JP5144504B2 - 内臓外科処置のための装置 - Google Patents
内臓外科処置のための装置 Download PDFInfo
- Publication number
- JP5144504B2 JP5144504B2 JP2008511377A JP2008511377A JP5144504B2 JP 5144504 B2 JP5144504 B2 JP 5144504B2 JP 2008511377 A JP2008511377 A JP 2008511377A JP 2008511377 A JP2008511377 A JP 2008511377A JP 5144504 B2 JP5144504 B2 JP 5144504B2
- Authority
- JP
- Japan
- Prior art keywords
- cutting
- tissue
- sheath
- ablation
- lumen
- 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.)
- Active
Links
- 238000001356 surgical procedure Methods 0.000 title abstract description 9
- 230000009278 visceral effect Effects 0.000 title description 7
- 210000001519 tissue Anatomy 0.000 claims abstract description 131
- 210000004400 mucous membrane Anatomy 0.000 claims abstract description 16
- 238000002679 ablation Methods 0.000 claims description 171
- 238000005520 cutting process Methods 0.000 claims description 159
- 239000012530 fluid Substances 0.000 claims description 79
- 239000007788 liquid Substances 0.000 claims description 19
- 238000002271 resection Methods 0.000 claims description 16
- 238000002347 injection Methods 0.000 claims description 4
- 239000007924 injection Substances 0.000 claims description 4
- 238000012143 endoscopic resection Methods 0.000 claims description 3
- 208000002352 blister Diseases 0.000 abstract description 55
- 238000000034 method Methods 0.000 abstract description 55
- 238000000926 separation method Methods 0.000 abstract description 4
- 230000004888 barrier function Effects 0.000 description 74
- 239000007789 gas Substances 0.000 description 50
- 239000000463 material Substances 0.000 description 31
- 239000012188 paraffin wax Substances 0.000 description 28
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 18
- 208000037062 Polyps Diseases 0.000 description 13
- 230000007246 mechanism Effects 0.000 description 12
- 239000004020 conductor Substances 0.000 description 10
- 229910002092 carbon dioxide Inorganic materials 0.000 description 9
- 239000001569 carbon dioxide Substances 0.000 description 9
- 239000002243 precursor Substances 0.000 description 9
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 description 8
- 230000008901 benefit Effects 0.000 description 8
- 230000003902 lesion Effects 0.000 description 8
- 238000010438 heat treatment Methods 0.000 description 7
- 230000009471 action Effects 0.000 description 6
- 210000001072 colon Anatomy 0.000 description 5
- 229910052751 metal Inorganic materials 0.000 description 5
- 239000002184 metal Substances 0.000 description 5
- 229920000642 polymer Polymers 0.000 description 5
- 239000011343 solid material Substances 0.000 description 5
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 4
- 238000005452 bending Methods 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- 210000004877 mucosa Anatomy 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 210000003708 urethra Anatomy 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 239000004744 fabric Substances 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 239000011344 liquid material Substances 0.000 description 3
- 150000002739 metals Chemical class 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 229920000747 poly(lactic acid) Polymers 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- 229920002385 Sodium hyaluronate Polymers 0.000 description 2
- 239000004830 Super Glue Substances 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 238000012326 endoscopic mucosal resection Methods 0.000 description 2
- FGBJXOREULPLGL-UHFFFAOYSA-N ethyl cyanoacrylate Chemical compound CCOC(=O)C(=C)C#N FGBJXOREULPLGL-UHFFFAOYSA-N 0.000 description 2
- 239000010408 film Substances 0.000 description 2
- 230000009969 flowable effect Effects 0.000 description 2
- 239000006260 foam Substances 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 235000011187 glycerol Nutrition 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 238000002844 melting Methods 0.000 description 2
- 230000008018 melting Effects 0.000 description 2
- 229920000609 methyl cellulose Polymers 0.000 description 2
- 239000001923 methylcellulose Substances 0.000 description 2
- 230000007935 neutral effect Effects 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 239000004626 polylactic acid Substances 0.000 description 2
- 239000012781 shape memory material Substances 0.000 description 2
