JP6580038B2 - 軟組織切開するための方法及び装置 - Google Patents

軟組織切開するための方法及び装置 Download PDF

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Publication number: JP6580038B2
Authority: JP; Japan
Prior art keywords: tissue; differential; instrument; ddm; force
Prior art date: 2013-10-28
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 - Fee Related

Application number

JP2016526849A

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English (en)

Japanese (ja)

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JP2016534799A (ja

Inventor

ムーディー，ライアン

ペル，チャールズ・アンソニー

エスペンハーン，エリック・トア

クレンショウ，ヒュー・チャールズ

Original Assignee

ファイサイエント・インコーポレーテッド

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.)

2013-10-28

Filing date

2014-10-27

Publication date

2019-09-25

2013-10-28 Priority claimed from US14/065,191 external-priority patent/US9592069B2/en

2014-10-27 Application filed by ファイサイエント・インコーポレーテッド filed Critical ファイサイエント・インコーポレーテッド

2016-11-10 Publication of JP2016534799A publication Critical patent/JP2016534799A/ja

2019-09-25 Application granted granted Critical

2019-09-25 Publication of JP6580038B2 publication Critical patent/JP6580038B2/ja

Status Expired - Fee Related legal-status Critical Current

2034-10-27 Anticipated expiration legal-status Critical

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Health & Medical Sciences (AREA)
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Surgical Instruments (AREA)

JP2016526849A 2013-10-28 2014-10-27 軟組織切開するための方法及び装置 Expired - Fee Related JP6580038B2 (ja)

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)

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JP2019153470A Division JP2019213922A (ja)	2013-10-28	2019-08-26	軟組織切開するための方法及び装置

Publications (2)

Publication Number	Publication Date
JP2016534799A JP2016534799A (ja)	2016-11-10
JP6580038B2 true JP6580038B2 (ja)	2019-09-25

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JP2016526849A Expired - Fee Related JP6580038B2 (ja)	2013-10-28	2014-10-27	軟組織切開するための方法及び装置
JP2019153470A Pending JP2019213922A (ja)	2013-10-28	2019-08-26	軟組織切開するための方法及び装置

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Country Status (9)

Country	Link
EP (1)	EP3062715A4 (ko)
JP (2)	JP6580038B2 (ko)
KR (1)	KR20160077140A (ko)
CN (2)	CN105848596B (ko)
AU (2)	AU2014342631B2 (ko)
CA (1)	CA2928627A1 (ko)
MX (1)	MX2016005573A (ko)
SG (1)	SG11201603273PA (ko)
WO (1)	WO2015065898A1 (ko)

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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

Family Cites Families (20)

* Cited by examiner, † Cited by third party
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
US7842058B2 (en) *	2003-01-31	2010-11-30	Flex Partners, Inc.	Manipulation and cutting system and method
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
US20080119860A1 (en) *	2006-11-21	2008-05-22	Howmedica Osteonics Corp.	System for preparing bone for receiving an implant
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
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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
AU2014342631B2 (en)	2019-07-25
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

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