GR1009366B - Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα - Google Patents

Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα

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Publication number
GR1009366B
GR1009366B GR20170100279A GR20170100279A GR1009366B GR 1009366 B GR1009366 B GR 1009366B GR 20170100279 A GR20170100279 A GR 20170100279A GR 20170100279 A GR20170100279 A GR 20170100279A GR 1009366 B GR1009366 B GR 1009366B
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GR
Greece
Prior art keywords
guide
bone
camera
intramedullary
wire
Prior art date
Application number
GR20170100279A
Other languages
English (en)
Inventor
Δημητριος Αντωνιου Πλακας
Χρηστος Σαββα Χαραλαμπιδης
Original Assignee
Δημητριος Αντωνιου Πλακας
Χρηστος Σαββα Χαραλαμπιδης
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 Δημητριος Αντωνιου Πλακας, Χρηστος Σαββα Χαραλαμπιδης filed Critical Δημητριος Αντωνιου Πλακας
Priority to GR20170100279A priority Critical patent/GR1009366B/el
Priority to US16/615,879 priority patent/US11419492B2/en
Priority to PCT/IB2017/057203 priority patent/WO2018122641A1/en
Priority to PL17811718.0T priority patent/PL3641680T3/pl
Priority to EP17811718.0A priority patent/EP3641680B8/en
Priority to ES17811718T priority patent/ES2929483T3/es
Publication of GR1009366B publication Critical patent/GR1009366B/el

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00105—Constructional details of the endoscope body characterised by modular construction
    • 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • 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
    • 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
    • A61B1/012—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 characterised by internal passages or accessories therefor
    • A61B1/015—Control of fluid supply or evacuation
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A61B1/05—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A61B1/053—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion being detachable
    • 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
    • A61B1/12—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 with cooling or rinsing arrangements
    • A61B1/126—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 with cooling or rinsing arrangements provided with means for cleaning in-use
    • 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
    • A61B1/313—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 for introducing through surgical openings, e.g. laparoscopes
    • A61B1/317—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 for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary devices, e.g. pins or nails
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90—Guides therefor
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • 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
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary devices, e.g. pins or nails
    • A61B17/7208—Flexible pins, e.g. ENDER pins
    • 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
    • A61B90/36—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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Landscapes

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

Abstract

Η εφεύρεση συνίσταται σε προϊόν για την κλειστή ανάταξη καταγμάτων και συγκεκριμένα σε έναν νέου τύπου ενδομυελικό αυλοφόρο οδηγό ανάταξης κατάγματος με ενδοσκοπική κάμερα για χρήση σε εγχειρήσεις ενδομυελικής ήλωσης. Ο ενδομυελικός αυλοφόρος οδηγός ανάταξης αποτελείται από εύκαμπτη; άθραυστη, αρθρωτή και αυλοφόρα ράβδο, λαβή τύπου Τ (T-handle) με οπή στην άνω επιφάνεια, από κάμερα, που βρίσκεται στο άκρο του οδηγού, φέρει πηγή φωτισμού και η οποία συνδέεται ενσύρματα ή ασύρματα σε συσκευή αναπαραγωγής εικόνας από φλάντζα στεγανοποίησης με σχισμή ή στόμιο, κάνουλα (οπή) εισαγωγής και εξαγωγής για την αναρρόφηση υγρού ή / και την πλύση του υαλοπίνακα της κάμερας. Ο ενδοσκοπικός αυλοφόρος οδηγός ανάταξης με ενδοσκοπική κάμερα εισέρχεται, σε οστό που έχει υποστεί κάταγμα. Στην οθόνη φαίνεται η ενδοαυλική εικόνα που λαμβάνει η κάμερα όταν συναντάει την εστία του κατάγματος. Έτσι ο χειρουργός αντιλαμβάνεται την κατεύθυνση προς την οποία πρέπει να ωθήσει τα οστικά τεμάχια, ώστε με σκελετικούς χειρισμούς να τα ανατάξει. Μετά την είσοδο του ενδομυελικού αυλοφόρου οδηγού ανάταξης αφαιρείται η κάμερα από τον οδηγό, τραβώντας το καλώδιο της κάμερας και εισέρχεται, διαμέσου του αυλού του οδηγού, ο συρμάτινος οδηγός με την ελαία στο άκρο και συνεχίζεται η εγχείρηση όπως γινόταν μέχρι σήμερα.
GR20170100279A 2017-06-21 2017-06-21 Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα GR1009366B (el)

Priority Applications (6)

Application Number Priority Date Filing Date Title
GR20170100279A GR1009366B (el) 2017-06-21 2017-06-21 Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα
US16/615,879 US11419492B2 (en) 2017-06-21 2017-11-17 Intramedullary cannulated guide for fracture reduction with endoscopic camera
PCT/IB2017/057203 WO2018122641A1 (en) 2017-06-21 2017-11-17 Intramedullary cannulated guide for fracture reduction with endoscopic camera
PL17811718.0T PL3641680T3 (pl) 2017-06-21 2017-11-17 Kaniulująca prowadnica śródszpikowa z endoskopową kamerą do nastawiania złamania
EP17811718.0A EP3641680B8 (en) 2017-06-21 2017-11-17 Intramedullary cannulated guide for fracture reduction with endoscopic camera
ES17811718T ES2929483T3 (es) 2017-06-21 2017-11-17 Guía canulada intramedular para la reducción de fracturas con cámara endoscópica

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GR20170100279A GR1009366B (el) 2017-06-21 2017-06-21 Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα

Publications (1)

Publication Number Publication Date
GR1009366B true GR1009366B (el) 2018-09-21

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GR20170100279A GR1009366B (el) 2017-06-21 2017-06-21 Ενδομυελικος αυλοφορος οδηγος αναταξης καταγματος με ενδοσκοπικη καμερα

Country Status (6)

Country Link
US (1) US11419492B2 (el)
EP (1) EP3641680B8 (el)
ES (1) ES2929483T3 (el)
GR (1) GR1009366B (el)
PL (1) PL3641680T3 (el)
WO (1) WO2018122641A1 (el)

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EP3501457A1 (en) * 2017-12-20 2019-06-26 Materialise N.V. Flexible porous implant fixation system
US12349868B2 (en) * 2020-03-04 2025-07-08 Anqing Medical Co., Ltd. Flexible endoscope
CN118021412B (zh) * 2022-11-04 2025-09-16 北京术锐机器人股份有限公司 基于主动柔性段的骨连接系统
CN118830908B (zh) * 2024-09-23 2024-12-06 北京维卓致远医疗科技股份有限公司 一种长骨骨折复位器械
CN118845188B (zh) * 2024-09-23 2024-12-06 北京维卓致远医疗科技股份有限公司 一种长骨骨折导航复位用套件
CN118845187B (zh) * 2024-09-23 2024-12-10 北京维卓致远医疗科技股份有限公司 一种长骨骨折导航复位及复位维持器械

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Also Published As

Publication number Publication date
US11419492B2 (en) 2022-08-23
EP3641680B1 (en) 2022-06-29
EP3641680B8 (en) 2022-08-03
WO2018122641A1 (en) 2018-07-05
EP3641680A1 (en) 2020-04-29
US20220015621A1 (en) 2022-01-20
ES2929483T3 (es) 2022-11-29
PL3641680T3 (pl) 2022-11-28

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