- 229940010747 sodium hyaluronate Drugs 0.000 description 2
- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 210000004876 tela submucosa Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 206010005003 Bladder cancer Diseases 0.000 description 1
- 229920001651 Cyanoacrylate Polymers 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 229920000544 Gore-Tex Polymers 0.000 description 1
- 239000004831 Hot glue Substances 0.000 description 1
- MWCLLHOVUTZFKS-UHFFFAOYSA-N Methyl cyanoacrylate Chemical compound COC(=O)C(=C)C#N MWCLLHOVUTZFKS-UHFFFAOYSA-N 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000025966 Neurological disease Diseases 0.000 description 1
- 229910000990 Ni alloy Inorganic materials 0.000 description 1
- 208000018737 Parkinson disease Diseases 0.000 description 1
- 229920001244 Poly(D,L-lactide) Polymers 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 208000007097 Urinary Bladder Neoplasms Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000009429 electrical wiring Methods 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 239000006261 foam material Substances 0.000 description 1
- 230000030135 gastric motility Effects 0.000 description 1
- 208000014617 hemorrhoid Diseases 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 201000007772 internal hemorrhoid Diseases 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 238000001964 muscle biopsy Methods 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 239000004745 nonwoven fabric Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 238000000016 photochemical curing Methods 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 229920002959 polymer blend Polymers 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 229920000431 shape-memory polymer Polymers 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 201000005112 urinary bladder cancer Diseases 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- 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
- A61B1/018—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 for receiving instruments
-
- 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- 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
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
-
- 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
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- 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
-
- 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
-
- 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
- A61B2017/00867—Material properties shape memory effect
-
- 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- 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
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1407—Loop
- A61B2018/141—Snare
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1495—Electrodes being detachable from a support structure
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0815—Implantable devices for insertion in between organs or other soft tissues
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Physics & Mathematics (AREA)
- Vascular Medicine (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
Claims (10)
- 内視鏡的切除装置において、
基端と先端を備えている細長体と、
前記細長体の先端の近くに配置された切除フレームであって、前記切除フレームは間隔をあけた二つのレールとクロス部材とを備え、前記切除フレームは伸長位置と引込み位置を有し、前記間隔をあけた二つのレールと前記切除フレームの前記クロス部材は、前記間隔をあけた二つのレールと前記切除フレームの前記クロス部材の間で切除平面を形成する、切除フレームと、
前記切除フレームの前記間隔をあけた二つのレールの間に前記クロス部材上に配置されたカッティング器具であって、前記切除フレームが伸長位置にある時に前記カッティング器具は前記細長体の前記先端から移動しており、前記切除フレームの前記引込み位置への動きは前記カッティング器具を前記細長体の前記先端の方へ動かし、前記カッティング器具を前記切除平面内で動かす、カッティング器具を備え、
前記クロス部材は、複数のステープル又はステープリング・アンビルを備え、前記切除フレームが伸長位置にある時に前記複数のステープルと前記ステープリング・アンビルが前記切除開口の対向する側に配置され、前記切除フレームの引込み位置への移動が前記複数のステープルと前記ステープリング・アンビルを前記切除平面内で移動させて前記複数のステープルを前記ステープリング・アンビルに接触させ、
前記切除フレームが前記伸長位置にある時に前記間隔をあけた二つのレールと前記カッティング器具によって画定される切除開口であって、前記切除フレームが前記伸長位置から前記引込み位置に動かされると前記切除開口のサイズが減少し、前記切除開口を通って延びている組織が前記カッティング器具によって切断される、切除開口をさらに備えている、内視鏡的切除装置。 - 前記カッティング器具が刃を備えていることを特徴とする請求項1に記載の装置。
- 前記間隔をあけた二つのレールが剛体部材を備えていることを特徴とする請求項1又は2に記載の装置。
- 前記切除フレームの前記間隔をあけた二つのレールと前記カッティング器具がU字形状の切除開口を画定することを特徴とする請求項1〜3のいずれか1項に記載の装置。
- 前記細長体の少なくとも一部分を通って延びている流体送達管腔をさらに備え、前記流体送達管腔は前記細長体の前記先端の近くに終端し、前記装置は前記細長体の前記先端の近くで前記流体送達管腔に取り付けられたニードルをさらに備え、
前記ニードルは、前記細長体の前記先端から前記ニードルが延びている注入位置と、前記ニードルが前記細長体の内部に配置されるシース格納位置の間で可動であることを特徴とする請求項1〜4のいずれか1項に記載の装置。 - 前記流体送達管腔に結合された流体源をさらに備え、前記流体源が粘膜組織中に粘膜下流体クッションを形成するのに適合した流体を備えていることを特徴とする請求項5に記載の装置。
