[go: up one dir, main page]

MX2017013272A - Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion. - Google Patents

Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion.

Info

Publication number
MX2017013272A
MX2017013272A MX2017013272A MX2017013272A MX2017013272A MX 2017013272 A MX2017013272 A MX 2017013272A MX 2017013272 A MX2017013272 A MX 2017013272A MX 2017013272 A MX2017013272 A MX 2017013272A MX 2017013272 A MX2017013272 A MX 2017013272A
Authority
MX
Mexico
Prior art keywords
articulation
articulation section
ultrasonic
rigidization
surgical instrument
Prior art date
Application number
MX2017013272A
Other languages
English (en)
Other versions
MX388649B (es
Inventor
Craig N Faller
Richard W Timm
Jeffrey D Messerly
Ryan M Asher
John B Schulte
Jacob S Gee
A Monroe David
D Dickerson Benjamin
L Pirozzi Kristen
L Shapiro Cara
Original Assignee
Ethicon Llc
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 Ethicon Llc filed Critical Ethicon Llc
Publication of MX2017013272A publication Critical patent/MX2017013272A/es
Publication of MX388649B publication Critical patent/MX388649B/es

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00305Constructional details of the flexible means
    • A61B2017/00314Separate linked members
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • A61B2017/00327Cables or rods with actuating members moving in opposite directions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2908Multiple segments connected by articulations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2946Locking means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms
    • A61B2034/715Cable tensioning mechanisms for removing slack

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)

Abstract

Un aparato quirúrgico comprende un cuerpo, un transductor ultrasónico, un vástago, una guía de onda acústica, una sección de articulación, un efector de extremo y una unidad de bloqueo de articulación; el transductor ultrasónico es operable para convertir la energía eléctrica en vibraciones ultrasónicas; el vástago acopla el efector final y el cuerpo; la guía de onda acústica se acopla con el transductor e incluye una porción flexible; la sección de articulación se acopla con el vástago y abarca la porción flexible de la guía de onda; la sección de articulación comprende un primer elemento y un segundo elemento; el segundo elemento puede trasladarse longitudinalmente en relación con el primer elemento; el efector final comprende una cuchilla ultrasónica en comunicación acústica con el transductor ultrasónico; el mecanismo de bloqueo de articulación comprende un accesorio de tensado, el cual se configura para aplicar selectivamente tensión a al menos uno del primer elemento y el segundo elemento de la sección de articulación para aumentar, de esta manera, la rigidez en la sección de articulación.
MX2017013272A 2015-04-16 2016-04-15 Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion. MX388649B (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/688,458 US10034683B2 (en) 2015-04-16 2015-04-16 Ultrasonic surgical instrument with rigidizing articulation drive members
PCT/US2016/027680 WO2016168546A1 (en) 2015-04-16 2016-04-15 Ultrasonic surgical instrument with rigidizing articulation drive members

Publications (2)

Publication Number Publication Date
MX2017013272A true MX2017013272A (es) 2018-01-26
MX388649B MX388649B (es) 2025-03-20

Family

ID=55806884

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2017013272A MX388649B (es) 2015-04-16 2016-04-15 Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion.

Country Status (7)

