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WO2016100667A3 - Surgical device - Google Patents

Surgical device Download PDF

Info

Publication number
WO2016100667A3
WO2016100667A3 PCT/US2015/066381 US2015066381W WO2016100667A3 WO 2016100667 A3 WO2016100667 A3 WO 2016100667A3 US 2015066381 W US2015066381 W US 2015066381W WO 2016100667 A3 WO2016100667 A3 WO 2016100667A3
Authority
WO
WIPO (PCT)
Prior art keywords
jaws
jaw
open
engagement surface
handle
Prior art date
Application number
PCT/US2015/066381
Other languages
French (fr)
Other versions
WO2016100667A2 (en
Inventor
Ryan C. Abbott
Original Assignee
Maquet Cardiovascular 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 Maquet Cardiovascular Llc filed Critical Maquet Cardiovascular Llc
Publication of WO2016100667A2 publication Critical patent/WO2016100667A2/en
Publication of WO2016100667A3 publication Critical patent/WO2016100667A3/en

Links

Classifications

    • 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
    • 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
    • A61B17/07207—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 the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A61B2017/00061—Light spectrum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A61B2017/00066—Light intensity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936—Pins in guiding slots
    • 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
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • 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
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (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

In accordance with one aspect of the disclosure, a surgical device includes: a handle portion including a movable handle; an elongated tubular portion extending distally from the handle portion; a first jaw having a first engagement surface; a second jaw having a second engagement surface, wherein at least the first jaw moves between open and closed configurations, wherein the jaws are arranged to receive tissue therebetween when open and to exert force on tissue when in the closed configuration; and a drive assembly operates to drive at least the first jaw to transition the jaws between the open and closed configurations, wherein the drive assembly actuates by the movable handle that has an initial position and at least first and second preset positions, wherein in the first preset position the jaws exert a first clamping force and in the second preset position the jaws exert a second clamping force that is greater than the first clamping force. In accordance with another aspect of the disclosure, a surgical device for treatment of parenchyma includes: a handle portion including a movable handle; an elongated tubular portion extending distally from the handle portion, the elongated tubular portion having a transverse cross-sectional dimension at least at a distal region not exceeding 12 millimeters; a first jaw at a distal portion of the device having a first engagement surface; a second jaw at the distal portion of the device having a second engagement surface, wherein at least the first jaw is movable to transition the jaws between an open and closed configurations, wherein the jaws are arranged to receive parenchyma therebetween when open and to exert force on the tissue via the first and second engagement surfaces when in the closed configuration without causing blunt dissection of the parenchyma, wherein the first and second jaws in the closed configuration have a transverse cross-sectional dimension not exceeding 12 millimeters.
PCT/US2015/066381 2014-12-17 2015-12-17 Surgical device WO2016100667A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201462092985P 2014-12-17 2014-12-17
US201462092992P 2014-12-17 2014-12-17
US62/092,992 2014-12-17
US62/092,985 2014-12-17

Publications (2)

Publication Number Publication Date
WO2016100667A2 WO2016100667A2 (en) 2016-06-23
WO2016100667A3 true WO2016100667A3 (en) 2016-08-18

Family

ID=56127856

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2015/066381 WO2016100667A2 (en) 2014-12-17 2015-12-17 Surgical device

Country Status (1)

Country Link
WO (1) WO2016100667A2 (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102102979B1 (en) * 2017-09-14 2020-04-22 포항공과대학교 산학협력단 A medical tissue gripping device
EP3505060B1 (en) * 2017-12-27 2020-11-25 InBody Co., Ltd. Body composition measurement using clamp electrodes
WO2020205374A1 (en) 2019-03-29 2020-10-08 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Forceps with two-part drive bar

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5906630A (en) * 1998-06-30 1999-05-25 Boston Scientific Limited Eccentric surgical forceps
US20080234725A1 (en) * 2007-03-20 2008-09-25 Symmetry Medical Tnco End effector mechanism for a surgical instrument
US20100274244A1 (en) * 2009-04-24 2010-10-28 Tyco Healthcare Group Lp Electrosurgical Tissue Sealer and Cutter
US20110082494A1 (en) * 2009-10-06 2011-04-07 Tyco Healthcare Group Lp Jaw, Blade and Gap Manufacturing for Surgical Instruments With Small Jaws
US20110230880A1 (en) * 2010-03-22 2011-09-22 Tyco Healthcare Group Lp Surgical Forceps
US20120172873A1 (en) * 2010-10-04 2012-07-05 Tyco Healthcare Group Lp Vessel Sealing Instrument
US20130296848A1 (en) * 2012-05-01 2013-11-07 Tyco Healthcare Group Lp Surgical Instrument With Stamped Double-Flag Jaws and Actuation Mechanism
US20140276738A1 (en) * 2013-03-15 2014-09-18 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5906630A (en) * 1998-06-30 1999-05-25 Boston Scientific Limited Eccentric surgical forceps
US20080234725A1 (en) * 2007-03-20 2008-09-25 Symmetry Medical Tnco End effector mechanism for a surgical instrument
US20100274244A1 (en) * 2009-04-24 2010-10-28 Tyco Healthcare Group Lp Electrosurgical Tissue Sealer and Cutter
US20110082494A1 (en) * 2009-10-06 2011-04-07 Tyco Healthcare Group Lp Jaw, Blade and Gap Manufacturing for Surgical Instruments With Small Jaws
US20110230880A1 (en) * 2010-03-22 2011-09-22 Tyco Healthcare Group Lp Surgical Forceps
US20120172873A1 (en) * 2010-10-04 2012-07-05 Tyco Healthcare Group Lp Vessel Sealing Instrument
US20130296848A1 (en) * 2012-05-01 2013-11-07 Tyco Healthcare Group Lp Surgical Instrument With Stamped Double-Flag Jaws and Actuation Mechanism
US20140276738A1 (en) * 2013-03-15 2014-09-18 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms

Also Published As

Publication number Publication date
WO2016100667A2 (en) 2016-06-23

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