- 前記流体が液体を備えていることを特徴とする請求項6に記載の装置。
- 前記流体が気体を備えていることを特徴とする請求項6に記載の装置。
- 複数のステープルとステープリング台をさらに備え、前記切除フレームが前記伸長位置にある時に前記複数のステープルと前記ステープリング台は切除開口の対向する側に配置され、前記切除フレームの前記引込み位置への動きが前記複数のステープルを前記ステープリング台に強く接触させることを特徴とする請求項1〜8のいずれか1項に記載の装置。
- 前記切除フレームが前記伸長位置から前記引込み位置に動かされた時に前記複数のステープルと前記ステープリング台が前記切除開口を通って延びている組織をステープルで綴じることを特徴とする請求項9に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US67976005P | 2005-05-11 | 2005-05-11 | |
US60/679,760 | 2005-05-11 | ||
PCT/US2006/018322 WO2006122279A2 (en) | 2005-05-11 | 2006-05-11 | Apparatus and methods for internal surgical procedures |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2008544773A JP2008544773A (ja) | 2008-12-11 |
JP2008544773A5 JP2008544773A5 (ja) | 2009-06-25 |
JP5144504B2 true JP5144504B2 (ja) | 2013-02-13 |
Family
ID=37397319
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008511377A Active JP5144504B2 (ja) | 2005-05-11 | 2006-05-11 | 内臓外科処置のための装置 |
Country Status (5)
Country | Link |
---|---|
US (3) | US8287535B2 (ja) |
EP (1) | EP1885259B1 (ja) |
JP (1) | JP5144504B2 (ja) |
ES (1) | ES2599854T3 (ja) |
WO (1) | WO2006122279A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9839440B2 (en) | 2005-05-11 | 2017-12-12 | Mayo Foundation For Medical Education And Research | Apparatus and methods for internal surgical procedures |
Families Citing this family (220)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8714429B2 (en) * | 2003-04-29 | 2014-05-06 | Covidien Lp | Dissecting tip for surgical stapler |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
AU2004281833B2 (en) | 2003-10-17 | 2010-07-01 | Covidien Lp | Surgical stapling device |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US20070060887A1 (en) * | 2005-08-22 | 2007-03-15 | Marsh David A | Ophthalmic injector |
US7789881B2 (en) | 2005-08-25 | 2010-09-07 | Boston Scientific Scimed, Inc. | Endoscopic resection method |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US9138250B2 (en) | 2006-04-24 | 2015-09-22 | Ethicon Endo-Surgery, Inc. | Medical instrument handle and medical instrument having a handle |
US8211114B2 (en) * | 2006-04-24 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Medical instrument having a medical snare |
US7927327B2 (en) | 2006-04-25 | 2011-04-19 | Ethicon Endo-Surgery, Inc. | Medical instrument having an articulatable end effector |
US7837620B2 (en) | 2006-04-25 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Medical tubular assembly |
US7758593B2 (en) * | 2006-05-04 | 2010-07-20 | Ethicon Endo-Surgery, Inc. | Medical instrument handle and medical instrument having same |
US7597661B2 (en) | 2006-05-11 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | Medical instrument having a catheter and method for using a catheter |
US7959642B2 (en) | 2006-05-16 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Medical instrument having a needle knife |
US7871399B2 (en) * | 2006-05-17 | 2011-01-18 | Alcon Research, Ltd. | Disposable ophthalmic injection device |
US7811252B2 (en) * | 2006-05-17 | 2010-10-12 | Alcon Research, Ltd. | Dosage control device |
US7887521B2 (en) * | 2006-05-17 | 2011-02-15 | Alcon Research, Ltd. | Ophthalmic injection system |
US8136711B2 (en) * | 2006-09-08 | 2012-03-20 | Tyco Healthcare Group Lp | Dissection tip and introducer for surgical instrument |
US8403196B2 (en) | 2006-09-08 | 2013-03-26 | Covidien Lp | Dissection tip and introducer for surgical instrument |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US20080281292A1 (en) * | 2006-10-16 | 2008-11-13 | Hickingbotham Dyson W | Retractable Injection Port |
US9022970B2 (en) * | 2006-10-16 | 2015-05-05 | Alcon Research, Ltd. | Ophthalmic injection device including dosage control device |
BRPI0717644A2 (pt) * | 2006-10-16 | 2013-11-12 | Alcon Res Ltd | Método de operação de peça manual oftálmica com extremidade descartável. |
DE602007011083D1 (de) * | 2006-10-16 | 2011-01-20 | Alcon Res Ltd | Universelle aufladbare baugruppe mit eingeschränkter wiederverwendbarkeit für ein ophthalmisches handstück |
US8221443B2 (en) | 2006-11-15 | 2012-07-17 | Mayo Foundation For Medical Education And Research | Submucosal endoscopy with mucosal flap methods and kits |
ATE529056T1 (de) * | 2006-12-14 | 2011-11-15 | Ethicon Endo Surgery Inc | Gewebeklammer zur endoluminalen, lokalen gewebeexzision |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