Country Link
US (1) US10034683B2 (es)
EP (1) EP3282965B1 (es)
JP (1) JP6732792B2 (es)
CN (1) CN107530099B (es)
BR (1) BR112017022071B1 (es)
MX (1) MX388649B (es)
WO (1) WO2016168546A1 (es)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10667835B2 (en) 2014-04-22 2020-06-02 Ethicon Llc Ultrasonic surgical instrument with end effector having restricted articulation
US10258363B2 (en) 2014-04-22 2019-04-16 Ethicon Llc Method of operating an articulating ultrasonic surgical instrument
US10413316B2 (en) 2015-11-17 2019-09-17 Covidien Lp Articulating ultrasonic surgical instruments and systems
US10743850B2 (en) 2016-04-04 2020-08-18 Ethicon Llc Surgical instrument with locking articulation drive wheel
US10507034B2 (en) 2016-04-04 2019-12-17 Ethicon Llc Surgical instrument with motorized articulation drive in shaft rotation knob
US10405876B2 (en) 2016-04-05 2019-09-10 Ethicon Llc Articulation joint for surgical instrument
CN109963515B (zh) 2016-11-10 2022-06-21 天津瑞奇外科器械股份有限公司 具有互锁功能的外科手术器械
EP3528710B1 (en) * 2017-02-28 2024-07-10 Boston Scientific Scimed, Inc. Articulating needles
US10925630B2 (en) 2018-06-19 2021-02-23 Ethicon Llc Surgical devices and systems with rotating end effector assemblies having an ultrasonic blade
US11033293B2 (en) 2017-07-19 2021-06-15 Cilag Gmbh International Ultrasonic transducer to blade acoustic coupling, connections, and configurations
US10582945B2 (en) 2018-03-20 2020-03-10 Ethicon Llc Surgical devices and systems with rotating end effector assemblies having an ultrasonic blade
CN109662740B (zh) * 2018-04-02 2021-04-16 成都五义医疗科技有限公司 一种手术器械
US11712261B2 (en) 2019-08-30 2023-08-01 Cilag Gmbh International Rotatable linear actuation mechanism
US11457945B2 (en) 2019-08-30 2022-10-04 Cilag Gmbh International Ultrasonic blade and clamp arm alignment features
EP4021318B1 (en) 2019-08-30 2025-07-02 Cilag GmbH International Ultrasonic surgical instrument with a multi-planar articulating shaft assembly
US11612409B2 (en) 2019-08-30 2023-03-28 Cilag Gmbh International Ultrasonic transducer alignment of an articulating ultrasonic surgical instrument
US11471181B2 (en) 2019-08-30 2022-10-18 Cilag Gmbh International Ultrasonic surgical instrument with axisymmetric clamping
US11690642B2 (en) 2019-08-30 2023-07-04 Cilag Gmbh International Ultrasonic surgical instrument with a multi-planar articulating shaft assembly
US11857283B2 (en) 2019-11-05 2024-01-02 Cilag Gmbh International Articulation joint with helical lumen
EP4072447B1 (en) * 2019-12-12 2024-09-25 Stryker Corporation Control of an ultrasonic handpiece
US11766275B2 (en) 2020-05-18 2023-09-26 Covidien Lp Articulating ultrasonic surgical instruments and systems
US12161355B2 (en) 2020-05-18 2024-12-10 Covidien Lp Articulating ultrasonic surgical instruments and systems
US11911064B2 (en) 2020-12-21 2024-02-27 Cilag Gmbh International Ultrasonic surgical instrument with a clamp arm clocking assembly
KR102559600B1 (ko) 2021-04-06 2023-07-25 주식회사 로엔서지컬 수술도구의 비대칭 구름 관절 장치
EP4337115A1 (en) 2021-05-13 2024-03-20 Covidien LP Surgical instruments and systems incorporating an offset end effector
US20230355266A1 (en) 2022-05-05 2023-11-09 Cilag Gmbh International Clamp force control feature for surgical end effector
US20240366255A1 (en) 2023-05-04 2024-11-07 Cilag Gmbh International Distal node grounding features for acoustic waveguide
US20250375214A1 (en) 2024-06-07 2025-12-11 Cilag Gmbh International Ultrasonic surgical instrument and method of laterally aligning blade with clamp arm

Family Cites Families (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5147380A (en) * 1991-10-03 1992-09-15 Cordis Corporation Biopsy forceps device having improved locking means
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5766196A (en) * 1994-06-06 1998-06-16 Tnco, Inc. Surgical instrument with steerable distal end
US5704534A (en) * 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US6063098A (en) 1996-12-23 2000-05-16 Houser; Kevin Articulable ultrasonic surgical apparatus
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6589200B1 (en) 1999-02-22 2003-07-08 Ethicon Endo-Surgery, Inc. Articulating ultrasonic surgical shears
US5897523A (en) 1998-04-13 1999-04-27 Ethicon Endo-Surgery, Inc. Articulating ultrasonic surgical instrument
US6454782B1 (en) 1998-04-13 2002-09-24 Ethicon Endo-Surgery, Inc. Actuation mechanism for surgical instruments
US5989264A (en) 1998-06-11 1999-11-23 Ethicon Endo-Surgery, Inc. Ultrasonic polyp snare
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6752815B2 (en) 2001-01-31 2004-06-22 Ethicon Endo-Surgery, Inc. Method and waveguides for changing the direction of longitudinal vibrations
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US6817974B2 (en) * 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US8100824B2 (en) 2003-05-23 2012-01-24 Intuitive Surgical Operations, Inc. Tool with articulation lock
US7410483B2 (en) * 2003-05-23 2008-08-12 Novare Surgical Systems, Inc. Hand-actuated device for remote manipulation of a grasping tool
JP4578850B2 (ja) * 2004-04-19 2010-11-10 オリンパス株式会社 超音波処置具
US7828808B2 (en) * 2004-06-07 2010-11-09 Novare Surgical Systems, Inc. Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools
US7846155B2 (en) 2004-10-08 2010-12-07 Ethicon Endo-Surgery, Inc. Handle assembly having hand activation for use with an ultrasonic surgical instrument
US20060178562A1 (en) * 2005-02-10 2006-08-10 Usgi Medical Inc. Apparatus and methods for obtaining endoluminal access with a steerable guide having a variable pivot
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
AU2007210011A1 (en) 2006-01-27 2007-08-09 Medtronic, Inc. Device and system for surgical dissection and or guidance of other medical devices into body
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20070282333A1 (en) 2006-06-01 2007-12-06 Fortson Reginald D Ultrasonic waveguide and blade
JP5165696B2 (ja) 2007-01-16 2013-03-21 エシコン・エンド−サージェリィ・インコーポレイテッド 切断および凝固用超音波装置
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US9023071B2 (en) 2008-09-12 2015-05-05 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8986302B2 (en) 2009-10-09 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US10172636B2 (en) 2013-09-17 2019-01-08 Ethicon Llc Articulation features for ultrasonic surgical instrument

