AU2014342631B2 - Methods and devices for soft tissue dissection - Google Patents
Methods and devices for soft tissue dissection Download PDFInfo
- Publication number
- AU2014342631B2 AU2014342631B2 AU2014342631A AU2014342631A AU2014342631B2 AU 2014342631 B2 AU2014342631 B2 AU 2014342631B2 AU 2014342631 A AU2014342631 A AU 2014342631A AU 2014342631 A AU2014342631 A AU 2014342631A AU 2014342631 B2 AU2014342631 B2 AU 2014342631B2
- Authority
- AU
- Australia
- Prior art keywords
- tissue
- differential dissecting
- force
- ddm
- instrument
- Prior art date
- Legal status (The legal status 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 status listed.)
- Ceased
Links
- 210000004872 soft tissue Anatomy 0.000 title claims abstract description 66
- 238000002224 dissection Methods 0.000 title description 114
- 238000000034 method Methods 0.000 title description 28
- 210000001519 tissue Anatomy 0.000 claims abstract description 747
- 230000007246 mechanism Effects 0.000 claims abstract description 99
- 230000006835 compression Effects 0.000 claims description 32
- 238000007906 compression Methods 0.000 claims description 32
- 230000006378 damage Effects 0.000 claims description 10
- 230000004044 response Effects 0.000 claims description 6
- 230000000670 limiting effect Effects 0.000 claims description 4
- 238000012423 maintenance Methods 0.000 claims description 4
- 230000002040 relaxant effect Effects 0.000 claims 1
- 238000003780 insertion Methods 0.000 description 66
- 230000037431 insertion Effects 0.000 description 66
- 239000000835 fiber Substances 0.000 description 62
- 230000033001 locomotion Effects 0.000 description 62
- 230000010355 oscillation Effects 0.000 description 57
- 210000004204 blood vessel Anatomy 0.000 description 35
- 210000004379 membrane Anatomy 0.000 description 29
- 239000012528 membrane Substances 0.000 description 29
- 238000001356 surgical procedure Methods 0.000 description 29
- 239000000463 material Substances 0.000 description 26
- 239000002775 capsule Substances 0.000 description 25
- CHBOSHOWERDCMH-UHFFFAOYSA-N 1-chloro-2,2-bis(4-chlorophenyl)ethane Chemical compound C=1C=C(Cl)C=CC=1C(CCl)C1=CC=C(Cl)C=C1 CHBOSHOWERDCMH-UHFFFAOYSA-N 0.000 description 18
- 230000009471 action Effects 0.000 description 16
- 239000004020 conductor Substances 0.000 description 16
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 15
- 238000005520 cutting process Methods 0.000 description 14
- 210000003811 finger Anatomy 0.000 description 14
- 230000005641 tunneling Effects 0.000 description 14
- 102000008186 Collagen Human genes 0.000 description 11
- 108010035532 Collagen Proteins 0.000 description 11
- 229920001436 collagen Polymers 0.000 description 11
- 230000017531 blood circulation Effects 0.000 description 10
- 230000007423 decrease Effects 0.000 description 10
- 230000007480 spreading Effects 0.000 description 10
- 238000003892 spreading Methods 0.000 description 10
- 239000012636 effector Substances 0.000 description 9
- 238000013459 approach Methods 0.000 description 8
- 238000013461 design Methods 0.000 description 8
- 210000004072 lung Anatomy 0.000 description 8
- 210000005036 nerve Anatomy 0.000 description 8
- 239000012530 fluid Substances 0.000 description 7
- 210000000232 gallbladder Anatomy 0.000 description 7
- 238000002357 laparoscopic surgery Methods 0.000 description 7
- 230000003534 oscillatory effect Effects 0.000 description 7
- 230000008901 benefit Effects 0.000 description 6
- 230000003247 decreasing effect Effects 0.000 description 6
- 238000010408 sweeping Methods 0.000 description 6
- 210000003195 fascia Anatomy 0.000 description 5
- 230000005484 gravity Effects 0.000 description 5
- 208000014674 injury Diseases 0.000 description 5
- 210000004185 liver Anatomy 0.000 description 5
- 230000008733 trauma Effects 0.000 description 5
- 210000003484 anatomy Anatomy 0.000 description 4
- 230000006399 behavior Effects 0.000 description 4