AU2008242331B2 (en) * | 2007-04-17 | 2013-11-14 | Covidien Lp | Colon polyp staging methods |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
CN101802739A (zh) * | 2007-06-21 | 2010-08-11 | 氟石科技公司 | 用于硫回收装置的需气反馈控制***和方法 |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
JP5410110B2 (ja) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Rf電極を有する外科用切断・固定器具 |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US8870049B2 (en) | 2008-03-14 | 2014-10-28 | Transenterix, Inc. | Hernia stapler |
MX2010009586A (es) * | 2008-03-14 | 2011-02-22 | Safestitch Medical Inc | Engrapadora para hernia con manipulador de malla integrado. |
JP5288101B2 (ja) * | 2008-03-27 | 2013-09-11 | 国立大学法人鳥取大学 | 内視鏡用注射具および内視鏡的切除術用の手術キット |
EP2460478B1 (en) * | 2008-04-21 | 2021-09-08 | Covidien LP | Braid-ball embolic devices and delivery systems |
US9675482B2 (en) | 2008-05-13 | 2017-06-13 | Covidien Lp | Braid implant delivery systems |
US9179918B2 (en) * | 2008-07-22 | 2015-11-10 | Covidien Lp | Vascular remodeling device |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
JP5431705B2 (ja) * | 2008-09-29 | 2014-03-05 | オリンパス株式会社 | 線維層切除器具 |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
WO2010081029A1 (en) | 2009-01-08 | 2010-07-15 | Rotation Medical, Inc. | Implantable tendon protection systems and related kits and methods |
US9179910B2 (en) * | 2009-03-20 | 2015-11-10 | Rotation Medical, Inc. | Medical device delivery system and method |
JP5662427B2 (ja) | 2009-06-04 | 2015-01-28 | ローテーション メディカル インコーポレイテッドRotation Medical,Inc. | 目的の組織にシート状材料を固定するための装置 |
EP2437686B1 (en) | 2009-06-04 | 2017-12-13 | Rotation Medical, Inc. | Apparatus for deploying sheet-like materials |
WO2011057277A2 (en) | 2009-11-09 | 2011-05-12 | Nfocus Neuromedical, Inc. | Braid ball embolic device features |
EP2528517B1 (en) * | 2010-01-27 | 2018-04-18 | Merit Medical Systems, Inc. | Shapeable retrieval device |
CN102740799A (zh) * | 2010-01-28 | 2012-10-17 | 泰科保健集团有限合伙公司 | 脉管重塑装置 |
US8926681B2 (en) * | 2010-01-28 | 2015-01-06 | Covidien Lp | Vascular remodeling device |
US9198750B2 (en) | 2010-03-11 | 2015-12-01 | Rotation Medical, Inc. | Tendon repair implant and method of arthroscopic implantation |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US8915950B2 (en) | 2010-12-06 | 2014-12-23 | Covidien Lp | Vascular remodeling device |
WO2012094405A1 (en) | 2011-01-04 | 2012-07-12 | Merit Medical Systems, Inc. | Multiple loop snare |
EP2672900B1 (en) | 2011-02-11 | 2017-11-01 | Covidien LP | Two-stage deployment aneurysm embolization devices |
EP2675391B1 (en) | 2011-02-15 | 2017-09-27 | Rotation Medical, Inc. | Apparatus for delivering and positioning sheet-like materials |
US10952783B2 (en) | 2011-12-29 | 2021-03-23 | Rotation Medical, Inc. | Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery |
WO2012145059A1 (en) | 2011-02-15 | 2012-10-26 | Rotation Medical, Inc. | Methods and apparatus for fixing sheet-like materials to a target tissue |
US20120245674A1 (en) | 2011-03-25 | 2012-09-27 | Tyco Healthcare Group Lp | Vascular remodeling device |
US8974479B2 (en) | 2011-03-30 | 2015-03-10 | Covidien Lp | Ultrasonic surgical instruments |
JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
US9039713B2 (en) | 2011-05-13 | 2015-05-26 | Merit Medical Systems, Inc. | Releasably attached snare loop retrieval device and method of using the same |
WO2013028381A1 (en) | 2011-08-19 | 2013-02-28 | Cook Medical Technologies Llc | Cap for attachment to an endoscope |
CA2845528C (en) * | 2011-08-19 | 2016-09-27 | Cook Medical Technologies Llc | Ablation cap |
WO2013049448A1 (en) | 2011-09-29 | 2013-04-04 | Covidien Lp | Vascular remodeling device |
US9028424B2 (en) | 2011-12-02 | 2015-05-12 | Interscope, Inc. | Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
US9033864B2 (en) | 2011-12-02 | 2015-05-19 | Interscope, Inc. | Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
US11076840B2 (en) | 2011-12-02 | 2021-08-03 | Interscope, Inc. | Surgical console, specimen receiver, and insertable endoscopic instrument for tissue removal |
US9808146B2 (en) * | 2011-12-02 | 2017-11-07 | Interscope, Inc. | Endoscopic tool for debriding and removing polyps |
US8882680B2 (en) | 2011-12-02 | 2014-11-11 | Interscope, Inc. | Insertable endoscopic instrument for tissue removal |
