KR960700656A - 복강경 절개 인장 견인기 장치 및 방법(a laparoscopic dissection tension retractor device and method) - Google Patents

복강경 절개 인장 견인기 장치 및 방법(a laparoscopic dissection tension retractor device and method) Download PDF

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KR960700656A
KR960700656A KR1019950703501A KR19950703501A KR960700656A KR 960700656 A KR960700656 A KR 960700656A KR 1019950703501 A KR1019950703501 A KR 1019950703501A KR 19950703501 A KR19950703501 A KR 19950703501A KR 960700656 A KR960700656 A KR 960700656A
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피튼 로이스
고만 2세 윌리엄
마코우어 죠슈아
소딕슨 아톤
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알렌 제이. 스피겔
발리랩, 인코포레이티드
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
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    • 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
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    • A61B2017/2901—Details of shaft
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
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Abstract

환자에 대한 내부 외과적 용도를 위한 최소침입형 견인 및 절개기(10)는 신체로 통하기 위한 관상 지지부(11)을 가진다; 관상 지지부(11)은 환자의 내부조직에 대한 수술과정중 축 "A"를 따라 접근하기 위한 통로를 가진다. 말단이 환자의 내부에 위치하는 반면에 관상 지지부의 기단은 외과의사가 접근하는 위치에서 환자의 외부에 위치한다. 한 개 이상의 결합되어 관절운동 부재(15)들은 말단 뒤에 배치된 조직을 잡아당길 수 있고 움직일 수 있도록 위치하고, 각 부재들은 조직을 잡기 위한 말단팁(17)을 가진다. 각 부재들과 독립적으로 움직일 수 있는 기구는 조직에 대해 협동작용을 하고 부재들이 조직에 위치한 것과 마찬가지로 기단에서 말단뒤까지의 통로(16)를 갖는다. 기구는 외과적 도구이고, 조직은 도구에 관련된 위치로 신체내부에서 부재들에 의해서 이동된다. 기단(12)의 제어기(19)는 말단(13) 뒤에 배치된 조직을 잡아당기도록 축 "A"에 관련된 부재들을 조종한다; 제어기(19)는 조직을 잡고 가동시키는 조작을 위하여 부재들과 기구가 독립적으로 움직이도록 해준다. 최소침입형 견인 및 절개기(10)를 사용하는 방법은 신체내부로 통하기 위한 관상 지지부(11)을 위한 절개구를 만드는 단계, 신체 외부에 관상 지지부(11)의 기단(12)을 남겨두는 단계, 말단(13)을 신체내부에 위치시키는 단계와 관상 지지부로 이동된 부재들을 움직이는 단계들로 이루어진다. 말단(13) 뒤에 배치된 조직을 잡아당기는 것과 내부조직에 대한 조작을 위해 축을 따른 접근을 위한 통로(16)의 사용 등은 부가적 단계들이다. 다른 단계는 부재들과 독립해서 통로(16)로 기구들을 움직이는 것이다.

Description

복강경 절개 인장 견인기 장치 및 방법(A LAPAROSCOPIC DISSECTION TENSION RETRACTOR DEVICE AND METHOD)
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도는 제어기에 의한 부재들의 동작을 도시하는 본 발명의 최소침입형 견인 절개기의 일부 절결 사시도이고,
제2도는 견인된 조직 사이에서 작동하는 부재와 기구의 확대된 부분 사시도이다.

Claims (26)

  1. 환자의 신체내로 관통되는 관상 지지부; 외과의사의 접근을 제공하는 위치에서 환자의 신체의 외부에 위치하는 관상 지지부위의 기단; 외과의사의 접근을 제공하는 위치에서 환자의 신체의 내부에 위치하는 관상 지지부위의 말단; 관상 지지부의 기단에 위치한 제어기; 말단에 대하여 스윙운동하는 것을 허용하는 다수의 관절운동 부재들과 관상 지지부의 말단에 관련되어 움직일 수 있도록 위치한 한 개 이상의 관절운동 부재들; 제어기에 관련된 운동을 위한 환자의 신체내부에 관절운동 부재들과 관상 지지부의 기단의 연결된 회전장치;로 이루어진 환자의 신체에 대한 내부 외과적 용도를 위한 최소침입형 견인 및 절개기(10).
  2. 제1항에 있어서, 관상 지지부(11)은 환자의 내부조직에 대한 수술과정동안 축 "A"를 따라 충분한 접근이 가능한 기단에서 말단으로 통하는 통로(16)를 포함하는 최소침입형 견입 및 절개기.
  3. 제2항에 있어서, 통로는 관절운동 부대들의 독립적인 동작이 가능한 기구와 기단(12)에서 말단(13)으로 통로(16)를 거쳐 동시에 지나도록 배치된 기구를 받아들이는데 방해가 되지 않고 조직에 대한 협동작용을 기동적으로 수행하여 관절운동 부재들이 기구와 환자의 신체에 관련된 조직을 잡거나 위치시킬 수 있고, 기구는 관절운동 부재들에 의해 잡혀진 조직위에서 조작될 수 있는 최소침입형 견인 및 절개기(10)와 기구.
  4. 제2항에 있어서, 기구는 외과적 도구이고 조직은 그 외과적 도구에 관련된 위치로 환자의 신체내부로 관절운동 부재들에 의해 견인되도록 기동 되어지는 최소침입형 견인 및 절개기(10)와 기구.
  5. 제4항에 있어서, 외과적 도구가 전자외과적 장치인 최소침입형 견인 및 절개기(10)와 기구.
  6. 제3항에 있어서, 관절운동 부재가 말단(13) 뒤로 연장된 적어도 한 개의 관절운동 부재(15)에서 수행되고 환자의 신체내부의 조직을 잡아당기기 위한 부재와 관련된 쪽으로 움직일 수 있는 반면에 기구는 수단에 의해 잡힌 조직에 관련되어 움직일 수 있는 최소침입형 견인 및 절개기(10).
  7. 제20항에 있어서, 말단(13) 뒤로 배치된 관절운동 부재(15)들은 각각 독립적으로 움직일 수 있고 그 사이의 조직을 잡으며 기구는 관절운동 부재(15)사이에 접힌 조직에 관련되어 각각 독립적으로 움직일 수 있는 최소침입형 견인 및 절개기(10)와 기구.
  8. 제7항에 있어서, 각각의 부재(15)들은 말단팁(17)을 형성하고 조직을 잡기 위해 움직일 수 있는 최소침입형 견인 및 절개기(10)와 기구.
  9. 제8항에 있어서, 각각의 팁(17)들은 조직에 접근하기 위해 설치된 적어도 한 개의 후크(42)를 포함하는 최소침입형 견인 및 절개기(10)와 기구.
  10. 제8항에 있어서, 각각의 팁(17)들은 인접한 조직을 독립적으로 집거나 또는 벌리기 위하여 정착된 한쌍의 집게를 포함하는 최소침입형 견인 및 절개기(10)와 기구.
  11. 제8항에 있어서, 각각의 팁(17)들은 인접한 조직을 독립적으로 집거나, 벌리거나 또는 절개하기 위하여 장착된 한 쌍의 가위를 포함하는 최소침입형 견인 및 절개기(10)와 기구.
  12. 제1항에 있어서, 관절운동 부재(15)들은 말단(13) 뒤로 연장된 핀셋(23)을 포함하고 핀셋(23)은 조직을 열고, 닫고 잡는데 독립적으로 조작되는 최소침입형 견인 및 절개기(10).
  13. 제1항에 있어서, 한 개 이상의 관절운동 부재(15)들은 말단 뒤와 환자 내부에서 다른 부재들과 독립적으로 조직을 기동하거나 잡기 위한 흡입튜브(24)를 포함하는 최소침입형 견인 및 절개기(10).
  14. 제1항에 있어서, 기단(12)의 제어기(19)는 관절운동 부대들을 조종하고, 축 "A"에 관련된 말단(13) 뒤에 위치하는 조직을 독립적으로 잡아당길 수 있도록 하는 최소침입형 견인 및 절개기(10).
  15. 제2항에 있어서, 제어기(19)는 관상 지지부를 이동시킬 수 있고, 그것에 의해서 말단(13) 뒤의 환자의 신체내부의 잡아 기동되는 조직들에 대한 조금은 독립적인 통로를 거쳐 지나는 기구들에 영향을 주는 최소침입형 견인 및 절개기(10)와 기구.
  16. 제14항에 있어서, 한 개 이상의 관절운동 부대들은 "A"에 대하여 환자의 신체 내부에서 부재들의 독립적인 움직임을 위한 제어기(19)에 의해 연결되는 최소침입형 견인 및 절개기(10).
  17. 제15항에 있어서, 기구는 축 "A"에 관하여 환자의 신체내에서 관절운동 부재들과 무관하게 이동가능하게 개별적으로 이동되는 최소침입형 견인 및 절개기(10)와 기구.
  18. 제15항에 있어서, 제어기(19)는 관절운동 부재들을 독립적으로 조종하기 위한 손잡이(34)를 가지며, 기구는 독립적인 기동을 위하여 분리되어 있는 최소침입형 견인 및 절개기(10)와 기구.
  19. 제27항에 있어서, 관상 지지부(11)은 서로에 대해서 축 "A"의 방향으로 독립적으로 움직일 수 있는 연결부분들로 구성된 연장튜브(41)를 형성하도록 협동하는 한 쌍의 U자형 채널(40)인 최소침입형 견인 및 절개기(10).
  20. 환자의 내부조직에 대한 수술과정 중에 거의 축 "A"를 따라 충분한 접근을 얻을 수 있는 통로를 포함하는 환자의 신체내로 관통되는 관상 지지부; 외과의사의 접근을 제공하는 위치에서 환자의 신체의 외부에 위치하는 관상 지지부위의 기단; 외과의사의 접근을 제공하는 위치에서 환자의 신체의 내부에 위치하는 관상 지지부재의 말단; 축 "A"에 관련된 말단 뒤에 배치된 조직을 잡아당기도록 하는 관상 지지부의 기단에 위치한 제어기; 하나 이상의 평면내에서 말단에 대하여 스윙운동하는 것을 허용하는 다수의 관절운동 부재들과 관상 지지부의 말단에 대하여 이동가능하게 위치한 한 개 이상의 관절운동 부재들; 각각의 관절운동 부재의 말단팁, 각각 서로 다른 말단팁들과 독립적으로 움직이고 조직을 잡기 위해 형성되어 관절운동 부재들은 관상 지지부의 말단 뒤에 배치된 조직을 잡아당길 수 있는 말단팁; 제어기에 관련된 운동을 위한 환자의 신체내부의 관절운동 부재들과 관상 지지부의 기단에 연결된 회전장치와; 기단에서 말단 뒤까지의 통로를 통해 기구들이 동시에 지나게 하고 관절운동 부재들은 환자에 관련된 조직에 위치시키고, 기구는 외과적도구이며, 환자의 신체내부의 외과적 도구에 관련된 위치로 관절운동 부재들에 의해 조직은 기동되며 조직에 대한 협동작용을 위한 관상 지지부, 관절운동 부재와 말단팁들의 독립적인 움직임을 가능케 하는 기구;로 이루어진 환자의 신체에 대한 외과 의사에 의한 내부 외과적 용도를 위한 최소침입형 견인 및 절개기(10)와 기구.
  21. 제20항에 있어서, 방향 올리브틀 축 "A"에 관련된 환자의 신체내부의 움직임을 위해 제어기(19)에 의해 독립적으로 연결되고 통로내의 긱는 축 "A"에 관련된 환자의 신체내의 운동을 위한 관상 지지부의 운동에 의해 영향을 받는 최소침입형 견인 및 절개기(10)와 기구.
  22. 제21항에 있어서, 제어기(19)는 관절운동 부재들을 독립적으로 조종하기 위한 손잡이(34)를 가지며 독립적으로 기동하기 위한 관상 지지부가 있는 최소침입형 견인 및 절개기(10)와 기구.
  23. 다음의 과정을 포함하는 환자의 신체에 외과의사에 의해 내부 외과수술을 위한 최소침입형 견인 및 절개기(10)와 기구를 사용하는 방법에 있어서, 환자의 신체내로 관통되는 관상 지지부(11)용 개구를 만드는 단계와; 환자의 신체 외부에 위치한 관상 지지부(11)상의 기단(12)을 외과의사가 접근할 수 있는 위치에 두는 단계와; 환자의 신체 내부에 위치하는 관상 지지부(11)의 말단(13)을 외과 의사가 환자의 신체 내부에 위하는 관상 지지부(11)의 말단(13)을 외과 의사가 환자의 신체내부로의 접근을 제공할 수 있는 위치에 위치시키는 단계와; 관상 지지부의 기단에 말단 회전운동용 회전장치를 제공하는 단계와; 말단(13)을 지나 배치된 조직을 파지할 수 있고 잡아당길 수 있으며 서로 독립적으로 이동가능하게 위치된 한 개 이상의 관절운동 부재(15)들을 이동시키는 단계를 포함하는 방법.
  24. 제23항에 있어서, 관상 지지부(11)의 말단(13) 뒤에 배치된 조직을 잡고, 당기고, 회전시키는 것으로 이루어진 최소침입형 견인 및 절개기(10)와 기구를 사용하는 방법.
  25. 제23항에 있어서, 환자의 내부조직에 대한 수술과정중에 축 "A"를 따라 충분한 기구의 접근을 위한 관상 지지부(11)을 통해 통로(16)를 사용하는 부가적 단계를 가진 최소침입형 견인 및 절개기(10)와 기구를 사용하는 방법.
  26. 제23항에 있어서, 조직에 동시에 협력작용을 위한 관절운동 부재들의 독립성과 통로내의 기구의 움직임의 부가적 단계를 가진 최소침입형 견인 및 절개기(10)와 기구를 사용하는 방법.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019950703501A 1993-02-22 1994-01-25 복강경 절개 인장 견인기 장치 및 방법(a laparoscopic dissection tension retractor device and method) Ceased KR960700656A (ko)

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US5474057A (en) 1995-12-12
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CA2154172A1 (en) 1994-09-01
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FI940808A7 (fi) 1994-08-23
EP0684789A1 (en) 1995-12-06
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