-02-04 |
EP3528688A1 (de) | 2019-08-28 |
CA3078524C (en) | 2024-04-16 |
DE102017010033A1 (de) | 2019-05-02 |
WO2019081051A1 (de) | 2019-05-02 |
KR20200079498A (ko) | 2020-07-03 |
CA3078524A1 (en) | 2019-05-02 |
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