WO1995013023A3 - Minimally-invasive surgical instrument and modified ratchet - Google Patents

Minimally-invasive surgical instrument and modified ratchet Download PDF

Info

Publication number
WO1995013023A3
WO1995013023A3 PCT/US1994/013004 US9413004W WO9513023A3 WO 1995013023 A3 WO1995013023 A3 WO 1995013023A3 US 9413004 W US9413004 W US 9413004W WO 9513023 A3 WO9513023 A3 WO 9513023A3
Authority
WO
WIPO (PCT)
Prior art keywords
instrument
shaft
actuating rod
jaw assembly
components
Prior art date
Application number
PCT/US1994/013004
Other languages
French (fr)
Other versions
WO1995013023A2 (en
WO1995013023A9 (en
Inventor
J Garris Morgan
Mark C Hamblin
Warren Kirschbaum
Richard A Strampp
Oliver L Jones Iii
Original Assignee
Innovative Surgical 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 Innovative Surgical Inc filed Critical Innovative Surgical Inc
Priority to AU11761/95A priority Critical patent/AU1176195A/en
Publication of WO1995013023A2 publication Critical patent/WO1995013023A2/en
Publication of WO1995013023A9 publication Critical patent/WO1995013023A9/en
Publication of WO1995013023A3 publication Critical patent/WO1995013023A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/26—Accessories or devices or components used for biocidal treatment
    • A61L2/28—Devices for testing the effectiveness or completeness of sterilisation, e.g. indicators which change colour
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • 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
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2946—Locking means
    • 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
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
    • 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
    • A61B2090/0814—Preventing re-use

Abstract

A minimally-invasive surgical instrument is provided including front and rear handles mounted pivotally relative to each other. A shaft is mounted to the front handle and an actuating rod connected to the rear handle passes through the shaft and is moveable longitudinally relative thereto, the actuating rod having a proximal end coupled to the rear handle and a distal end coupled to a jaw assembly. The jaw assembly may be securely fastened at the distal end of the shaft. Cleaning holes may be provided at strategic locations in the instrument for cleaning capability and individual components of the instrument are interchangeable with other components to provide flexibility in terms of shaft length, jaw assembly function, and the like. The instrument is specifically designed so that any interchange of instrument components may be effected only be releasing securing mechanisms at portions of the instrument that remain outside of a patient during surgery. The instrument may be provided by captured fasteners so that loss and/or contamination of fasteners is avoided. The instrument can include a modified ratchet mechanism including a trigger movable by a surgeon and an impinging member mounted adjacent the actuating rod and secured to the trigger and movable from a position allowing the actuating rod to move longitudinally relative to the shaft, and a position securing the rod against such movement.
PCT/US1994/013004 1993-11-09 1994-11-09 Minimally-invasive surgical instrument and modified ratchet WO1995013023A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU11761/95A AU1176195A (en) 1993-11-09 1994-11-09 Minimally-invasive surgical instrument and modified ratchet

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US14950993A 1993-11-09 1993-11-09
US08/149,509 1993-11-09
US20873994A 1994-03-08 1994-03-08
US08/208,739 1994-03-08

Publications (3)

Publication Number Publication Date
WO1995013023A2 WO1995013023A2 (en) 1995-05-18
WO1995013023A9 WO1995013023A9 (en) 1995-06-22
WO1995013023A3 true WO1995013023A3 (en) 1995-06-29

Family

ID=26846796

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1994/013004 WO1995013023A2 (en) 1993-11-09 1994-11-09 Minimally-invasive surgical instrument and modified ratchet

Country Status (2)

Country Link
AU (1) AU1176195A (en)
WO (1) WO1995013023A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8840628B2 (en) 1995-06-07 2014-09-23 Intuitive Surgical Operations, Inc. Surgical manipulator for a telerobotic system

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69635050T2 (en) * 1995-06-07 2006-05-24 Sri International, Menlo Park SURGICAL MANIPULATOR FOR A REMOTE CONTROLLED ROBOT SYSTEM
US5925064A (en) * 1996-07-01 1999-07-20 University Of Massachusetts Fingertip-mounted minimally invasive surgical instruments and methods of use
US6165184A (en) * 1996-11-18 2000-12-26 Smith & Nephew, Inc. Systems methods and instruments for minimally invasive surgery
CA2271029C (en) * 1996-11-18 2006-01-10 University Of Massachusetts Systems, methods, and instruments for minimally invasive surgery
US6402748B1 (en) 1998-09-23 2002-06-11 Sherwood Services Ag Electrosurgical device having a dielectrical seal
GB9916484D0 (en) 1999-07-15 1999-09-15 Femcare Ltd Surgical clip
AU7360600A (en) * 1999-09-08 2001-04-24 Ray Adams Percutaneous entry system and method
US6761725B1 (en) 1999-09-08 2004-07-13 Jeffrey Grayzel Percutaneous entry system and method
GB0020263D0 (en) * 2000-08-18 2000-10-04 Femcare Cyprus Ltd Improvements in or relating to applicators
DE10122369C2 (en) * 2001-05-09 2003-08-21 Aesculap Ag & Co Kg Surgical instrument
US9820641B2 (en) * 2003-04-29 2017-11-21 Aircraft Medical Limited Laryngoscope with camera attachment
DE102008017298A1 (en) * 2008-03-31 2009-10-01 Karl Storz Gmbh & Co. Kg Medical instrument with flexible use
CN108451555A (en) * 2018-04-02 2018-08-28 成都五义医疗科技有限公司 A kind of surgery hand-held apparatus and its application method
CN108403161A (en) * 2018-04-02 2018-08-17 成都五义医疗科技有限公司 A kind of endoscope-assistant surgery instrument and its application method

