WO2003013367A2 - Instrument et methodes de prelevement de vaisseaux sanguins - Google Patents

Instrument et methodes de prelevement de vaisseaux sanguins Download PDF

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Publication number
WO2003013367A2
WO2003013367A2 PCT/US2002/025504 US0225504W WO03013367A2 WO 2003013367 A2 WO2003013367 A2 WO 2003013367A2 US 0225504 W US0225504 W US 0225504W WO 03013367 A2 WO03013367 A2 WO 03013367A2
Authority
WO
WIPO (PCT)
Prior art keywords
hook
vessel
harvesting tool
distal end
tubular body
Prior art date
Application number
PCT/US2002/025504
Other languages
English (en)
Other versions
WO2003013367A3 (fr
Inventor
James E. Jervis
Original Assignee
General Surgical Innovations Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by General Surgical Innovations Inc. filed Critical General Surgical Innovations Inc.
Publication of WO2003013367A2 publication Critical patent/WO2003013367A2/fr
Publication of WO2003013367A3 publication Critical patent/WO2003013367A3/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00008—Vein tendon strippers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • 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
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • 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
    • 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

Definitions

  • an operation to harvest the saphenous vein required the surgeon to make an incision into the leg in order to gain access to the saphenous vein and then proceed to cut the vein from the leg.
  • the surgeon made a series of incisions generally from the groin to the knee or the ankle leaving one or more skin bridges along the line of the incisions. It was recommended that handling of the saphenous vein be kept to a minimum while the saphenous vein was removed from the surrounding connective tissue.
  • the surgeon grasped the saphenous vein with his fingers while stripping off the surrounding tissues with dissecting scissors or other scraping instruments. The surgeon would use his fingers and/or blunt dissection tools to pull and lift (or mobilize) the vein from the surrounding tissue.
  • Saphenous vein 74 has a number of tributary veins (i.e., branches 71) that carry venous blood into it. These tributaries must be tied off and cut off from saphenous vein 74 before saphenous vein 74 can be removed. In medical terms, these tributaries must be ligated and divided or transected. These tributary veins can be readily identified with vessel harvesting tool 70 because the surgeon will feel the resistance while pulling and will not be able to pull hooks 80, 90 through a tributary vein. When a tributary vein is encountered, the surgeon can use standard endoscopic and laparoscopic tools to close the tributaries and cut them from saphenous vein 74. Turning now to FIG.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Rheumatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne des dispositifs destinés au prélèvement de vaisseaux sanguins dans le corps et des méthodes d'utilisation associées. Ces instruments de prélèvement comprennent un premier et un second élément de fixation conçus pour entrer en prise avec un vaisseau. Le premier élément de fixation et le second élément de fixation sont réglables de façon axiale et rotative, l'un par rapport à l'autre. La méthode de la présente invention consiste à utiliser un instrument de prélèvement comprenant un premier élément de fixation et un second élément de fixation, à créer un espace de travail à proximité d'une structure corporelle allongée à prélever, à manipuler l'instrument de prélèvement afin de placer la structure corporelle allongée entre le premier élément de fixation et le second élément de fixation et à manipuler de façon axiale le premier élément de fixation par rapport au second élément de fixation pour séparer la structure corporelle allongée du tissu environnant.
PCT/US2002/025504 2001-08-10 2002-08-09 Instrument et methodes de prelevement de vaisseaux sanguins WO2003013367A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US31133401P 2001-08-10 2001-08-10
US60/311,334 2001-08-10

Publications (2)

Publication Number Publication Date
WO2003013367A2 true WO2003013367A2 (fr) 2003-02-20
WO2003013367A3 WO2003013367A3 (fr) 2003-07-03

Family

ID=23206427

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/025504 WO2003013367A2 (fr) 2001-08-10 2002-08-09 Instrument et methodes de prelevement de vaisseaux sanguins

Country Status (1)

Country Link
WO (1) WO2003013367A2 (fr)