Also Published As

Publication number Publication date
CN107530099B (zh) 2021-03-02
BR112017022071B1 (pt) 2022-05-17
CN107530099A (zh) 2018-01-02
MX388649B (es) 2025-03-20
JP2018511428A (ja) 2018-04-26
BR112017022071A2 (pt) 2018-07-03
US10034683B2 (en) 2018-07-31
WO2016168546A1 (en) 2016-10-20
EP3282965B1 (en) 2024-11-06
EP3282965A1 (en) 2018-02-21
US20160302812A1 (en) 2016-10-20
JP6732792B2 (ja) 2020-07-29

Similar Documents

Publication Publication Date Title
MX2017013272A (es) Instrumento quirurgico ultrasonico con elementos de accionamiento de articulacion de rigidizacion.
MX2017013277A (es) Instrumento quirúrgico ultrasónico con elemento rigidizante movible.
MX2017013261A (es) Instrumento quirurgico ultrasonico con junta de articulacion que tiene una pluralidad de posiciones de bloqueo.
MX2018007617A (es) Instrumento quirurgico con fuerza de sujecion viariable.
MX2017013282A (es) Instrumento quirurgico ultrasonico con efector de extremo de articulacion que tienen una cuchilla curvada.
MX2016006844A (es) Accesorios para aplicar fluido a una cuchilla ultrasonica de un instrumento quirurgico.
MX2017013266A (es) Instrumento quirurgico ultrasonico con junta de articulacion que tiene elementos de rigidización integrales.
MX2016006843A (es) Pieza de mano y configuraciones de cuchillas para instrumento quirurgico ultrasonico.
MX2017008117A (es) Arreglos de accionamiento para instrumentos quirurgicos articulables.
MX2019013909A (es) Sistema de combinacion ultrasonico y electroquirurgico que tiene componentes eeprom y asic.
MX2015014555A (es) Instrumento quirúrgico que comprende un mecanismo de accionamiento de cierre y un mecanismo de accionamiento de disparo operados desde la misma salida rotativa.
MX391401B (es) Instrumento quirúrgico ultrasónico con unidad de mango desmontable.
MX2019013877A (es) Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido con diversos parametros de terminacion.
MX2016007977A (es) Accesorios de brazo de sujecion para instrumento quirurgico ultrasonico.
MX2016003716A (es) Instrumento de engrapado quirúrgico con unidad de accionamiento que tiene características de barra.
MX2022015008A (es) Instrumento quirurgico ultrasonico con porcion de unidad de vastago desmontable.
MX2017013284A (es) Instrumento quirurgico ultrasonico con accionamiento de rosca opuesto para la articulacion del efector de extremo.
MX2015014559A (es) Arreglo de transmisión de un instrumento quirúrgico.
BR112018003725A2 (pt) instrumento cirúrgico ultrassônico com almofada de aperto reposicionável
MX2018000193A (es) Instrumento quirurgico con algoritmos adaptables por el usuario.
MX2016006647A (es) Instrumento quirurgico ultrasonico con caracteristica electroquirurgica.
MX369287B (es) Instrumentos quirurgicos articulables impulsados por motor.
MX2015014564A (es) Instrumentos quírurgicos accionados por motor modular con arreglos de indicación de estado.
BR112017012955A2 (pt) instrumento cirúrgico ultrassônico com dupla função
CL2016002380A1 (es) Dispositivo de limpieza para instrumentos médicos y métodos relacionados de utilización.