US9204868B2 (en) | 2011-12-02 | 2015-12-08 | Interscope, Inc. | Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument |
US9033895B2 (en) | 2011-12-02 | 2015-05-19 | Interscope, Inc. | Endoscope including an torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
EP2793712B1 (en) | 2011-12-19 | 2018-03-28 | Rotation Medical, Inc. | Fasteners for affixing sheet -like materials to bone or tissue |
US9107661B2 (en) | 2011-12-19 | 2015-08-18 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
US9271726B2 (en) | 2011-12-19 | 2016-03-01 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
AU2012355433B2 (en) | 2011-12-19 | 2016-10-20 | Rotation Medical, Inc. | Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant |
USD855802S1 (en) | 2011-12-23 | 2019-08-06 | Interscope, Inc. | Disposable tool |
WO2013101641A2 (en) | 2011-12-29 | 2013-07-04 | Rotation Medical, Inc. | Anatomical location markers and methods of use in positioning sheet-like materials during surgery |
CA2859649A1 (en) | 2011-12-29 | 2013-07-04 | Rotation Medical, Inc. | Methods and apparatus for delivering and positioning sheet -like materials in surgery |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
US9186173B2 (en) * | 2012-04-27 | 2015-11-17 | Specialty Care, Inc. | Optical obturator system |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9526570B2 (en) | 2012-10-04 | 2016-12-27 | Cook Medical Technologies Llc | Tissue cutting cap |
US9186267B2 (en) | 2012-10-31 | 2015-11-17 | Covidien Lp | Wing bifurcation reconstruction device |
US9314248B2 (en) | 2012-11-06 | 2016-04-19 | Covidien Lp | Multi-pivot thrombectomy device |
US9295571B2 (en) | 2013-01-17 | 2016-03-29 | Covidien Lp | Methods and apparatus for luminal stenting |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
US9936951B2 (en) | 2013-03-12 | 2018-04-10 | Covidien Lp | Interchangeable tip reload |
US20140276774A1 (en) * | 2013-03-14 | 2014-09-18 | Boston Scientific Scimed, Inc. | Tissue dissection device and related methods of use |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9463105B2 (en) | 2013-03-14 | 2016-10-11 | Covidien Lp | Methods and apparatus for luminal stenting |
CN105208956B (zh) | 2013-03-15 | 2017-11-28 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 组合式电外科设备 |
CN105380711B (zh) | 2013-03-15 | 2018-01-02 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 组合电外科手术装置 |
WO2014152108A1 (en) | 2013-03-15 | 2014-09-25 | GYRUS ACMI, INC.(d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Combination electrosurgical device |
WO2014143472A1 (en) | 2013-03-15 | 2014-09-18 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Electrosurgical instrument |
US10736758B2 (en) | 2013-03-15 | 2020-08-11 | Covidien | Occlusive device |
CN105142556B (zh) | 2013-03-15 | 2019-01-08 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 偏置手术钳 |
US20140336611A1 (en) * | 2013-05-07 | 2014-11-13 | John R. Lizak | Catheter sheath and tip |
EP3013270A4 (en) * | 2013-06-26 | 2017-02-22 | Vicut Medical Devices Ltd. | Device, kit and method for prolonged lifting of a tissue during endoscopic procedure |
CN105491970A (zh) * | 2013-08-28 | 2016-04-13 | 波士顿科学国际有限公司 | 组织切除装置及相关方法 |
US20150157344A1 (en) * | 2013-12-06 | 2015-06-11 | Boston Scientific Scimed, Inc. | Medical retrieval devices and related methods of use |
US9700312B2 (en) | 2014-01-28 | 2017-07-11 | Covidien Lp | Surgical apparatus |
US9936952B2 (en) | 2014-02-03 | 2018-04-10 | Covidien Lp | Introducer assembly for a surgical fastener applying apparatus |
US9804618B2 (en) | 2014-03-26 | 2017-10-31 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
AU2015255758B2 (en) | 2014-05-09 | 2017-06-15 | Rotation Medical, Inc. | Medical implant delivery system for sheet-like implant |
WO2016028867A1 (en) | 2014-08-20 | 2016-02-25 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Reconfigurable electrosurgical device |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
EP4275620A3 (en) | 2014-11-04 | 2024-01-17 | Rotation Medical, Inc. | Medical implant delivery system |
US10675019B2 (en) | 2014-11-04 | 2020-06-09 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
EP3215025B1 (en) | 2014-11-04 | 2020-12-23 | Rotation Medical, Inc. | Medical implant delivery system |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10898228B2 (en) | 2015-05-06 | 2021-01-26 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
