JP6726209B2 - 外科用切断器具 - Google Patents
外科用切断器具 Download PDFInfo
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- JP6726209B2 JP6726209B2 JP2017553955A JP2017553955A JP6726209B2 JP 6726209 B2 JP6726209 B2 JP 6726209B2 JP 2017553955 A JP2017553955 A JP 2017553955A JP 2017553955 A JP2017553955 A JP 2017553955A JP 6726209 B2 JP6726209 B2 JP 6726209B2
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- tubular member
- distal
- cutting instrument
- sleeve
- surgical cutting
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- 238000005520 cutting process Methods 0.000 title claims description 174
- 210000001519 tissue Anatomy 0.000 description 17
- 230000002262 irrigation Effects 0.000 description 10
- 238000003973 irrigation Methods 0.000 description 10
- 238000000034 method Methods 0.000 description 10
- 239000012530 fluid Substances 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 8
- 230000008859 change Effects 0.000 description 7
- 239000000853 adhesive Substances 0.000 description 6
- 230000001070 adhesive effect Effects 0.000 description 6
- 230000008878 coupling Effects 0.000 description 6
- 238000010168 coupling process Methods 0.000 description 6
- 238000005859 coupling reaction Methods 0.000 description 6
- 206010028980 Neoplasm Diseases 0.000 description 4
- 238000005452 bending Methods 0.000 description 4
- 238000002675 image-guided surgery Methods 0.000 description 4
- 238000012546 transfer Methods 0.000 description 4
- 208000003174 Brain Neoplasms Diseases 0.000 description 3
- 238000002679 ablation Methods 0.000 description 3
- 230000000712 assembly Effects 0.000 description 3
- 238000000429 assembly Methods 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 238000003754 machining Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 230000001939 inductive effect Effects 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 2
- 239000004810 polytetrafluoroethylene Substances 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 206010068771 Soft tissue neoplasm Diseases 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000007428 craniotomy Methods 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 238000009760 electrical discharge machining Methods 0.000 description 1
- 208000018212 fibroblastic neoplasm Diseases 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 238000005459 micromachining Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- -1 polytetrafluoroethylene Polymers 0.000 description 1
- 239000011435 rock Substances 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 206010062261 spinal cord neoplasm Diseases 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- UONOETXJSWQNOL-UHFFFAOYSA-N tungsten carbide Chemical compound [W+]#[C-] UONOETXJSWQNOL-UHFFFAOYSA-N 0.000 description 1
- 238000007514 turning Methods 0.000 description 1
- 238000012800 visualization 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
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
-
- 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
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00455—Orientation indicators, e.g. recess on the handle
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible 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
- A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
Landscapes
- 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)
- Vascular Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Description
Claims (17)
- 近位部分、中間部分、および遠位部分を有する第1の管状部材であり、前記遠位部分は切断先端部を含む、第1の管状部材と、
近位領域、中間領域、および遠位領域を有する第2の管状部材であり、前記遠位領域は切断窓を形成しており、前記切断先端部が前記切断窓において選択的に露出されるように前記第1の管状部材が前記第2の管状部材の内部に同軸に配設されている、第2の管状部材と、
近位端および遠位端を有するスリーブ部材であり、前記第1の管状部材および前記第2の管状部材は前記スリーブ部材の内部に同軸に配設されている、スリーブ部材と、
前記第1の管状部材の前記中間部分、前記第2の管状部材の前記中間領域、および前記スリーブ部材の周囲に同軸に配設されている、第3の管状部材と、
配向部材であり、前記配向部材にかけられる回転力を伝達して、前記第2の管状部材および前記第3の管状部材を前記スリーブ部材に対して選択的に回転させ、前記切断窓の空間回転を達成するために回転可能な配向部材と
を含む、外科用切断器具。 - 前記スリーブ部材は剛性である、請求項1に記載の外科用切断器具。
- 前記第1の管状部材の前記中間部分および前記第2の管状部材の前記中間領域は可撓性である、請求項1に記載の外科用切断器具。
- 前記第1の管状部材の前記近位部分に取り付けられている第1のハブと、
前記第2の管状部材の前記近位領域および前記スリーブ部材の前記近位端に取り付けられている第2のハブと
をさらに含み、
前記スリーブ部材の前記近位端は前記第2のハブに固く固定されている、
請求項1に記載の外科用切断器具。 - 前記スリーブ部材の前記遠位端は前記配向部材に摩擦で固定されている、請求項1に記載の外科用切断器具。
- 前記第3の管状部材が、剛性遠位端と剛性近位端との間に可撓部を有する
をさらに含む、請求項1に記載の外科用切断器具。 - 前記スリーブ部材は剛性である、請求項1に記載の外科用切断器具。
- 前記第3の管状部材は前記スリーブ部材に対して選択的に回転可能であり、前記配向部材は前記第3の管状部材の前記近位部分に固く固定されており、前記第3の管状部材の前記遠位部分は前記第2の管状部材の前記遠位領域に固く固定されており、前記配向部材にかけられる回転力が前記第3の管状部材および前記第2の管状部材を回転させる、請求項1に記載の外科用切断器具。
- 前記第1の管状部材の前記中間部分、前記第2の管状部材の前記中間領域は湾曲している、請求項1に記載の外科用切断器具。
- 近位部分、中間部分、および遠位部分を有する第1の管状部材であり、前記遠位部分は切断先端部を含む、第1の管状部材と、
近位領域、中間領域、および遠位領域を有する第2の管状部材であり、前記遠位領域は切断窓を形成しており、前記切断先端部が前記切断窓において選択的に露出されるように前記第1の管状部材が前記第2の管状部材の内部に同軸に配設されている、第2の管状部材と、
近位端、遠位端、および前記近位端と前記遠位端との間の中間部を有するスリーブ部材であり、前記第1の管状部材および第2の管状部材は前記スリーブ部材の内部に同軸に配設されている、スリーブ部材と、
ハブ組立体であり、前記第2の管状部材は前記ハブ組立体の内部で選択的に回転可能であり、前記ハブ組立体のハブが前記スリーブ部材に剛固定されている、ハブ組立体と、
配向部材であり、前記配向部材は前記第2の管状部材にしっかり固定されており、前記配向部材は、前記配向部材にかけられる回転力を伝達して、前記第2の管状部材を前記ハブ組立体に対して回転させ、前記切断窓の空間回転を達成するために回転可能である、配向部材と
を含み、
前記配向部材は、前記ハブ組立体からハブ組立体の遠位にある前記第2の管状部材に沿って配置され、前記配向部材は前記ハブ組立体の遠位端側に近位端を有する、外科用切断器具。 - 前記第1の管状部材の前記中間部分および前記第2の管状部材の前記中間領域は可撓性である、請求項10に記載の外科用切断器具。
- 前記第1の管状部材の前記中間部分および前記第2の管状部材の前記中間領域は螺旋状の切れ目を入れられている、請求項11に記載の外科用切断器具。
- 前記中間部分、中間領域、および前記中間部は長手方向に位置合わせされており、互いに重なっている、請求項10に記載の外科用切断器具。
- 前記スリーブ部材は剛性である、請求項10に記載の外科用切断器具。
- 前記スリーブ部材は前記中間部に沿って湾曲している、請求項14に記載の外科用切断器具。
- 前記第1の管状部材の前記中間部分、前記第2の管状部材の前記中間領域、および前記スリーブ部材の周囲に同軸に配設されている第3の管状部材
をさらに含む、請求項10に記載の外科用切断器具。 - 前記第3の管状部材は可撓性中間部を含む、請求項16に記載の外科用切断器具。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2020109778A JP6936903B2 (ja) | 2015-04-17 | 2020-06-25 | 外科用切断器具 |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/689,938 | 2015-04-17 | ||
US14/689,938 US10022144B2 (en) | 2015-04-17 | 2015-04-17 | Surgical cutting instrument |
PCT/US2016/026886 WO2016168104A1 (en) | 2015-04-17 | 2016-04-11 | Surgical cutting instrument |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020109778A Division JP6936903B2 (ja) | 2015-04-17 | 2020-06-25 | 外科用切断器具 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018511426A JP2018511426A (ja) | 2018-04-26 |
JP6726209B2 true JP6726209B2 (ja) | 2020-07-22 |
Family
ID=55754483
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017553955A Active JP6726209B2 (ja) | 2015-04-17 | 2016-04-11 | 外科用切断器具 |
JP2020109778A Active JP6936903B2 (ja) | 2015-04-17 | 2020-06-25 | 外科用切断器具 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2020109778A Active JP6936903B2 (ja) | 2015-04-17 | 2020-06-25 | 外科用切断器具 |
Country Status (6)
Country | Link |
---|---|
US (3) | US10022144B2 (ja) |
EP (1) | EP3282967B1 (ja) |
JP (2) | JP6726209B2 (ja) |
AU (2) | AU2016249889B2 (ja) |
CA (1) | CA2982924A1 (ja) |
WO (1) | WO2016168104A1 (ja) |
Families Citing this family (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2015161061A1 (en) | 2014-04-17 | 2015-10-22 | Stryker Corporation | Surgical tool with selectively bendable shaft that resists buckling |
US10022144B2 (en) | 2015-04-17 | 2018-07-17 | Medtronic Xomed, Inc. | Surgical cutting instrument |
US10166013B2 (en) | 2015-10-30 | 2019-01-01 | Medtronic Xomed, Inc. | Flexible member for angled system |
WO2017163226A1 (en) | 2016-03-24 | 2017-09-28 | Stryker European Holdings I, Llc | Surgical instrument having cutting assembly with grip |
WO2018013906A1 (en) | 2016-07-14 | 2018-01-18 | Stryker European Holdings I, Llc | Cutting assembly for surgical instrument with clog reducing tip |
EP3595549A1 (en) * | 2017-03-16 | 2020-01-22 | Smith & Nephew, Inc | Mechanical resection instruments with outflow control and related methods |
US11723638B2 (en) * | 2019-10-04 | 2023-08-15 | Gyrus Acmi, Inc. | Curved blade flex wrap with seal lining |
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-
2015
- 2015-04-17 US US14/689,938 patent/US10022144B2/en active Active
-
2016
- 2016-04-11 AU AU2016249889A patent/AU2016249889B2/en not_active Ceased
- 2016-04-11 WO PCT/US2016/026886 patent/WO2016168104A1/en unknown
- 2016-04-11 JP JP2017553955A patent/JP6726209B2/ja active Active
- 2016-04-11 EP EP16716808.7A patent/EP3282967B1/en active Active
- 2016-04-11 CA CA2982924A patent/CA2982924A1/en not_active Abandoned
-
2018
- 2018-04-20 US US15/958,130 patent/US10881427B2/en active Active
-
2020
- 2020-05-12 AU AU2020203102A patent/AU2020203102A1/en not_active Abandoned
- 2020-06-25 JP JP2020109778A patent/JP6936903B2/ja active Active
- 2020-11-30 US US17/106,930 patent/US11717316B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US20180235655A1 (en) | 2018-08-23 |
WO2016168104A1 (en) | 2016-10-20 |
CA2982924A1 (en) | 2016-10-20 |
JP6936903B2 (ja) | 2021-09-22 |
AU2016249889A1 (en) | 2017-11-02 |
US11717316B2 (en) | 2023-08-08 |
EP3282967B1 (en) | 2022-08-03 |
US10881427B2 (en) | 2021-01-05 |
JP2018511426A (ja) | 2018-04-26 |
US20210093350A1 (en) | 2021-04-01 |
US10022144B2 (en) | 2018-07-17 |
US20160302823A1 (en) | 2016-10-20 |
EP3282967A1 (en) | 2018-02-21 |
AU2020203102A1 (en) | 2020-06-04 |
JP2020163212A (ja) | 2020-10-08 |
AU2016249889B2 (en) | 2020-02-27 |
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