WO2006026236A3 - Tissue resecting system - Google Patents

Tissue resecting system Download PDF

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Publication number
WO2006026236A3
WO2006026236A3 PCT/US2005/029807 US2005029807W WO2006026236A3 WO 2006026236 A3 WO2006026236 A3 WO 2006026236A3 US 2005029807 W US2005029807 W US 2005029807W WO 2006026236 A3 WO2006026236 A3 WO 2006026236A3
Authority
WO
WIPO (PCT)
Prior art keywords
channel
instrument
surgical
defines
fluid flow
Prior art date
Application number
PCT/US2005/029807
Other languages
French (fr)
Other versions
WO2006026236A2 (en
Inventor
Cemal Shener
Original Assignee
Smith & Nephew Inc
Newell Christopher
Nedstrom Petter
Krause Kenneth W
Cemal Shener
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 Smith & Nephew Inc, Newell Christopher, Nedstrom Petter, Krause Kenneth W, Cemal Shener filed Critical Smith & Nephew Inc
Priority to CA2578035A priority Critical patent/CA2578035C/en
Priority to AU2005280280A priority patent/AU2005280280B2/en
Priority to EP18180169.7A priority patent/EP3409185A1/en
Priority to EP12002757.8A priority patent/EP2508119B1/en
Priority to JP2007530014A priority patent/JP5058803B2/en
Priority to EP05786521.4A priority patent/EP1796530B1/en
Publication of WO2006026236A2 publication Critical patent/WO2006026236A2/en
Publication of WO2006026236A3 publication Critical patent/WO2006026236A3/en
Priority to AU2010246360A priority patent/AU2010246360B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00066Proximal part of endoscope body, e.g. handles
    • A61B1/00068Valve switch arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3498Valves therefor, e.g. flapper valves, slide valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A61B2017/0225Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320024Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments

Abstract

A surgical system includes a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument defines a second channel. A valve coupled to the first instrument controls fluid flow through the first channel, such that impedance of fluid flow through the first channel is substantially the same without the second instrument received in the first channel and with the first channel partially blocked by the second instrument. In another aspect, a surgical apparatus includes an outer member and an inner member received within the outer member to define a first channel therebetween. The inner member houses an optical lens and defines a second channel for receiving a surgical instrument. The first and second channels are configured such that a pump having an inflow rate of up to about 0.7 L/min connected to the second channel can maintain fluid pressure inside an organ.
PCT/US2005/029807 2004-08-27 2005-08-22 Tissue resecting system WO2006026236A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CA2578035A CA2578035C (en) 2004-08-27 2005-08-22 Tissue resecting system
AU2005280280A AU2005280280B2 (en) 2004-08-27 2005-08-22 Tissue resecting system
EP18180169.7A EP3409185A1 (en) 2004-08-27 2005-08-22 Tissue resecting system
EP12002757.8A EP2508119B1 (en) 2004-08-27 2005-08-22 Tissue resecting system
JP2007530014A JP5058803B2 (en) 2004-08-27 2005-08-22 Tissue resection system
EP05786521.4A EP1796530B1 (en) 2004-08-27 2005-08-22 Tissue resecting system
AU2010246360A AU2010246360B2 (en) 2004-08-27 2010-11-23 A fluid management system and method

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/927,244 US8062214B2 (en) 2004-08-27 2004-08-27 Tissue resecting system
US10/927,244 2004-08-27

Publications (2)

Publication Number Publication Date
WO2006026236A2 WO2006026236A2 (en) 2006-03-09
WO2006026236A3 true WO2006026236A3 (en) 2006-09-14

Family

ID=35448104

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/029807 WO2006026236A2 (en) 2004-08-27 2005-08-22 Tissue resecting system

Country Status (6)

Country Link
US (7) US8062214B2 (en)
EP (3) EP2508119B1 (en)
JP (2) JP5058803B2 (en)
AU (2) AU2005280280B2 (en)
CA (1) CA2578035C (en)
WO (1) WO2006026236A2 (en)

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