WO2016205186A1 (en) | 2015-06-15 | 2016-12-22 | Rotation Medical, Inc. | Tendon repair implant and method of implantation |
US10194912B2 (en) * | 2015-07-28 | 2019-02-05 | Ethicon Llc | Surgical staple cartridge with outer edge compression features |
US10478194B2 (en) | 2015-09-23 | 2019-11-19 | Covidien Lp | Occlusive devices |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
EP3313256B1 (en) * | 2015-10-23 | 2020-06-03 | Boston Scientific Scimed, Inc. | Endoscopic submucosal dissection hood |
US10376316B2 (en) | 2015-10-28 | 2019-08-13 | Boston Scientific Scimed, Inc. | Retractable tissue cutting device |
US10758228B2 (en) | 2015-11-03 | 2020-09-01 | Rotation Medical, Inc. | Fastener delivery system and related methods |
US11166741B2 (en) * | 2015-12-28 | 2021-11-09 | Boston Scientific Scimed, Inc. | Expandable scaffolds for submucosal tissue separation |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10314689B2 (en) | 2015-12-31 | 2019-06-11 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11497507B2 (en) | 2017-02-19 | 2022-11-15 | Orpheus Ventures, Llc | Systems and methods for closing portions of body tissue |
CN107049474A (zh) * | 2017-03-30 | 2017-08-18 | 吴彬 | 一种组织分离电气刀及其工作方法 |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
JP7361022B2 (ja) | 2017-10-03 | 2023-10-13 | インタースコープ, インク. | 切断先端部において引き込み式用具を用いて組織を除去するための挿入可能な内視鏡器具 |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11298801B2 (en) | 2017-11-02 | 2022-04-12 | Gyrus Acmi, Inc. | Bias device for biasing a gripping device including a central body and shuttles on the working arms |
US11383373B2 (en) | 2017-11-02 | 2022-07-12 | Gyms Acmi, Inc. | Bias device for biasing a gripping device by biasing working arms apart |
US10667834B2 (en) | 2017-11-02 | 2020-06-02 | Gyrus Acmi, Inc. | Bias device for biasing a gripping device with a shuttle on a central body |
US10987210B2 (en) | 2017-12-07 | 2021-04-27 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US10869670B2 (en) * | 2018-03-26 | 2020-12-22 | Olympus Corporation | Procedure for endoscopic full-thickness resection |
US10786252B2 (en) * | 2018-07-16 | 2020-09-29 | Ethicon Llc | Surgical stapling end effector component with deformable tip having void |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
CN109498080A (zh) * | 2019-01-03 | 2019-03-22 | 四川省妇幼保健院 | 一种手术分离棒、手术缝合u型挡板及其使用方法 |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
CN114364330A (zh) * | 2019-07-10 | 2022-04-15 | 波士顿科学国际有限公司 | 用于紧固组织的***和装置 |
US20230056943A1 (en) * | 2019-12-13 | 2023-02-23 | Dinesh Vyas | Stapler apparatus and methods for use |
US11589864B2 (en) * | 2019-12-13 | 2023-02-28 | Dinesh Vyas | Stapler apparatus and methods for use |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
AU2021295953A1 (en) * | 2020-06-23 | 2023-02-16 | Gi Supply | Submucosal lifting compositions and methods of same |
CN112089454B (zh) * | 2020-09-28 | 2023-05-12 | 孙宝柱 | 一种微创外科切除组织取出装置 |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
WO2022094229A1 (en) * | 2020-10-30 | 2022-05-05 | Baxter International Inc. | Organ retractor |
CN112773502A (zh) * | 2020-11-03 | 2021-05-11 | 安隽医疗科技(南京)有限公司 | 一次性使用痔疮消融手术电极装置 |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US20230000495A1 (en) * | 2021-06-30 | 2023-01-05 | Covidien Lp | Circular stapling device with tissue grasping members |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (60)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1707736A (en) * | 1929-04-02 | Tonsil enucleator | ||
US2018335A (en) * | 1933-08-16 | 1935-10-22 | Wappler Frederick Charles | Endoscopic instrument |
US3074408A (en) * | 1961-05-22 | 1963-01-22 | Martin H Chester | Ureteral stone extractor and dilator |
US3494533A (en) * | 1966-10-10 | 1970-02-10 | United States Surgical Corp | Surgical stapler for stitching body organs |
DK131541B (da) * | 1973-09-03 | 1975-08-04 | Akad Tekn Videnskaber | Prostataresectoskop. |
DE2521719C2 (de) * | 1975-05-15 | 1985-06-20 | Delma, Elektro- Und Medizinische Apparatebaugesellschaft Mbh, 7200 Tuttlingen | Elektrochirurgische Vorrichtung |
FR2341323A1 (fr) * | 1976-02-19 | 1977-09-16 | Villard Pierre | Appareil pour etendre de la paraffine sur le corps humain en vue de traitements amaigrissants |
US4273128A (en) * | 1980-01-14 | 1981-06-16 | Lary Banning G | Coronary cutting and dilating instrument |