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011131660A1 (fr) * 2010-04-23 2011-10-27 W.O.M. World Of Medicine Ag Instrument invasif pour le traitement de vaisseaux
GB2519409A (en) * 2013-09-09 2015-04-22 Terumo Cardiovascular Sys Single-pass endoscopic vessel harvesting
CN105188575A (zh) * 2013-03-14 2015-12-23 隐静脉医疗有限公司 一体化内窥镜血管采集装置
WO2016027491A1 (fr) * 2014-08-21 2016-02-25 テルモ株式会社 Procédé d'éveinage d'un vaisseau sanguin et dispositif d'éveinage d'un vaisseau sanguin
JP2016042993A (ja) * 2014-08-21 2016-04-04 テルモ株式会社 血管剥離デバイス
JP2016042994A (ja) * 2014-08-21 2016-04-04 テルモ株式会社 血管剥離デバイス
US9737332B2 (en) 2009-05-19 2017-08-22 Teleflex Medical Incorporated Methods and devices for laparoscopic surgery
US9814481B2 (en) 2013-03-14 2017-11-14 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
US9943328B2 (en) 2015-04-28 2018-04-17 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices with an elastic force
US10028652B2 (en) 2010-01-20 2018-07-24 EON Surgical Ltd. Rapid laparoscopy exchange system and method of use thereof
US10052088B2 (en) 2010-01-20 2018-08-21 EON Surgical Ltd. System and method of deploying an elongate unit in a body cavity
US10064611B2 (en) 2015-07-22 2018-09-04 Covidien Lp Methods and devices for vein harvesting
WO2019136378A1 (fr) 2018-01-05 2019-07-11 Mitrx, Inc. Rétracteur de suture bourse et procédé d'utilisation
US10363056B2 (en) 2015-06-17 2019-07-30 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
US10390694B2 (en) 2010-09-19 2019-08-27 Eon Surgical, Ltd. Micro laparoscopy devices and deployments thereof
US10575835B2 (en) 2014-10-14 2020-03-03 Covidien Lp Methods and devices for vein harvesting
US10646210B2 (en) 2014-10-14 2020-05-12 Covidien Lp Methods and devices for vein harvesting
WO2021030591A1 (fr) 2019-08-14 2021-02-18 Lsi Solutions, Inc. Dispositif de collecte de récipients
US11547466B2 (en) 2018-06-20 2023-01-10 Covidien Lp Visualization devices and methods for use in surgical procedures

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5373840A (en) 1992-10-02 1994-12-20 Knighton; David R. Endoscope and method for vein removal
US5899913A (en) 1995-05-19 1999-05-04 General Surgical Innovations, Inc. Methods and devices for blood vessel harvesting
US6068039A (en) 1992-09-28 2000-05-30 Judkins; Ren Material for venetian type blinds
US6196968B1 (en) 1997-06-02 2001-03-06 General Surgical Innovations, Inc. Direct vision subcutaneous tissue retractor and method for use
US6228024B1 (en) 1997-06-02 2001-05-08 General Surgical Innovations, Inc. Vascular retractor

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5759150A (en) * 1995-07-07 1998-06-02 Olympus Optical Co., Ltd. System for evulsing subcutaneous tissue
US5667480A (en) * 1995-10-20 1997-09-16 Ethicon Endo-Surgery, Inc. Method and devices for endoscopic vessel harvesting

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6068039A (en) 1992-09-28 2000-05-30 Judkins; Ren Material for venetian type blinds
US5373840A (en) 1992-10-02 1994-12-20 Knighton; David R. Endoscope and method for vein removal
US5899913A (en) 1995-05-19 1999-05-04 General Surgical Innovations, Inc. Methods and devices for blood vessel harvesting
US6196968B1 (en) 1997-06-02 2001-03-06 General Surgical Innovations, Inc. Direct vision subcutaneous tissue retractor and method for use
US6228024B1 (en) 1997-06-02 2001-05-08 General Surgical Innovations, Inc. Vascular retractor

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9737332B2 (en) 2009-05-19 2017-08-22 Teleflex Medical Incorporated Methods and devices for laparoscopic surgery
US10499948B2 (en) 2009-05-19 2019-12-10 Teleflex Medical Incorporated Methods and devices for laparoscopic surgery
US10052088B2 (en) 2010-01-20 2018-08-21 EON Surgical Ltd. System and method of deploying an elongate unit in a body cavity
US10028652B2 (en) 2010-01-20 2018-07-24 EON Surgical Ltd. Rapid laparoscopy exchange system and method of use thereof
WO2011131660A1 (fr) * 2010-04-23 2011-10-27 W.O.M. World Of Medicine Ag Instrument invasif pour le traitement de vaisseaux
US10226240B2 (en) 2010-04-23 2019-03-12 W.O.M. World Of Medicine Gmbh Invasive instrument for treating vessels
US10390694B2 (en) 2010-09-19 2019-08-27 Eon Surgical, Ltd. Micro laparoscopy devices and deployments thereof
US9814481B2 (en) 2013-03-14 2017-11-14 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
CN105188575A (zh) * 2013-03-14 2015-12-23 隐静脉医疗有限公司 一体化内窥镜血管采集装置
US10537353B2 (en) 2013-03-14 2020-01-21 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
EP2967629A4 (fr) * 2013-03-14 2017-03-22 Saphena Medical, Inc. Dispositifs de collecte de vaisseau endoscopiques unitaires
US11751896B2 (en) 2013-03-14 2023-09-12 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
JP2016514016A (ja) * 2013-03-14 2016-05-19 サフィナ・メディカル・インコーポレイテッドＳａｐｈｅｎａ Ｍｅｄｉｃａｌ， Ｉｎｃ． 単一の内視鏡用管採取デバイス
GB2519409B (en) * 2013-09-09 2019-11-13 Terumo Cardiovascular Sys Corp Single-pass endoscopic vessel harvesting
GB2519409A (en) * 2013-09-09 2015-04-22 Terumo Cardiovascular Sys Single-pass endoscopic vessel harvesting
WO2016027491A1 (fr) * 2014-08-21 2016-02-25 テルモ株式会社 Procédé d'éveinage d'un vaisseau sanguin et dispositif d'éveinage d'un vaisseau sanguin
JP2016042994A (ja) * 2014-08-21 2016-04-04 テルモ株式会社 血管剥離デバイス
JP2016042993A (ja) * 2014-08-21 2016-04-04 テルモ株式会社 血管剥離デバイス
US11571193B2 (en) 2014-10-14 2023-02-07 Covidien LLP Methods and devices for vein harvesting
US10646210B2 (en) 2014-10-14 2020-05-12 Covidien Lp Methods and devices for vein harvesting
US10575835B2 (en) 2014-10-14 2020-03-03 Covidien Lp Methods and devices for vein harvesting
US9943328B2 (en) 2015-04-28 2018-04-17 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices with an elastic force
US10363056B2 (en) 2015-06-17 2019-07-30 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
US10874415B2 (en) 2015-06-17 2020-12-29 Saphena Medical, Inc. Unitary endoscopic vessel harvesting devices
US10064611B2 (en) 2015-07-22 2018-09-04 Covidien Lp Methods and devices for vein harvesting
CN111818856A (zh) * 2018-01-05 2020-10-23 米特瑞克斯公司 荷包缝合牵开器和使用方法
EP3735184A4 (fr) * 2018-01-05 2022-02-23 MITRX, Inc. Rétracteur de suture bourse et procédé d'utilisation
US11406375B2 (en) 2018-01-05 2022-08-09 Mitrx, Inc. Pursestring suture retractor and method of use
WO2019136378A1 (fr) 2018-01-05 2019-07-11 Mitrx, Inc. Rétracteur de suture bourse et procédé d'utilisation
US11547466B2 (en) 2018-06-20 2023-01-10 Covidien Lp Visualization devices and methods for use in surgical procedures
WO2021030591A1 (fr) 2019-08-14 2021-02-18 Lsi Solutions, Inc. Dispositif de collecte de récipients
EP3996572A4 (fr) * 2019-08-14 2023-07-19 LSI Solutions, Inc. Dispositif de collecte de récipients

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Publication number Publication date
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