- 230000005540 biological transmission Effects 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 229910003460 diamond Inorganic materials 0.000 description 4
- 239000010432 diamond Substances 0.000 description 4
- 230000009699 differential effect Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000000314 lubricant Substances 0.000 description 4
- 210000000713 mesentery Anatomy 0.000 description 4
- 210000004303 peritoneum Anatomy 0.000 description 4
- 230000002829 reductive effect Effects 0.000 description 4
- 230000001105 regulatory effect Effects 0.000 description 4
- 238000000926 separation method Methods 0.000 description 4
- 230000003685 thermal hair damage Effects 0.000 description 4
- 210000003932 urinary bladder Anatomy 0.000 description 4
- 102000016942 Elastin Human genes 0.000 description 3
- 108010014258 Elastin Proteins 0.000 description 3
- 238000003491 array Methods 0.000 description 3
- 238000005452 bending Methods 0.000 description 3
- 230000001276 controlling effect Effects 0.000 description 3
- 230000005611 electricity Effects 0.000 description 3
- 210000000936 intestine Anatomy 0.000 description 3
- 230000001788 irregular Effects 0.000 description 3
- 230000002262 irrigation Effects 0.000 description 3
- 238000003973 irrigation Methods 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 238000003825 pressing Methods 0.000 description 3
- 210000001147 pulmonary artery Anatomy 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 239000000523 sample Substances 0.000 description 3
- 235000020637 scallop Nutrition 0.000 description 3
- 230000003068 static effect Effects 0.000 description 3
- 210000002435 tendon Anatomy 0.000 description 3
- 210000003813 thumb Anatomy 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 241001465754 Metazoa Species 0.000 description 2
- 241000237509 Patinopecten sp. Species 0.000 description 2
- 108010081750 Reticulin Proteins 0.000 description 2
- 208000031737 Tissue Adhesions Diseases 0.000 description 2
- 238000002679 ablation Methods 0.000 description 2
- 239000011149 active material Substances 0.000 description 2
- 210000000577 adipose tissue Anatomy 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 210000000013 bile duct Anatomy 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 230000001010 compromised effect Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 239000002537 cosmetic Substances 0.000 description 2
- 210000001096 cystic duct Anatomy 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 229920002549 elastin Polymers 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 239000000806 elastomer Substances 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 239000011521 glass Substances 0.000 description 2
- 238000003306 harvesting Methods 0.000 description 2
- 210000002216 heart Anatomy 0.000 description 2
- 238000010438 heat treatment Methods 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000011068 loading method Methods 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000017074 necrotic cell death Effects 0.000 description 2
- 238000012856 packing Methods 0.000 description 2
- 239000002245 particle Substances 0.000 description 2
- 210000003516 pericardium Anatomy 0.000 description 2
- 239000002504 physiological saline solution Substances 0.000 description 2
- 210000004224 pleura Anatomy 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 238000002432 robotic surgery Methods 0.000 description 2
- 210000003752 saphenous vein Anatomy 0.000 description 2
- 238000010008 shearing Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- 238000007514 turning Methods 0.000 description 2
- 238000009736 wetting Methods 0.000 description 2
- OFNXOACBUMGOPC-HZYVHMACSA-N 5'-hydroxystreptomycin Chemical compound CN[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O[C@H]1O[C@@H]1[C@](C=O)(O)[C@H](CO)O[C@H]1O[C@@H]1[C@@H](NC(N)=N)[C@H](O)[C@@H](NC(N)=N)[C@H](O)[C@H]1O OFNXOACBUMGOPC-HZYVHMACSA-N 0.000 description 1
- XDTMQSROBMDMFD-UHFFFAOYSA-N C1CCCCC1 Chemical compound C1CCCCC1 XDTMQSROBMDMFD-UHFFFAOYSA-N 0.000 description 1
- 0 CCC*1=CCCC1 Chemical compound CCC*1=CCCC1 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 102000029816 Collagenase Human genes 0.000 description 1
- 108060005980 Collagenase Proteins 0.000 description 1
- 208000034656 Contusions Diseases 0.000 description 1
- 102000004127 Cytokines Human genes 0.000 description 1
- 108090000695 Cytokines Proteins 0.000 description 1
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 1
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 241000237503 Pectinidae Species 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 229940121363 anti-inflammatory agent Drugs 0.000 description 1
- 239000002260 anti-inflammatory agent Substances 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 210000003123 bronchiole Anatomy 0.000 description 1
- 239000013590 bulk material Substances 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000005465 channeling Effects 0.000 description 1
- 238000010382 chemical cross-linking Methods 0.000 description 1
- 238000005234 chemical deposition Methods 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 230000002939 deleterious effect Effects 0.000 description 1
- 238000003618 dip coating Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000009760 electrical discharge machining Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000002744 extracellular matrix Anatomy 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000000227 grinding Methods 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 239000000017 hydrogel Substances 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- OFNXOACBUMGOPC-UHFFFAOYSA-N hydroxystreptomycin Natural products CNC1C(O)C(O)C(CO)OC1OC1C(C=O)(O)C(CO)OC1OC1C(N=C(N)N)C(O)C(N=C(N)N)C(O)C1O OFNXOACBUMGOPC-UHFFFAOYSA-N 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- OKPOKMCPHKVCPP-UHFFFAOYSA-N isoorientaline Natural products C1=C(O)C(OC)=CC(CC2C3=CC(OC)=C(O)C=C3CCN2C)=C1 OKPOKMCPHKVCPP-UHFFFAOYSA-N 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 210000001165 lymph node Anatomy 0.000 description 1
- 230000001926 lymphatic effect Effects 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 210000001349 mammary artery Anatomy 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 238000002406 microsurgery Methods 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 210000001087 myotubule Anatomy 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 210000004126 nerve fiber Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 210000002254 renal artery Anatomy 0.000 description 1
- 210000002796 renal vein Anatomy 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- JTQHYPFKHZLTSH-UHFFFAOYSA-N reticulin Natural products COC1CC(OC2C(CO)OC(OC3C(O)CC(OC4C(C)OC(CC4OC)OC5CCC6(C)C7CCC8(C)C(CCC8(O)C7CC=C6C5)C(C)O)OC3C)C(O)C2OC)OC(C)C1O JTQHYPFKHZLTSH-UHFFFAOYSA-N 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 239000011435 rock Substances 0.000 description 1
- 239000004576 sand Substances 0.000 description 1
- 238000005488 sandblasting Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 238000005201 scrubbing Methods 0.000 description 1
- 150000004756 silanes Chemical class 0.000 description 1
- 229910010271 silicon carbide Inorganic materials 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 229910000679 solder Inorganic materials 0.000 description 1
- 238000004544 sputter deposition Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 239000004575 stone Substances 0.000 description 1
- 238000004381 surface treatment Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- 238000007740 vapor deposition Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00858—Material properties high friction or non-slip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- 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
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1412—Blade
-
- 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
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1422—Hook
-
- 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
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Gynecology & Obstetrics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2019253899A AU2019253899A1 (en) | 2013-10-28 | 2019-10-25 | Methods and devices for soft tissue dissection |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/065,191 | 2013-10-28 | ||
| US14/065,191 US9592069B2 (en) | 2012-04-28 | 2013-10-28 | Methods and devices for soft tissue dissection |
| PCT/US2014/062382 WO2015065898A1 (en) | 2013-10-28 | 2014-10-27 | Methods and devices for soft tissue dissection |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2019253899A Division AU2019253899A1 (en) | 2013-10-28 | 2019-10-25 | Methods and devices for soft tissue dissection |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AU2014342631A1 AU2014342631A1 (en) | 2016-05-12 |
| AU2014342631B2 true AU2014342631B2 (en) | 2019-07-25 |
Family
ID=53004990
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2014342631A Ceased AU2014342631B2 (en) | 2013-10-28 | 2014-10-27 | Methods and devices for soft tissue dissection |
| AU2019253899A Abandoned AU2019253899A1 (en) | 2013-10-28 | 2019-10-25 | Methods and devices for soft tissue dissection |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2019253899A Abandoned AU2019253899A1 (en) | 2013-10-28 | 2019-10-25 | Methods and devices for soft tissue dissection |
Country Status (9)
| Country | Link |
|---|---|
| EP (1) | EP3062715A4 (ja) |
| JP (2) | JP6580038B2 (ja) |
| KR (1) | KR20160077140A (ja) |
| CN (2) | CN105848596B (ja) |
| AU (2) | AU2014342631B2 (ja) |
| CA (1) | CA2928627A1 (ja) |
| MX (1) | MX2016005573A (ja) |
| SG (1) | SG11201603273PA (ja) |
| WO (1) | WO2015065898A1 (ja) |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11298151B2 (en) | 2017-06-18 | 2022-04-12 | Yissum Research Development Company Of The Hebrew University Of Jerusalem Ltd. | Device, system and method for pericardial access |
| EP3687418B1 (en) * | 2017-09-25 | 2025-09-17 | Paul Weber | Apparatus and systems for minimally invasive dissection of tissues |
| IL266653B (en) * | 2019-05-15 | 2020-08-31 | Cardiovia Ltd | Non-penetrating tissue separator |
| WO2021007217A1 (en) * | 2019-07-08 | 2021-01-14 | Cook Medical Technologies Llc | Endoscopic resection cap with built-in oscillating dissector |
| CN111012549B (zh) * | 2019-12-27 | 2022-05-20 | 先健科技(深圳)有限公司 | 测力装置 |
| CN112635022B (zh) * | 2020-11-27 | 2023-07-25 | 易波 | 用于吸持生物组织的亲水界面的评价方法及系统 |
| TWI836701B (zh) * | 2022-11-04 | 2024-03-21 | 財團法人金屬工業研究發展中心 | 手術切割刀具的驅動裝置 |
| AU2024270698A1 (en) * | 2023-05-18 | 2025-12-04 | Stryker Corporation | Motion converting attachment for a surgical tool |
| CN119369332B (zh) * | 2024-12-31 | 2025-04-04 | 厚凯(北京)医疗科技有限公司 | 一种扭力扳手 |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20070167966A1 (en) * | 2003-01-31 | 2007-07-19 | Simpson Philip J | Manipulation and cutting system and method |
| US20080119860A1 (en) * | 2006-11-21 | 2008-05-22 | Howmedica Osteonics Corp. | System for preparing bone for receiving an implant |
Family Cites Families (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA1126134A (en) * | 1979-05-29 | 1982-06-22 | Skil Canada Ltd. | Cam mechanism for imparting orbital movement to the blade of a reciprocating saw |
| US4490885A (en) * | 1981-10-08 | 1985-01-01 | Metro Iskiw | Fish scaler |
| AT382776B (de) * | 1985-05-07 | 1987-04-10 | Ender Hans Georg | Vorrichtung zur osteotomie und saegeblatt hiefuer |
| US5591186A (en) * | 1991-05-22 | 1997-01-07 | Wurster; Helmut | Self-cutting trocar |
| AU7056294A (en) * | 1993-06-07 | 1995-01-03 | Carl E. Fabian | Instrument for removing neurologic tumors |
| US5643248A (en) * | 1995-02-07 | 1997-07-01 | Yoon; Inbae | Medical instrument with force limiting mechanism |
| US6017354A (en) * | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
| US5919203A (en) * | 1998-01-21 | 1999-07-06 | Royce H. Husted | Powered surgical tool |
| US7540875B2 (en) * | 1998-06-01 | 2009-06-02 | Avatar Design & Development, Inc. | Surgical cutting tool with automatically retractable blade assembly |
| US6840938B1 (en) * | 2000-12-29 | 2005-01-11 | Intuitive Surgical, Inc. | Bipolar cauterizing instrument |
| US20050203561A1 (en) * | 2004-03-09 | 2005-09-15 | Palmer Joetta R. | Lighted dissector and method for use |
| US7497860B2 (en) * | 2004-07-09 | 2009-03-03 | Stryker Corporation | Surgical sagittal saw including a handpiece and a removable blade assembly, the blade assembly including a guide bar, a blade head capable of oscillatory movement and a drive rod for actuating the blade head |
| US20080033473A1 (en) * | 2006-08-03 | 2008-02-07 | Daniel Refai | Blunt Dissection and Tissue Elevation Instrument |
| WO2008022257A2 (en) * | 2006-08-16 | 2008-02-21 | Pneumrx, Inc. | Devices, systems, methods and kits for performing selective dissection of lung tissue |
| CN201189189Y (zh) * | 2008-06-12 | 2009-02-04 | 北京迈迪顶峰医疗科技有限公司 | 组织剥离器 |
| US8795278B2 (en) * | 2008-06-23 | 2014-08-05 | Microfabrica Inc. | Selective tissue removal tool for use in medical applications and methods for making and using |
| JP2010051439A (ja) * | 2008-08-27 | 2010-03-11 | Ntn Corp | 遠隔操作型アクチュエータ |
| NZ725053A (en) * | 2012-04-28 | 2018-05-25 | Physcient Inc | Methods and devices for soft tissue dissection |
-
2014
- 2014-10-27 KR KR1020167013851A patent/KR20160077140A/ko not_active Ceased
- 2014-10-27 EP EP14857187.0A patent/EP3062715A4/en not_active Withdrawn
- 2014-10-27 CA CA2928627A patent/CA2928627A1/en not_active Abandoned
- 2014-10-27 AU AU2014342631A patent/AU2014342631B2/en not_active Ceased
- 2014-10-27 CN CN201480071443.8A patent/CN105848596B/zh not_active Expired - Fee Related
- 2014-10-27 JP JP2016526849A patent/JP6580038B2/ja not_active Expired - Fee Related
- 2014-10-27 MX MX2016005573A patent/MX2016005573A/es unknown
- 2014-10-27 WO PCT/US2014/062382 patent/WO2015065898A1/en not_active Ceased
- 2014-10-27 SG SG11201603273PA patent/SG11201603273PA/en unknown
- 2014-10-27 CN CN201910428265.4A patent/CN110403673A/zh active Pending
-
2019
- 2019-08-26 JP JP2019153470A patent/JP2019213922A/ja active Pending
- 2019-10-25 AU AU2019253899A patent/AU2019253899A1/en not_active Abandoned
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20070167966A1 (en) * | 2003-01-31 | 2007-07-19 | Simpson Philip J | Manipulation and cutting system and method |
| US20080119860A1 (en) * | 2006-11-21 | 2008-05-22 | Howmedica Osteonics Corp. | System for preparing bone for receiving an implant |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2015065898A1 (en) | 2015-05-07 |
| KR20160077140A (ko) | 2016-07-01 |
| JP2016534799A (ja) | 2016-11-10 |
| EP3062715A1 (en) | 2016-09-07 |
| EP3062715A4 (en) | 2017-07-12 |
| CA2928627A1 (en) | 2015-05-07 |
| CN110403673A (zh) | 2019-11-05 |
| AU2014342631A1 (en) | 2016-05-12 |
| MX2016005573A (es) | 2016-08-11 |
| CN105848596A (zh) | 2016-08-10 |
| AU2019253899A1 (en) | 2019-11-14 |
| JP2019213922A (ja) | 2019-12-19 |
| SG11201603273PA (en) | 2016-05-30 |
| CN105848596B (zh) | 2019-06-18 |
| JP6580038B2 (ja) | 2019-09-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US11253283B2 (en) | Methods and devices for soft tissue dissection | |
| AU2014342631B2 (en) | Methods and devices for soft tissue dissection | |
| JP6723283B2 (ja) | 軟組織切開するための方法及び装置 | |
| JP2025143307A (ja) | 内蔵型振動剥離器を備える内視鏡切除キャップ | |
| HK40016864A (en) | Methods and devices for soft tissue dissection | |
| HK1251138B (en) | Devices for soft tissue dissection | |
| HK1203338B (en) | Devices for soft tissue dissection | |
| HK40000080A (en) | Methods and devices for soft tissue dissection |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FGA | Letters patent sealed or granted (standard patent) | ||
| MK14 | Patent ceased section 143(a) (annual fees not paid) or expired |