JPS58131808A (ja) | 1982-01-29 | 1983-08-05 | Toko Inc | ハイブリツド集積回路 |
JPS58131808U (ja) * | 1982-02-27 | 1983-09-06 | 旭光学工業株式会社 | 内視鏡用插通具 |
DE3609325A1 (de) * | 1986-03-20 | 1987-09-24 | Karel Dr Med Cernovsky | Resektoskop |
JPS6392527A (ja) | 1986-10-03 | 1988-04-23 | Canon Inc | カツトシ−トフイ−ダ |
US4869717A (en) * | 1988-04-25 | 1989-09-26 | Adair Edwin Lloyd | Gas insufflation needle with instrument port |
JPH0529694Y2 (ja) * | 1988-07-14 | 1993-07-29 | ||
US5509923A (en) * | 1989-08-16 | 1996-04-23 | Raychem Corporation | Device for dissecting, grasping, or cutting an object |
US5071424A (en) * | 1989-08-18 | 1991-12-10 | Evi Corporation | Catheter atherotome |
US5197971A (en) * | 1990-03-02 | 1993-03-30 | Bonutti Peter M | Arthroscopic retractor and method of using the same |
US5171314A (en) * | 1990-07-24 | 1992-12-15 | Andrew Surgical, Inc. | Surgical snare |
US5100423A (en) * | 1990-08-21 | 1992-03-31 | Medical Engineering & Development Institute, Inc. | Ablation catheter |
US5176688A (en) * | 1991-07-17 | 1993-01-05 | Perinchery Narayan | Stone extractor and method |
US5197649A (en) * | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
US5336227A (en) * | 1991-11-05 | 1994-08-09 | Wilk & Nakao Medical Technology Incorporated | Surgical cauterization snare with polyp capturing web net |
US5368930A (en) | 1991-11-15 | 1994-11-29 | Samples; C. Robert | Thin elastomeric article having increasing puncture resistance |
JPH05144504A (ja) | 1991-11-26 | 1993-06-11 | Matsushita Electric Works Ltd | コンセント |
US6770071B2 (en) * | 1995-06-07 | 2004-08-03 | Arthrocare Corporation | Bladed electrosurgical probe |
US5509900A (en) | 1992-03-02 | 1996-04-23 | Kirkman; Thomas R. | Apparatus and method for retaining a catheter in a blood vessel in a fixed position |
US5304187A (en) * | 1992-06-30 | 1994-04-19 | United States Surgical Corporation | Surgical element deployment apparatus |
US5542948A (en) | 1994-05-24 | 1996-08-06 | Arrow Precision Products, Inc. | Surgical combination inject and snare apparatus |
US5591170A (en) * | 1994-10-14 | 1997-01-07 | Genesis Orthopedics | Intramedullary bone cutting saw |
US5868760A (en) * | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US5503623A (en) * | 1995-03-17 | 1996-04-02 | Tilton, Jr.; Eugene B. | Instrumentation for laparoscopic insertion and application of sheet like surgical material |
US5586990A (en) * | 1995-05-08 | 1996-12-24 | Symbiosis Corporation | Endosurgical instrument with a radially movable end effector |
US5709697A (en) * | 1995-11-22 | 1998-01-20 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5762613A (en) * | 1996-05-07 | 1998-06-09 | Spectrascience, Inc. | Optical biopsy forceps |
JP3730757B2 (ja) * | 1997-07-30 | 2006-01-05 | オリンパス株式会社 | 内視鏡用処置具 |
US6080474A (en) | 1997-10-08 | 2000-06-27 | Hoechst Celanese Corporation | Polymeric articles having improved cut-resistance |
US5891153A (en) * | 1997-12-23 | 1999-04-06 | Peterson; Randy | Auger nucleus extracted for cataracts |
US6021524A (en) | 1997-12-31 | 2000-02-08 | The University Of Akron | Cut resistant polymeric films |
US5961526A (en) | 1998-02-18 | 1999-10-05 | Boston Scientific Corporation | Coaxial needle and severing snare |
US6398798B2 (en) * | 1998-02-28 | 2002-06-04 | Lumend, Inc. | Catheter system for treating a vascular occlusion |
DK1063926T3 (da) * | 1998-03-27 | 2006-09-04 | Cook Urological Inc | Minimalt invasiv, medicinsk indfangningsanordning |
US6126058A (en) * | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6371963B1 (en) | 1998-11-17 | 2002-04-16 | Scimed Life Systems, Inc. | Device for controlled endoscopic penetration of injection needle |
US6287290B1 (en) * | 1999-07-02 | 2001-09-11 | Pulmonx | Methods, systems, and kits for lung volume reduction |
AUPQ170799A0 (en) | 1999-07-20 | 1999-08-12 | Cardiac Crc Nominees Pty Limited | Shape memory polyurethane or polyurethane-urea polymers |
US6673071B2 (en) * | 2000-02-24 | 2004-01-06 | Vandusseldorp Gregg A. | Partial ablation procedure and device therefor |
DE10026683C2 (de) * | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
US6602262B2 (en) * | 2000-06-02 | 2003-08-05 | Scimed Life Systems, Inc. | Medical device having linear to rotation control |
SE516673C2 (sv) | 2000-07-27 | 2002-02-12 | Q Med Ab | Arrangemang och förfarande för samverkan med ett inre kroppsorgan |
JP4283428B2 (ja) | 2000-08-18 | 2009-06-24 | Hoya株式会社 | 内視鏡用膨縮型処置具 |
