FR3119087B1 - Instrument medical - Google Patents

Instrument medical Download PDF

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Publication number
FR3119087B1
FR3119087B1 FR2200670A FR2200670A FR3119087B1 FR 3119087 B1 FR3119087 B1 FR 3119087B1 FR 2200670 A FR2200670 A FR 2200670A FR 2200670 A FR2200670 A FR 2200670A FR 3119087 B1 FR3119087 B1 FR 3119087B1
Authority
FR
France
Prior art keywords
medical instrument
shaft
instrument
control
extending
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.)
Active
Application number
FR2200670A
Other languages
English (en)
Other versions
FR3119087A1 (fr
Inventor
Jochen Stefan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Karl Storz SE and Co KG
Original Assignee
Karl Storz SE and Co KG
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 Karl Storz SE and Co KG filed Critical Karl Storz SE and Co KG
Publication of FR3119087A1 publication Critical patent/FR3119087A1/fr
Application granted granted Critical
Publication of FR3119087B1 publication Critical patent/FR3119087B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/005—Flexible endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • 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
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/2901—Details of shaft
    • A61B2017/2908—Multiple segments connected by articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A61B2034/715—Cable tensioning mechanisms for removing slack

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Robotics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Manipulator (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne une unité d’actionnement (16) pour un instrument médical (10) ainsi qu’un instrument médical (10) équipé d’une tige (12) qui s’étend entre une extrémité proximale (20) et une extrémité distale (22), l’instrument (10) étant réalisé au niveau de l’extrémité distale (22) pour recevoir un organe terminal effecteur (14), une unité d’actionnement (16, 216) associée à l’extrémité proximale de la tige (12) et comportant une pluralité d’entraînements (50, 52, 54, 56) et avec au moins deux lignes de commande (100, 102, 104, 106, 108, 110, 112, 114) s’étendant à travers la tige (12), les au moins deux lignes de commande (100, 102, 104, 106, 108, 110, 112, 114) pouvant être utilisées pour commander au moins un degré de liberté d’instrument, notamment pour piloter l’organe terminal effecteur (14). (Figure 1)
FR2200670A 2021-01-27 2022-01-26 Instrument medical Active FR3119087B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102021101766.1A DE102021101766B4 (de) 2021-01-27 2021-01-27 Medizinisches Instrument und Betätigungseinheit für ein medizinisches Instrument
DEDE102021101766.1 2021-01-27

Publications (2)

Publication Number Publication Date
FR3119087A1 FR3119087A1 (fr) 2022-07-29
FR3119087B1 true FR3119087B1 (fr) 2024-12-13

Family

ID=80507287

Family Applications (1)

Application Number Title Priority Date Filing Date
FR2200670A Active FR3119087B1 (fr) 2021-01-27 2022-01-26 Instrument medical

Country Status (4)

Country Link
US (1) US11517385B2 (fr)
DE (1) DE102021101766B4 (fr)
FR (1) FR3119087B1 (fr)
GB (1) GB2604734B (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102022134201A1 (de) * 2022-12-20 2024-06-20 Karl Storz Se & Co. Kg Chirurgisches Instrument zur Kopplung mit einer Antriebseinheit
DE102024109223A1 (de) * 2023-09-09 2025-03-13 Deutsches Zentrum für Luft- und Raumfahrt e.V. Robotervorrichtung für endoskopische Inspektionen
CN120284344A (zh) * 2023-12-20 2025-07-11 上海术济客医疗科技有限公司 器械驱动装置

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5454827A (en) 1994-05-24 1995-10-03 Aust; Gilbert M. Surgical instrument
US7410483B2 (en) 2003-05-23 2008-08-12 Novare Surgical Systems, Inc. Hand-actuated device for remote manipulation of a grasping tool
DE102004005709A1 (de) * 2004-02-05 2005-08-25 Polydiagnost Gmbh Endoskop mit einer flexiblen Sonde
US7615067B2 (en) * 2006-06-05 2009-11-10 Cambridge Endoscopic Devices, Inc. Surgical instrument
US8801752B2 (en) * 2008-08-04 2014-08-12 Covidien Lp Articulating surgical device
KR101092461B1 (ko) 2009-06-23 2011-12-13 주식회사 케어텍 내시경의 굴절 조절장치
JP6157063B2 (ja) 2012-05-31 2017-07-05 キヤノン株式会社 医療器具
BR112014032776B1 (pt) * 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US10172636B2 (en) * 2013-09-17 2019-01-08 Ethicon Llc Articulation features for ultrasonic surgical instrument
US10813703B2 (en) 2016-08-16 2020-10-27 Ethicon Llc Robotic surgical system with energy application controls
WO2018066129A1 (fr) * 2016-10-07 2018-04-12 オリンパス株式会社 Outil de traitement chirurgical
IT201700041991A1 (it) * 2017-04-14 2018-10-14 Medical Microinstruments Spa Assieme robotico per microchirurgia
WO2019191413A1 (fr) * 2018-03-29 2019-10-03 Intuitive Surgical Operations, Inc. Instruments chirurgicaux télécommandés
EP3826552A2 (fr) * 2018-06-01 2021-06-02 Steerable Instruments NV Dispositif de fusion orientable pouvant être commandé
US12059195B2 (en) * 2020-06-29 2024-08-13 Covidien Lp Seal configurations for surgical instruments such as for use in robotic surgical systems

Also Published As

Publication number Publication date
DE102021101766B4 (de) 2023-01-12
DE102021101766A1 (de) 2022-07-28
GB2604734B (en) 2024-12-11
GB2604734A (en) 2022-09-14
US11517385B2 (en) 2022-12-06
US20220233266A1 (en) 2022-07-28
FR3119087A1 (fr) 2022-07-29
GB202200988D0 (en) 2022-03-09

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