JP7494211B2 - 心臓手術で弁の周辺部分を開くための拡張デバイス - Google Patents
心臓手術で弁の周辺部分を開くための拡張デバイス Download PDFInfo
- Publication number
- JP7494211B2 JP7494211B2 JP2021564490A JP2021564490A JP7494211B2 JP 7494211 B2 JP7494211 B2 JP 7494211B2 JP 2021564490 A JP2021564490 A JP 2021564490A JP 2021564490 A JP2021564490 A JP 2021564490A JP 7494211 B2 JP7494211 B2 JP 7494211B2
- Authority
- JP
- Japan
- Prior art keywords
- jaws
- output
- handle
- inner wire
- retraction
- 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
- 238000007675 cardiac surgery Methods 0.000 title claims description 5
- 230000007246 mechanism Effects 0.000 claims description 27
- 239000002131 composite material Substances 0.000 claims description 7
- 239000011324 bead Substances 0.000 claims description 2
- 230000008878 coupling Effects 0.000 claims 3
- 238000010168 coupling process Methods 0.000 claims 3
- 238000005859 coupling reaction Methods 0.000 claims 3
- 230000000717 retained effect Effects 0.000 claims 1
- 210000004115 mitral valve Anatomy 0.000 description 6
- 230000008439 repair process Effects 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 230000001746 atrial effect Effects 0.000 description 4
- 210000000038 chest Anatomy 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 230000010339 dilation Effects 0.000 description 2
- 210000003709 heart valve Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 210000000591 tricuspid valve Anatomy 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000002991 molded plastic Substances 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
-
- 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
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/71—Manipulators operated by drive cable 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
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- 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
- A61B2017/00946—Material properties malleable
-
- 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
- A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Surgical Instruments (AREA)
Description
本出願は、参照により本明細書に組み込まれている、2019年5月1日に出願した米国仮特許出願第62/841320号の利益を主張するものである。
Claims (12)
- 最小侵襲的心臓手術のためのエキスパンダ/開創器デバイスであって:
第1および第2の入力側枢動軸ならびに第1および第2の出力側枢動軸を備えるパンタグラフ機構と;
前記第1および第2の出力側枢動軸からそれぞれ延在する第1および第2の開創用のあご部と;
前記第1の入力側枢動軸に固定される外側チューブおよび前記第2の入力側枢動軸に固定される内側ワイヤを備える複合ケーブルと;
前記外側チューブに沿って前記内側ワイヤを変位させるためのハンドルと
を備え、
前記第1および第2の開創用のあご部が調整可能な形状を有し、
前記第1および第2の開創用のあご部が、所望の開創用の表面形状に従って曲げられる柔軟性を有するワイヤから構成される、エキスパンダ/開創器デバイス。 - 前記開創用のあご部の前記調整可能な形状が、前記パンタグラフ機構によって画定される平面内から前記平面に対して横方向の向きまでの枢動を含む、請求項1に記載のデバイス。
- 前記開創用のあご部を形成する前記柔軟性を有するワイヤがさらに、前記パンタグラフ機構の前記入力側枢動軸および前記出力側枢動軸の間に連結部を形成する、請求項1に記載のデバイス。
- 前記パンタグラフ機構がさらに、前記第1の入力側枢動軸を前記第1および第2の出力側枢動軸に連結する連結部、および前記第2の入力側枢動軸を前記第1および第2の出力側枢動軸に連結する連結部から構成される、請求項1に記載のデバイス。
- 前記連結部が柔軟性を有するワイヤから構成される、請求項4に記載のデバイス。
- 前記第1および第2のあご部を前記出力側枢動軸に結合する出力側アームをさらに備える、請求項4に記載のデバイス。
- 前記出力側アームが柔軟性を有するワイヤから構成される、請求項6に記載のデバイス。
- 前記ハンドルが:
前記外側チューブに装着される本体;および
前記本体内で摺動可能であり、前記内側ワイヤに装着されるプランジャ
から構成される、請求項1に記載のデバイス。 - 前記ハンドルが、前記プランジャを前記本体内の選択される位置でロックするためのロックピンをさらに備える、請求項8に記載のデバイス。
- 前記第1の入力側枢動軸上で保持されるように、および選択される位置で前記パンタグラフ機構をロックするために前記複合ケーブルの前記内側ワイヤを保持するように、構成されるロッキングクリップ
をさらに備える、請求項1に記載のデバイス。 - 前記ロッキングクリップが一方の端部にスロットを備えるC形本体から構成され、前記内側ワイヤが前記スロットに当接するための複数のビードを有する、請求項10に記載のデバイス。
- 前記ハンドルが:
前記複合ケーブルの前記外側チューブに装着される握持用のあご部を備える第1の鉗子部材;および
前記複合ケーブルの前記内側ワイヤに装着される把持用のあご部を有する、前記第1の鉗子部材にヒンジ式に取り付けられる第2の鉗子部材
から構成される、請求項1に記載のデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201962841320P | 2019-05-01 | 2019-05-01 | |
US62/841,320 | 2019-05-01 | ||
PCT/US2020/030912 WO2020223585A1 (en) | 2019-05-01 | 2020-05-01 | Expansion device for opening valve perimeter in cardiac surgery |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2022530898A JP2022530898A (ja) | 2022-07-04 |
JP7494211B2 true JP7494211B2 (ja) | 2024-06-03 |
Family
ID=73029332
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2021564490A Active JP7494211B2 (ja) | 2019-05-01 | 2020-05-01 | 心臓手術で弁の周辺部分を開くための拡張デバイス |
Country Status (5)
Country | Link |
---|---|
US (1) | US20220031299A1 (ja) |
JP (1) | JP7494211B2 (ja) |
DE (1) | DE112020002206T5 (ja) |
GB (1) | GB2596986B (ja) |
WO (1) | WO2020223585A1 (ja) |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2009534158A (ja) | 2006-04-24 | 2009-09-24 | シネコー・エルエルシー | 経管腔的外科手術システム |
US20110046448A1 (en) | 2009-08-03 | 2011-02-24 | Anthony Paolitto | Cardiac tissue retractor with associated valve cusp depressor |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2266973A1 (en) * | 1996-09-26 | 1998-04-30 | Christopher S. Looney | Adjustable multi-purpose coronary stabilizing retractor |
CA2286929A1 (en) * | 1999-10-18 | 2001-04-18 | Anthony Paolitto | Valve surgery apparatus |
US7922657B2 (en) * | 2002-05-03 | 2011-04-12 | Alan Marc Gillinov | Surgical retractors and method of operation |
US7931591B2 (en) * | 2004-09-03 | 2011-04-26 | Mccarthy Patrick M | Surgical retractor |
US7918792B2 (en) * | 2006-01-04 | 2011-04-05 | Depuy Spine, Inc. | Surgical retractor for use with minimally invasive spinal stabilization systems and methods of minimally invasive surgery |
-
2020
- 2020-05-01 GB GB2115167.5A patent/GB2596986B/en active Active
- 2020-05-01 JP JP2021564490A patent/JP7494211B2/ja active Active
- 2020-05-01 DE DE112020002206.4T patent/DE112020002206T5/de active Pending
- 2020-05-01 WO PCT/US2020/030912 patent/WO2020223585A1/en active Application Filing
-
2021
- 2021-10-18 US US17/503,493 patent/US20220031299A1/en active Pending
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2009534158A (ja) | 2006-04-24 | 2009-09-24 | シネコー・エルエルシー | 経管腔的外科手術システム |
US20110046448A1 (en) | 2009-08-03 | 2011-02-24 | Anthony Paolitto | Cardiac tissue retractor with associated valve cusp depressor |
Also Published As
Publication number | Publication date |
---|---|
GB2596986B (en) | 2023-04-19 |
GB202115167D0 (en) | 2021-12-08 |
DE112020002206T5 (de) | 2022-01-13 |
US20220031299A1 (en) | 2022-02-03 |
JP2022530898A (ja) | 2022-07-04 |
GB2596986A (en) | 2022-01-12 |
WO2020223585A1 (en) | 2020-11-05 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6701172B2 (ja) | 機械的利益把握のロボット制御 | |
JP6734259B2 (ja) | 機械的利益把握のロボット制御 | |
US9333001B2 (en) | Articulable laparoscopic instrument | |
US9554790B2 (en) | Robotic endoscopic retractor for use in minimally invasive surgery | |
US20190309928A1 (en) | Soft conformal laparoscopic instrument | |
US5860995A (en) | Laparoscopic endoscopic surgical instrument | |
US8398674B2 (en) | Medical instrument with multi-joint arm | |
US6238414B1 (en) | Laparoscopic instrument with parallel actuated jaws | |
US5474057A (en) | Laparoscopic dissection tension retractor device and method | |
US6743239B1 (en) | Devices with a bendable tip for medical procedures | |
US8083664B2 (en) | Surgical stabilizers and methods for use in reduced-access surgical sites | |
JP2018531693A (ja) | 遠隔アクセスツール用のエンドエフェクタ顎閉鎖伝達システム | |
JP6273298B2 (ja) | 操作可能な医療器具 | |
US20110144450A1 (en) | Tissue retractor with movable blades and articulating wrist joint | |
US20050222601A1 (en) | Laparoscopic instrument | |
US20110029010A1 (en) | Flexible dissecting forceps | |
WO1993017625A1 (en) | Surgical retractor and surgical method | |
US20100286485A1 (en) | Adaptable tissue retractor with plurality of movable blades | |
US20190076160A1 (en) | Articulable Endoscopic Instruments | |
WO2017189272A1 (en) | Compliant mechanisms having inverted tool members | |
CN112971873B (zh) | 手术器械 | |
JP7494211B2 (ja) | 心臓手術で弁の周辺部分を開くための拡張デバイス | |
US11253240B2 (en) | Tissue specimen retrieval devices | |
US20230414212A1 (en) | Stabilizer tool for total endoscopic coronary artery bypass | |
US20200405334A1 (en) | Tissue specimen retrieval devices |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20220628 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20230127 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20231031 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20231031 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20240130 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20240209 |
|
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: 20240507 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20240522 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 7494211 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |