DE29724233U1 - Chirurgische Vorrichtung, insbesondere für die perkutane spinale Chirurgie - Google Patents
Chirurgische Vorrichtung, insbesondere für die perkutane spinale ChirurgieInfo
- Publication number
- DE29724233U1 DE29724233U1 DE29724233U DE29724233U DE29724233U1 DE 29724233 U1 DE29724233 U1 DE 29724233U1 DE 29724233 U DE29724233 U DE 29724233U DE 29724233 U DE29724233 U DE 29724233U DE 29724233 U1 DE29724233 U1 DE 29724233U1
- Authority
- DE
- Germany
- Prior art keywords
- cannula
- working channel
- observation component
- observation
- housing
- 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.)
- Expired - Lifetime
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00261—Discectomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- 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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00469—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/347—Locking means, e.g. for locking instrument in cannula
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
-
- 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
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
-
- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
Description
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Claims (12)
1. Chirurgische Vorrichtung, insbesondere für der perkutane
spinale Chirurgie, umfassend:
eine langgestreckte Kanüle (20) mit Außenabmessungen, die geeignet sind für eine perkutane Einführung in einen Pa tienten, wobei die Kanüle (20) ein distales Ende (21) und ein gegenüberliegendes proximales Ende (22) aufweist und einen Arbeitskanal (25) zwischen diesen Enden einschließt zur Auf nahme zumindest eines Werkzeuges (70) durch den Arbeitskanal; und
ein Beobachtungsbauteil (50) das in der Kanüle neben dem Arbeitskanal (25) montierbar ist, wobei das Beobachtungsbau teil (50) ein erstes Ende (51) hat, das mit einem Beobach tungsgerät verbindbar oder verbunden ist, und ein gegenüber liegendes zweites Ende (52), das am distalen Ende (21) der Kanüle (20) positionierbar ist oder davon vorsteht.
eine langgestreckte Kanüle (20) mit Außenabmessungen, die geeignet sind für eine perkutane Einführung in einen Pa tienten, wobei die Kanüle (20) ein distales Ende (21) und ein gegenüberliegendes proximales Ende (22) aufweist und einen Arbeitskanal (25) zwischen diesen Enden einschließt zur Auf nahme zumindest eines Werkzeuges (70) durch den Arbeitskanal; und
ein Beobachtungsbauteil (50) das in der Kanüle neben dem Arbeitskanal (25) montierbar ist, wobei das Beobachtungsbau teil (50) ein erstes Ende (51) hat, das mit einem Beobach tungsgerät verbindbar oder verbunden ist, und ein gegenüber liegendes zweites Ende (52), das am distalen Ende (21) der Kanüle (20) positionierbar ist oder davon vorsteht.
2. Vorrichtung nach Anspruch 1, mit einer Befestigungsein
richtung (30; 170) zum Montieren des Beobachtungsbauteils
(50) an der Kanüle (20).
3. Vorrichtung nach Anspruch 2, wobei die Befestigungsein
richtung (30) so ausgelegt ist, daß das Beobachtungsbauteil
(50) in der Kanüle (40) befestigbar ist.
4. Vorrichtung nach einem der Ansprüche 2 oder 3, wobei die
Befestigungseinrichtung (30) ein zylinderförmiges Gehäuse
(31) aufweist, das einer zylindrischen Gestalt der Kanüle
(20) entspricht.
5. Vorrichtung nach Anspruch 2, wobei die Befestigungsein
richtung (30) folgendes aufweist:
ein Gehäuse (31), das am proximalen Ende der Kanüle (20)
befestigbar ist, wobei das Gehäuse (31) eine Arbeitskanalöff
nung einschließt, die sich durch das Gehäuse erstreckt und
mit dem Arbeitskanal (25) der Kanüle (20) in Verbindung
steht, wobei die Arbeitskanalöffnung so gestaltet ist, daß
durch sie zumindest ein Werkzeug hindurchführbar ist.
6. Vorrichtung nach Anspruch 2, wobei der Arbeitskanal der
Kanüle eine erste Fläche quer zur Längsachse der Kanüle hat
und wobei die Befestigungseinrichtung einer Arbeitskanalöff
nung begrenzt, die mit dem Arbeitskanal der Kanüle in Verbin
dung steht, und wobei die Arbeitskanalöffnung eine zweite
Fläche hat, die im wesentlichen gleich der genannten ersten
Fläche ist.
7. Vorrichtung nach einem der Ansprüche 2 bis 6, wobei die
Befestigungseinrichtung (30) so gestaltet ist, daß sie das
Beobachtungsbauteil (50) innerhalb des Arbeitskanals (25) der
Kanüle (20) abstützt.
8. Vorrichtung nach einem der vorhergehenden Ansprüche, wo
bei ein Werkzeug (70) in den Arbeitskanal (25) der Kanüle
(20) einführbar ist, wenn auch das Beobachtungsbauteil (50)
in der Kanüle (20) montiert ist.
9. Vorrichtung nach einem der Ansprüche 2 bis 8, wobei die
Befestigungseinrichtung (30) das Beobachtungsbauteil (50) so
abstützt, daß das Beobachtungsbauteil um eine Longitudi
nalachse einer Aufnahme (60), in der das Beobachtungsbauteil
(50) abgestützt ist, drehbar ist.
10. Vorrichtung nach einem der Ansprüche 2 bis 9, wobei die
Befestigungseinrichtung (30) das Beobachtungsbauteil (50)
weiterhin so abstützt, daß es entlang einer Achse bewegbar
ist, die sich in longitudinaler Richtung der Kanüle (20) er
streckt.
11. Vorrichtung nach einem der Ansprüche 2 bis 10, wobei die
das Beobachtungsbauteil (50) um eine Achse (L) des Arbeitska
nals (25) umlaufen kann.
12. Vorrichtung nach einem der vorhergehenden Ansprüche, wo
bei ein Satz von Gewebe-Dilatatoren (151, 152, 153) vorgese
hen ist zum Dilatieren von Gewebe vor dem Einführen der Kanü
le (20) in den Patienten.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/620,933 US5792044A (en) | 1996-03-22 | 1996-03-22 | Devices and methods for percutaneous surgery |
US08/736,626 US5902231A (en) | 1996-03-22 | 1996-10-24 | Devices and methods for percutaneous surgery |
PCT/US1997/004004 WO1997034536A2 (en) | 1996-03-22 | 1997-03-14 | Devices and methods for percutaneous surgery |
Publications (1)
Publication Number | Publication Date |
---|---|
DE29724233U1 true DE29724233U1 (de) | 2000-08-03 |
Family
ID=27088812
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19780707T Revoked DE19780707C2 (de) | 1996-03-22 | 1997-03-14 | Vorrichtung für die perkutane Chirurgie |
DE29724233U Expired - Lifetime DE29724233U1 (de) | 1996-03-22 | 1997-03-14 | Chirurgische Vorrichtung, insbesondere für die perkutane spinale Chirurgie |
DE69729858T Expired - Lifetime DE69729858T2 (de) | 1996-03-22 | 1997-03-14 | Gerät für die perkutane Chirurgie |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19780707T Revoked DE19780707C2 (de) | 1996-03-22 | 1997-03-14 | Vorrichtung für die perkutane Chirurgie |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69729858T Expired - Lifetime DE69729858T2 (de) | 1996-03-22 | 1997-03-14 | Gerät für die perkutane Chirurgie |
Country Status (8)
Country | Link |
---|---|
US (3) | US6176823B1 (de) |
EP (2) | EP1466564B1 (de) |
JP (3) | JP2000511788A (de) |
AT (1) | ATE270850T1 (de) |
AU (1) | AU2324697A (de) |
DE (3) | DE19780707C2 (de) |
ES (1) | ES2224228T3 (de) |
WO (1) | WO1997034536A2 (de) |
Families Citing this family (284)
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US20040176763A1 (en) * | 1996-03-22 | 2004-09-09 | Foley Kevin T. | Methods for percutaneous surgery |
US5792044A (en) * | 1996-03-22 | 1998-08-11 | Danek Medical, Inc. | Devices and methods for percutaneous surgery |
TW375522B (en) * | 1996-10-24 | 1999-12-01 | Danek Medical Inc | Devices for percutaneous surgery under direct visualization and through an elongated cannula |
EP1230902A1 (de) | 1996-11-15 | 2002-08-14 | Advanced Bio Surfaces, Inc. | Biomateralsystem für in-situ Gewebewiederherstellung |
US6033361A (en) * | 1997-06-02 | 2000-03-07 | General Surgical Innovations, Inc. | Vascular retractor |
US5976146A (en) * | 1997-07-11 | 1999-11-02 | Olympus Optical Co., Ltd. | Surgical operation system and method of securing working space for surgical operation in body |
US6175758B1 (en) | 1997-07-15 | 2001-01-16 | Parviz Kambin | Method for percutaneous arthroscopic disc removal, bone biopsy and fixation of the vertebrae |
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1997
- 1997-03-14 JP JP09532098A patent/JP2000511788A/ja active Pending
- 1997-03-14 EP EP04076959A patent/EP1466564B1/de not_active Expired - Lifetime
- 1997-03-14 ES ES97915949T patent/ES2224228T3/es not_active Expired - Lifetime
- 1997-03-14 WO PCT/US1997/004004 patent/WO1997034536A2/en active IP Right Grant
- 1997-03-14 DE DE19780707T patent/DE19780707C2/de not_active Revoked
- 1997-03-14 AU AU23246/97A patent/AU2324697A/en not_active Abandoned
- 1997-03-14 EP EP97915949A patent/EP0891156B1/de not_active Expired - Lifetime
- 1997-03-14 AT AT97915949T patent/ATE270850T1/de not_active IP Right Cessation
- 1997-03-14 DE DE29724233U patent/DE29724233U1/de not_active Expired - Lifetime
- 1997-03-14 DE DE69729858T patent/DE69729858T2/de not_active Expired - Lifetime
-
1998
- 1998-11-25 US US09/200,010 patent/US6176823B1/en not_active Expired - Lifetime
-
1999
- 1999-01-20 US US09/233,880 patent/US6162170A/en not_active Expired - Lifetime
- 1999-01-20 US US09/233,879 patent/US6217509B1/en not_active Expired - Lifetime
-
2006
- 2006-09-07 JP JP2006243263A patent/JP4250647B2/ja not_active Expired - Lifetime
- 2006-09-07 JP JP2006243269A patent/JP4276248B2/ja not_active Expired - Lifetime
Also Published As
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---|---|
DE19780707T1 (de) | 1998-07-02 |
DE19780707C2 (de) | 2002-09-12 |
JP4250647B2 (ja) | 2009-04-08 |
JP2000511788A (ja) | 2000-09-12 |
WO1997034536A2 (en) | 1997-09-25 |
US6162170A (en) | 2000-12-19 |
JP2007007438A (ja) | 2007-01-18 |
DE69729858D1 (de) | 2004-08-19 |
DE69729858T2 (de) | 2005-07-21 |
EP1466564B1 (de) | 2010-10-20 |
JP2007007437A (ja) | 2007-01-18 |
AU2324697A (en) | 1997-10-10 |
EP0891156B1 (de) | 2004-07-14 |
WO1997034536A3 (en) | 1997-11-13 |
JP4276248B2 (ja) | 2009-06-10 |
ES2224228T3 (es) | 2005-03-01 |
ATE270850T1 (de) | 2004-07-15 |
US6217509B1 (en) | 2001-04-17 |
EP1466564A1 (de) | 2004-10-13 |
EP0891156A1 (de) | 1999-01-20 |
US6176823B1 (en) | 2001-01-23 |
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