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0555105A1 (en) * 1992-02-07 1993-08-11 Symbiosis Corporation Endoscopic surgical instruments having rotatable end effectors
EP0565049A1 (en) * 1992-04-06 1993-10-13 United States Surgical Corporation Surgical instrument locking mechanism
DE4311770A1 (en) * 1992-04-09 1993-10-28 Olympus Optical Co Tweezers for use in medical surgery - has actuating shaft acting between movable part of handle and gripper, by back and forth movement, gripper is opened and closed
DE9401556U1 (en) * 1994-01-31 1994-03-17 Leibinger Medizintech Instrument for minimally invasive surgery

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0555105A1 (en) * 1992-02-07 1993-08-11 Symbiosis Corporation Endoscopic surgical instruments having rotatable end effectors
EP0565049A1 (en) * 1992-04-06 1993-10-13 United States Surgical Corporation Surgical instrument locking mechanism
DE4311770A1 (en) * 1992-04-09 1993-10-28 Olympus Optical Co Tweezers for use in medical surgery - has actuating shaft acting between movable part of handle and gripper, by back and forth movement, gripper is opened and closed
DE9401556U1 (en) * 1994-01-31 1994-03-17 Leibinger Medizintech Instrument for minimally invasive surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8840628B2 (en) 1995-06-07 2014-09-23 Intuitive Surgical Operations, Inc. Surgical manipulator for a telerobotic system

Also Published As

Publication number Publication date
WO1995013023A2 (en) 1995-05-18
AU1176195A (en) 1995-05-29

Similar Documents

Publication Publication Date Title
WO1995013023A3 (en) Minimally-invasive surgical instrument and modified ratchet
EP1224914A3 (en) Surgical instruments useful for endoscopic spinal procedures
US5342391A (en) Cleanable endoscopic surgical instrument
US6077290A (en) Endoscopic instrument with removable front end
AU756859B2 (en) A surgical device
CA2313424A1 (en) Ratchet release mechanism for hand held instruments
US6605105B1 (en) Instrument or forceps for medical and particularly endoscopic applications
CA2571468A1 (en) Surgical stapling apparatus
WO2002096294A3 (en) Bone alignment lever
WO2004028399A3 (en) Thoracic deployment device
CA2336873A1 (en) Apparatus and method for surgical fastening
EP0538984A3 (en) Surgical forceps
CA2491182A1 (en) Retaining pin lever advancement mechanism for a curved cutter stapler
CA2430459A1 (en) Tissue fastener having a shaft with a reduced cross-section
WO2005018462A8 (en) Endoscopic medical instrument and related methods of use
CA2500567A1 (en) Angled surgical fastener apparatus
ATE343967T1 (en) MEDICAL DEVICE WITH EXPANDABLE ELEMENT
EP2263558A3 (en) Stitching devices for surgery
CA2106242A1 (en) Apparatus for Applying Surgical Fasteners
WO2003099138A3 (en) Full thickness resectioning device
CA2359574A1 (en) Surgical instrument having a fastener delivery mechanism
EP0805654A4 (en) Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
EP1576927A3 (en) Surgical stapling device
CA2092891A1 (en) Surgical instrument locking mechanism
EP0647431A3 (en) Surgical suturing apparatus with loading mechanism.

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AM AT AU BB BG BR BY CA CH CN CZ DE DK EE ES FI GB GE HU JP KE KG KP KR KZ LK LR LT LU LV MD MG MN MW NL NO NZ PL PT RO RU SD SE SI SK TJ TT UA UZ VN

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): KE MW SD SZ AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN ML MR NE SN TD TG

COP Corrected version of pamphlet

Free format text: PAGES 8,9,12-16,20,24 AND 26,DESCRIPTION,REPLACED BY NEW PAGES BEARING THE SAME NUMBER;PAGES 1/14-14/14,DRAWINGS,REPLACED BY NEW PAGES 1/7-7/7;AFTER RECTIFICATION OF OBVIOUS ERRORS AS AUTHORIZED BY THE INTERNATIONAL SEARCHING AUTHORITY

AK Designated states

Kind code of ref document: A3

Designated state(s): AM AT AU BB BG BR BY CA CH CN CZ DE DK EE ES FI GB GE HU JP KE KG KP KR KZ LK LR LT LU LV MD MG MN MW NL NO NZ PL PT RO RU SD SE SI SK TJ TT UA UZ VN

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): KE MW SD SZ AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
122 Ep: pct application non-entry in european phase
REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

NENP Non-entry into the national phase

Ref country code: CA