US6517551B1 (en) * | 2000-11-22 | 2003-02-11 | George Mark Driskill | Intravascular foreign object retrieval catheter |
JP4723104B2 (ja) | 2001-02-28 | 2011-07-13 | Hoya株式会社 | 内視鏡用ワイヤループ型処置具 |
JP3722729B2 (ja) | 2001-06-04 | 2005-11-30 | オリンパス株式会社 | 内視鏡用処置装置 |
US6632227B2 (en) | 2001-08-24 | 2003-10-14 | Scimed Life Systems, Inc. | Endoscopic resection devices |
US6743228B2 (en) * | 2001-09-12 | 2004-06-01 | Manoa Medical, Inc. | Devices and methods for tissue severing and removal |
JP2003093395A (ja) | 2001-09-21 | 2003-04-02 | Asahi Intecc Co Ltd | 医療用処置具 |
JP2003153911A (ja) * | 2001-11-22 | 2003-05-27 | Olympus Optical Co Ltd | 内視鏡システム |
WO2003074108A2 (en) | 2002-02-28 | 2003-09-12 | Mayo Foundation For Medical Education And Research | Compositions for generating submucosal fluid cushions |
US7367976B2 (en) * | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
ES2599854T3 (es) | 2005-05-11 | 2017-02-03 | Mayo Foundation For Medical Education And Research | Aparato para procedimientos quirúrgicos internos |
-
2006
- 2006-05-11 ES ES06759611.4T patent/ES2599854T3/es active Active
- 2006-05-11 JP JP2008511377A patent/JP5144504B2/ja active Active
- 2006-05-11 US US11/920,220 patent/US8287535B2/en active Active
- 2006-05-11 WO PCT/US2006/018322 patent/WO2006122279A2/en active Application Filing
- 2006-05-11 EP EP06759611.4A patent/EP1885259B1/en active Active
-
2012
- 2012-10-15 US US13/651,972 patent/US8747403B2/en active Active
-
2014
- 2014-06-06 US US14/298,198 patent/US9839440B2/en active Active
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9839440B2 (en) | 2005-05-11 | 2017-12-12 | Mayo Foundation For Medical Education And Research | Apparatus and methods for internal surgical procedures |
Also Published As
Publication number | Publication date |
---|---|
US9839440B2 (en) | 2017-12-12 |
WO2006122279A3 (en) | 2009-04-09 |
US20090069806A1 (en) | 2009-03-12 |
EP1885259A2 (en) | 2008-02-13 |
ES2599854T3 (es) | 2017-02-03 |
US20140288584A1 (en) | 2014-09-25 |
EP1885259B1 (en) | 2016-08-17 |
US8287535B2 (en) | 2012-10-16 |
US20130041383A1 (en) | 2013-02-14 |
US8747403B2 (en) | 2014-06-10 |
JP2008544773A (ja) | 2008-12-11 |
EP1885259A4 (en) | 2014-02-19 |
WO2006122279A2 (en) | 2006-11-16 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5144504B2 (ja) | 内臓外科処置のための装置 | |
US20230414247A1 (en) | Methods and systems for performing submucosal medical procedures | |
US8929988B2 (en) | Methods and systems for submucosal implantation of a device for diagnosis and treatment of a body | |
US8317771B2 (en) | Methods and systems for performing submucosal medical procedures | |
US20100217151A1 (en) | Methods and Systems for Performing Submucosal Medical Procedures | |
US8491472B2 (en) | Methods and systems for submucosal implantation of a device for diagnosis and treatment with a therapeutic agent | |
JP7134274B2 (ja) | 組織を後退させる為の装置および方法 | |
US20070021760A1 (en) | Methods and apparatus for securing an anchor to soft tissue | |
JP2009504201A (ja) | 組織の腫脹を破壊するためのアンカー付無線周波数切除装置 | |
JP2008544773A5 (ja) | ||
US8251990B2 (en) | Apparatus and method of performing radiofrequency cauterization and tissue removal | |
JP5602756B2 (ja) | 材料切除術のためのフード法及び装置 | |
JP2007313314A (ja) | 内視鏡的粘膜切除術用の管腔スタビライザ | |
JP2008545508A (ja) | 焼灼カテーテル | |
EP2271270B1 (en) | Endoscopic stapling device | |
Jones et al. | Methods and systems for performing submucosal medical procedures | |
Jones et al. | Methods and systems for submucosal implantation of a device for diagnosis and treatment with a therapeutic agent |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20090511 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20090511 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20110621 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20110920 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20110928 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20111221 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20120619 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20120919 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20121023 |
|
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20121122 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20151130 Year of fee payment: 3 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5144504 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |