• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    An approach (1) for an endoscopic operation consists of a trocar (2), a cover (3) which can be mounted on the trocar and at least one spacer (4) with a support section (5) and an active section (6), when, when mounted, the approach track system (1) comprises between the trocar (2) and the cover (3) a receiving (7) for the support section (5) of at least one spacer (4). In addition, the approach pathway system (1) may include an endoscopic bag which is expanded by the active section (6) of at least one spacer (4).
    公开号:FR3042108A1
    申请号:FR1658978
    申请日:2016-09-23
    公开日:2017-04-14
    发明作者:Samir Sawalhe；Rainer Hermle；Frank Doll；Stefan Rehbein；Alexander Haffa
    申请人:Karl Storz SE and Co KG；
    IPC主号:
    专利说明:

    System of approach for endoscopic operations
    The present invention relates to a system of approach for endoscopic operations with the possibility of enlarging an endoscopic bag located in a body cavity, for example to fragment its contents using a morcellator and extract it from the body cavity.
    Endoscopic operations to extract diseased tissue are known. For this purpose, an endoscope and one or more first routes, for example trocars, are introduced into the body cavity in question, then the tissue concerned is cut, for example by high frequency surgery. If they are small pieces of tissue, they can be extracted from the body cavity by one of the first ways. However, if the cut pieces of fabric are too large to be extracted by a pathway first, then they must be fragmented before being extracted. For example, this can be done with a "morcellator" that includes a rotating blade and a continuous working channel. In this way, it is possible to cut large pieces of tissue into small pieces and extract them from the body cavity. In the case of infectious tissues, however, there is the risk that fragmentation of the pieces of tissue will spread the disease, leaving minute remains of the diseased tissue that may remain in the body.
    To prevent the spread of a disease, it is advisable to place a piece of infectious tissue cut into an endoscopic bag, also called an endosac, to guide its open end through the lane canal first, and to break up the piece of tissue. sick in the endoscopic bag. In this way, it is guaranteed that no infectious tissue remains in the body cavity. But, as a general rule, during endoscopic operations, the body cavities are insufflated, that is to say that a gas (nitrogen, carbon dioxide, helium, etc.) is blown in to widen the body cavity. This allows the surgeon to have more space for the operation.
    The overpressure inside the body cavity however implies that the endoscopic bag is so compressed with the diseased tissue that it is difficult, if not impossible, to cut the small pieces of tissue with the morcellator and extract them. On the other hand, there is the risk that the rotating morcellator blade will also cut the endoscopic sac and that parts of the infectious tissue will return to the body cavity. This is the reason why the object of the present invention is to propose a system of approach for endoscopic operations by which, despite the overpressure in a body cavity, an endoscopic bag is enlarged so that the tissue becomes found in the endoscopic bag can be fragmented with a morcellator and extracted safely.
    This problem is solved by an endoscopic operation approach system according to independent claims 1, 9 and 15. Advantageous improvements are the subject of the dependent claims.
    An endoscopic approach approach system consists of a trocar, a trocar-mountable cover, and at least one spacer with a support section and an active section, knowing that, when mounted, the approach track system comprises between the trocar and the cover a receiving area for the support section of at least one spacer. A particularly advantageous point of this embodiment is that the spacer element or, where appropriate, several spacer elements can be mounted individually on the trocar and can nevertheless be introduced without problem by the relatively narrow first approach.
    In another advantageous embodiment, the trocar and the cover of the first track system comprise a bayonet closure for mounting. In this way, the approach way system can be assembled quickly and reliably.
    In addition, the reception area of the approach track system may comprise an annular support ring.
    In addition, the support section of at least one spacer element may comprise a support bracket adapted to the support ring.
    In addition, the support ring may comprise at least one positioning section adapted to the support bracket of at least one spacer element.
    In another embodiment, the first approach system according to the invention may comprise 3 or 4 spacer elements. However, depending on the concrete embodiment, the first approach system according to the invention may also comprise 2 or 5 or 6 spacers.
    In another form of configuration, the approach pathway system may include an endoscopic bag that is expanded by the active section of at least one spacer.
    In addition, the trocar may include a fluid inlet. This allows the endoscopic bag to be insufflated independently of the body cavity, ie to inflate it with nitrogen, carbon dioxide, helium or other gas to generate a counterpressure with respect to the body cavity. breathed. This promotes enlargement of the endoscopic bag. The insufflation gas can be supplied through a dispensing valve so that the insufflation pressure in the body cavity and in the endoscopic bag is maintained at the same or at least the same level.
    Another form of configuration of the approach pathway system for endoscopic operations according to the invention may consist of a trocar with a trocar sleeve, a cover with a working channel, said cover being mountable on the trocar, and at least one spacer, knowing that when mounted, the working channel extends concentrically inside the trocar sleeve. The features of the present embodiment may be employed independently of the aforementioned configuration forms or may also be combined with the aforementioned configuration form.
    In another form of configuration, at least one section of at least one spacer may extend within an intermediate space of the trocar sleeve and the working channel. Since the spacers have a flat or at least substantially flat cross-section, this arrangement allows for precise alignment of the spacer members around the trocar sleeve.
    In addition, the at least one spacer may have at least in part a circular cylindrical contour which is adapted to the contour of the trocar sleeve and / or the working channel. For this purpose, the fact that the relevant section of the spacer has a contour in the form of circular cylindrical envelope, so that the latter adheres to the maximum surface of the outer side of the working channel and the inner side of the trocar sleeve is particularly advantageous.
    The present form of configuration of the approach route system according to the invention may also advantageously comprise 3 or 4 spacer elements, and also in some cases 2 or 5 or 6 spacers.
    Similarly, the present embodiment of the approach pathway system may include an endoscopic bag that is expanded by the active section of at least one spacer.
    As previously described, the first approach system according to the invention may also comprise a fluid inlet in the second configuration form.
    In addition, according to the invention, there is provided a method of assembling an approach pathway system for endoscopic operations, said method comprising the steps of: providing a trocar with a trocar sleeve, providing a a cover with a working channel, providing at least one spacer with a support section and an active section, providing an endoscopic bag, introducing the active section of at least one spacer by the trocar sleeve in the endoscopic bag, positioning the support section of at least one spacer in the trocar, mounting the lid on the trocar so that its working channel passes through the trocar sleeve and the support section of at least one spacer element is wedged between the trocar and the lid and enlargement of the endoscopic bag using at least one spacer element.
    As already described above, a particularly advantageous point of the present method is the possibility of introducing an appropriate number of spacer elements one after the other in the approach and endoscopic bag system. The enlarged work area in the endoscopic bag only appears if the spacer or spacer is (are) reliably held in the trocar.
    It is obvious that the aforementioned characteristics apply not only to the combination given, but also to other combinations or without combination, and without departing from the scope of the present invention.
    Subsequently, the invention is described and explained in more detail with the aid of a few selected configuration examples in association with the accompanying drawings.
    They show :
    Fig. 1 a diagrammatic perspective view of the approach track system according to the invention when assembled
    Fig. 2 a diagrammatic perspective view of the trocar with spacer elements
    Fig. 3 a sectional view of the trocar
    Fig. 4 a sectional view of the lid
    Fig. 5 a side view of a spacer
    Fig. 6 a side view of a spacer
    The exemplary representation of Figure 1 shows an example of a preferred configuration of the first pathway system according to the invention 1 for endoscopic operations when assembled. It consists of a trocar 2 with a trocar sleeve 14. It may also comprise a fluid inlet 13 provided for example with a luer tip 20. The cover 3 of the first track system 1 comprises a handle 22, a tubular working channel 15 which extends concentrically into the trocar sleeve 14, which is longer than the trocar sleeve 14 and therefore extends beyond it. A sealing cap 19 which allows the introduction of an instrument, for example a morcellator (not shown) and which prevents gas from escaping from the body cavity or the endoscopic sac, is also part of the system. trocar according to the invention. Four spacer members 4 serve to widen the endoscopic bag, and their active sections 6 protrude between the trocar sleeve 14 and the working channel 15. Their branches 23 are curved outward almost S-shaped. whereby the active sections 6 of the spacer members 4 are on an imaginary circular cylindrical surface which is concentric around the trocar sleeve 14 and the working channel 15.
    Fig. 2 shows the trocar 2 with three spacer elements 4 used without the cover 3. The grooves of the bayonet closure 8 are shown on the trocar 2. FIG. 2 further shows the support ring 9 of the receiving zone 8 with four positioning sections 11 (three of which are not visible). On the support ring 9 in the recessed positioning sections 11 are the support brackets 10 of the three spaced apart elements 4.
    Fig. 3 shows the trocar 2 with its trocar sleeve 14, the support crown 9, the slots of the bayonet closure 8 and the fluid inlet 13.
    Fig. 4 shows the lid 3 with the handle 22, the working channel 15 with its sealing cap 19 in place. The sealing cap 19 is preferably made of plastic and may be a disposable product. One or more valve valves 24 are located therein, said valves allowing the introduction of an instrument and preventing the gas from going out in the opposite direction. The valve flap includes shoulders that fit into corresponding recesses in the lid. Pins or shoulders that fit into the grooves of the bayonet closure 8 of the trocar 2 are not shown.
    Figs. 5 and 6 show a spacer element 4 with its support section 5, the support bracket 10 and the active section 6. The contour 25 of the support section and the active section, which contour corresponds to a cylindrical envelope circular and is adapted to the intermediate space of the trocar sleeve 14 and the working channel 15, is shown in FIG. 6.
    List of references 1 Track system 2 T rocart 3 Cover 4 Spacer 5 Support section 6 Active section 7 Receiving area 8 Bayonet closure 9 Support crown 10 Support bracket 11 Positioning section 12 Endoscopic bag 13 Fluid Inlet 14 Trocar Sleeve 15 Working Channel 16 Section 17 Intermediate Space 18 Section 19 Sealing Cap 20 Luer Tip 21 Tenon 22 Handle 23 Branch 24 Valve Valves 25 Contour
    权利要求:
    Claims (14)
    [1" id="c-fr-0001]
    claims
    1. System of approach (1) for endoscopic operations with a trocar (2), a cover (3) mountable on the trocar (2) and at least one spacer (4) with a section of support (5) and an active section (6), characterized in that, when mounted, the approach track system (1) comprises between the trocar [2] and the cover [3) a receiving zone (7) for the support section (5) of at least one spacer (4).
    [2" id="c-fr-0002]
    2. The approach track system (1) according to claim 1, characterized in that the trocar (2) and the cover (3) comprise a bayonet closure (8) for mounting.
    [3" id="c-fr-0003]
    An approach track system (1) according to claim 1 or 2, characterized in that the receiving area (7) comprises an annular support ring (9).
    [4" id="c-fr-0004]
    An approach track system (1) according to claim 3, characterized in that the support section (5) of at least one spacer (4) comprises a support bracket (10) adapted to the support ring (9).
    [5" id="c-fr-0005]
    5. Approach system (1) according to claim 4, characterized in that the support ring (9) comprises at least one positioning section (11) adapted to the support bracket (10) of minus one spacer (4).
    [6" id="c-fr-0006]
    6. Approach system (1) according to claim 1 to 5, characterized in that the first track system (1) comprises 2 or 3 or 4 or 5 or 6 spacers (4).
    [7" id="c-fr-0007]
    The approach pathway system (1) according to claim 1 to 5, characterized in that the approach pathway system comprises an endoscopic sac which is enlarged by the active section (6) of at least one gap (4).
    [8" id="c-fr-0008]
    8. Approach system (1) according to claim 1 to 5, characterized in that the trocar (2) comprises a fluid inlet (13).
    [9" id="c-fr-0009]
    9. System of approach (1) for endoscopic operations consisting of a trocar (2) with a trocar sleeve (14), a cover (3) with a working channel (15), said cover being being mounted on the trocar (2), and at least one spacer (4), characterized in that, when mounted, the working channel (15) extends concentrically to the inside the trocar shirt (14).
    [10" id="c-fr-0010]
    An approach track system (1) according to claim 9, characterized in that at least one section (16) of at least one spacer (4) extends within a intermediate space (17) of the trocar sleeve (14) and the working channel (15).
    [11" id="c-fr-0011]
    An approach track system (1) according to claim 10, characterized in that the at least one spacer element (4) has at least partly a circular cylindrical contour which is adapted to the contour of the liner. trocar (14) and / or working channel (15).
    [12" id="c-fr-0012]
    12. Approach system (1) according to claim 9 to 11, characterized in that the approach track system (1) comprises 2 or 3 or 4 or 5 or 6 spacers (4).
    [13" id="c-fr-0013]
    13. System of approach (1) according to claim 9 to 11, characterized in that the system of approach (1) comprises an endoscopic sac which is expanded by the active section (6) of at least a spacer element (4).
    [14" id="c-fr-0014]
    14. The approach route system (1) according to claim 9, characterized in that the approach route system (1) comprises a fluid inlet (13).
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    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    US3039468A|1959-01-07|1962-06-19|Joseph L Price|Trocar and method of treating bloat|
    US3717151A|1971-03-11|1973-02-20|R Collett|Flesh penetrating apparatus|
    US3902501A|1973-06-21|1975-09-02|Medtronic Inc|Endocardial electrode|
    US4043346A|1976-03-10|1977-08-23|Baylor College Of Medicine|Catheter|
    US4393872A|1980-05-27|1983-07-19|Eder Instrument Co., Inc.|Aspirating surgical forceps|
    DE8216373U1|1982-06-05|1982-07-29|Waldemar Link , 2000 Hamburg|Trocar sleeve|
    US20030032975A1|1999-01-06|2003-02-13|Bonutti Peter M.|Arthroscopic retractors|
    US5370647A|1991-01-23|1994-12-06|Surgical Innovations, Inc.|Tissue and organ extractor|
    US5330501A|1991-05-30|1994-07-19|United States Surgical Corporation|Tissue gripping device for use with a cannula and a cannula incorporating the device|
    US5443484A|1992-06-16|1995-08-22|Loma Linda University Medical Center|Trocar and method for endoscopic surgery|
    US5407427A|1992-06-16|1995-04-18|Loma Linda University Medical Center|Trocar facilitator for endoscopic surgery|
    WO1995035064A1|1994-06-20|1995-12-28|Slotman Gus J|Tissue spreading surgical instrument|
    DE19515280C2|1995-04-26|1997-06-12|Siegfried Riek|Device for removing tissue or the like from the abdominal cavity|
    US6027518A|1995-05-30|2000-02-22|Gaber; Benny|Seizing instrument|
    US5545179A|1995-07-21|1996-08-13|Ethicon Endo-Surgery, Inc.|Endoscopic access assembly|
    US5707359A|1995-11-14|1998-01-13|Bufalini; Bruno|Expanding trocar assembly|
    US5951588A|1996-02-29|1999-09-14|Moenning; Stephen P.|Apparatus and method for protecting a port site opening in the wall of a body cavity|
    DE19624826C2|1996-06-21|1999-07-01|Ruesch Willy Ag|Tissue extraction device|
    US6626903B2|1997-07-24|2003-09-30|Rex Medical, L.P.|Surgical biopsy device|
    US6383195B1|1998-04-13|2002-05-07|Endoline, Inc.|Laparoscopic specimen removal apparatus|
    US6402770B1|1998-06-01|2002-06-11|Avatar Design & Development, Inc.|Method and apparatus for placing and maintaining a percutaneous tube into a body cavity|
    US7799036B2|1998-08-20|2010-09-21|Zimmer Spine, Inc.|Method and apparatus for securing vertebrae|
    US7517348B2|1998-09-03|2009-04-14|Rubicor Medical, Inc.|Devices and methods for performing procedures on a breast|
    US20050085771A1|1999-04-16|2005-04-21|Lyon Thomas R.|Clear view cannula|
    US6482178B1|1999-05-21|2002-11-19|Cook Urological Incorporated|Localization device with anchoring barbs|
    DE19937043C2|1999-08-05|2003-10-30|Storz Karl Gmbh & Co Kg|Medical instrument for creating a cavity for an endoscopic procedure|
    US6666846B1|1999-11-12|2003-12-23|Edwards Lifesciences Corporation|Medical device introducer and obturator and methods of use|
    CN100500103C|2001-07-18|2009-06-17|住友电木株式会社|Surgical treating instrument|
    US20080021552A1|2001-10-09|2008-01-24|Shlomo Gabbay|Apparatus To Facilitate Implantation|
    US20060025781A1|2001-01-17|2006-02-02|Young Wayne P|Laparoscopic instruments and methods utilizing suction|
    US6958069B2|2001-01-17|2005-10-25|Mark LoGuidice|Instruments and methods for use in laparoscopic surgery|
    US6814713B2|2001-04-25|2004-11-09|A-Med Systems, Inc.|Systems for performing minimally invasive cardiac medical procedures|
    US6805699B2|2002-04-19|2004-10-19|Peter Shimm|Laparoscopic specimen retrieval shoehorn|
    US6887255B2|2002-04-19|2005-05-03|Peter Shimm|Laparoscopic specimen extraction port|
    US8100864B2|2003-04-30|2012-01-24|Kunkel Sanford S|Portal device|
    US20030208153A1|2002-05-03|2003-11-06|Stenzel Eric B.|Method, tool, and system for deploying an implant into the body|
    US20070010715A1|2002-09-20|2007-01-11|Id, Llc|Tissue retractor and method for using the retractor|
    US7041055B2|2002-10-07|2006-05-09|Mark LoGuidice|Instruments and methods for use in laparoscopic surgery|
    US7935054B2|2002-10-25|2011-05-03|K2M, Inc.|Minimal access lumbar diskectomy instrumentation and method|
    US7160309B2|2002-12-31|2007-01-09|Laveille Kao Voss|Systems for anchoring a medical device in a body lumen|
    US7473220B2|2003-08-04|2009-01-06|Medcanica, Inc.|Surgical port device|
    US20050043682A1|2003-08-22|2005-02-24|Cannuflow Incorporated|Flexible inflow/outflow cannula and flexible instrument port|
    WO2005037079A2|2003-10-17|2005-04-28|Tyco Healthcare Group Lp|Expandible surgical access device|
    ITMI20032278A1|2003-11-21|2005-05-22|Ethicon Endo Surgery Inc|DIAGNOSIS DEVICE|
    US7585290B2|2004-01-20|2009-09-08|Ethicon Endo-Surgery, Inc.|Medical device for providing access|
    US8292853B2|2004-03-24|2012-10-23|Applied Medical Resources Corporation|Self-sealing cannula having integrated seals|
    DE102004038071A1|2004-07-28|2006-03-23|Mtp Medical Technical Promotion Gmbh|Endosurgical retrieval bag for the absorption of body tissue or fluid|
    US8128662B2|2004-10-20|2012-03-06|Vertiflex, Inc.|Minimally invasive tooling for delivery of interspinous spacer|
    AU2005227405B2|2004-10-29|2012-02-02|Depuy Products, Inc.|Instruments, kit and method for suture management|
    US20060106415A1|2004-11-12|2006-05-18|Shlomo Gabbay|Apparatus to facilitate implantation|
    US20110224678A1|2006-03-23|2011-09-15|Shlomo Gabbay|Method and implantation system for implanting a cardiovascular prosthesis|
    WO2006057982A2|2004-11-24|2006-06-01|Edrich Health Technologies, Inc.|Gel based laparoscopic trocar|
    US8568305B2|2004-12-29|2013-10-29|Us Spine, Inc.|Minimally-invasive portal system for performing lumbar decompression, instrumented fusion/stabilization, and the like|
    US9510732B2|2005-10-25|2016-12-06|Intuitive Surgical Operations, Inc.|Methods and apparatus for efficient purging|
    US20060178675A1|2005-02-10|2006-08-10|Castlewood Medical Technologies Llc|System, device, and method for providing access in a cardiovascular environment|
    US20060200186A1|2005-03-04|2006-09-07|Marchek Connie P|Adjustable access device for surgical procedures|
    US20060229636A1|2005-03-04|2006-10-12|Woodburn William N Sr|Expandable access device with mobility member|
    US7374534B2|2005-03-09|2008-05-20|Dalton Brian E|Retractor and method for percutaneous tissue retraction and surgery|
    US20060235279A1|2005-03-18|2006-10-19|Hawkes David T|Less invasive access port system and method for using the same|
    US8157815B2|2005-05-20|2012-04-17|Neotract, Inc.|Integrated handle assembly for anchor delivery system|
    US8961548B2|2005-06-06|2015-02-24|Laprostop, Llc|Safety stop trochar device and system|
    US7691089B2|2005-06-21|2010-04-06|Tyco Healthcare Group Lp|Adjustable trocar washer|
    US8267859B2|2005-09-28|2012-09-18|Holmed Corporation|Spreader insert for a retractor system|
    US8157833B2|2005-11-09|2012-04-17|Applied Medical Resources Corporation|Trocars with advanced fixation|
    US20070162066A1|2006-01-10|2007-07-12|Lyon Thomas R|Clear view cannula|
    US20070198045A1|2006-02-21|2007-08-23|John Morton|System to Facilitate the Use of a Surgical Instrument|
    US7407483B2|2006-03-16|2008-08-05|Perez-Cruet Mick J|Minimally invasive surgical access device|
    US9597063B2|2006-06-28|2017-03-21|Abbott Laboratories|Expandable introducer sheath to preserve guidewire access|
    AU2007284988B2|2006-08-07|2013-10-10|Strathmore Industries Inc.|Bone tamp apparatus and method|
    EP2056707A4|2006-09-01|2010-05-26|Nidus Medical Llc|Tissue visualization device having multi-segmented frame|
    US8257315B2|2006-10-11|2012-09-04|Ethicon Endo-Surgery, Inc.|Trocar seal with retraction induced hinge|
    ES2869849T3|2006-11-27|2021-10-26|Davol Inc|An especially useful device for hernia repair surgeries|
    US20080132946A1|2006-12-04|2008-06-05|Gregory Paul Mueller|Skin port|
    US20080161644A1|2006-12-29|2008-07-03|Ghabrial Ragae M|Method of and apparatus for attaching an instrument to an organ wall|
    US20080172009A1|2007-01-11|2008-07-17|Alcon, Inc.|Self-Sealing Cannula|
    US20080177288A1|2007-01-19|2008-07-24|Carlson Mark A|Remote Suturing Device|
    EP2136722A1|2007-03-29|2009-12-30|Frantz Medical Development, Ltd.|Securable cannula and method|
    US8591399B2|2007-04-25|2013-11-26|Karl Storz Endovision, Inc.|Surgical method utilizing transluminal endoscope and instruments|
    US9545258B2|2007-05-17|2017-01-17|Boston Scientific Scimed, Inc.|Tissue aperture securing and sealing apparatuses and related methods of use|
    ITMI20071230A1|2007-06-20|2008-12-21|Lucini Surgical Concept S R L|CANNULA DEVICE FOR SURGICAL OPERATIONS IN ENDOSCOPY|
    EP2581106B1|2007-07-19|2016-12-07|CircuLite, Inc.|Cannula for heart chamber implantation and related systems|
    US20090082802A1|2007-09-26|2009-03-26|Medtronic Vascular, Inc.|Mechanism and Method for Closing an Arteriotomy|
    US8382785B2|2007-09-27|2013-02-26|Swan Valley Medical Incorporated|Apparatus and method for performing cystotomy procedures|
    US8795326B2|2007-10-05|2014-08-05|Covidien Lp|Expanding seal anchor for single incision surgery|
    WO2009076188A2|2007-12-05|2009-06-18|Donahue John R|Retractor and sealing system for surgical/non-surgical instruments|
    US20090306586A1|2008-02-29|2009-12-10|Lynette Ross|Laterally-expandable access cannula for accessing the interior of a hip joint|
    US8550988B2|2008-04-21|2013-10-08|Covidien Lp|Endoscopic cleaner|
    US20090275802A1|2008-05-01|2009-11-05|Hawkes David T|Distally Expandable Dilation Tube|
    US20100010449A1|2008-07-09|2010-01-14|Kyphon Sarl|Cannula Stabilization Device, System, And Method Of Use|
    US8409085B2|2009-02-25|2013-04-02|Joint Product Solutions, Llc|Surgical retention port and method of use|
    US8821392B2|2009-02-25|2014-09-02|Joint Product Solutions, Llc|Surgical retention port and method of use|
    US8206291B2|2009-03-27|2012-06-26|Tyco Healthcare Group Lp|Portal device|
    US8137267B2|2009-04-08|2012-03-20|Ethicon Endo-Surgery, Inc.|Retractor with flexible sleeve|
    EP2434968A1|2009-05-29|2012-04-04|Asalus Medical Instruments Limited|Laparoscopic access port and port sleeve arrangement|
    US20100305407A1|2009-06-02|2010-12-02|Farley Daniel K|Malleable Port Retractor|
    JP5913098B2|2009-07-21|2016-04-27|アプライド メディカル リソーシーズ コーポレイション|Surgical access device including internal retractor|
    US20110034776A1|2009-08-05|2011-02-10|Richard Albert Dixon| vaginal speculum|
    US8568308B2|2009-08-14|2013-10-29|Alan M. Reznik|Customizable, self holding, space retracting arthroscopic/endoscopic cannula system|
    US20110082339A1|2009-10-02|2011-04-07|Elliott Iii Glynn J|Method and apparatus for stabilizing an abdominal wall during a laparoscopic incision|
    WO2011049918A1|2009-10-19|2011-04-28|Ww7 L.L.C.|Single port surgical tissue containment and extraction device|
    US8617167B2|2009-12-04|2013-12-31|Pivot Medical, Inc.|Methods and devices for accessing and retracting a capsule of a joint|
    US8414483B2|2009-12-11|2013-04-09|Ethicon Endo-Surgery, Inc.|Methods and devices for providing access into a body cavity|
    US8435174B2|2009-12-11|2013-05-07|Ethicon Endo-Surgery, Inc.|Methods and devices for accessing a body cavity|
    US8500633B2|2009-12-11|2013-08-06|Ethicon Endo-Surgery, Inc.|Methods and devices for providing surgical access through tissue to a surgical site|
    US8444557B2|2009-12-11|2013-05-21|Ethicon Endo-Surgery, Inc.|Methods and devices for providing access through tissue to a surgical site|
    US8357088B2|2009-12-11|2013-01-22|Ethicon Endo-Surgery, Inc.|Methods and devices for providing access into a body cavity|
    US8409217B2|2010-01-25|2013-04-02|Ethicon Endo-Surgery, Inc.|Tissue retrieval device with bladders|
    US8425533B2|2010-01-26|2013-04-23|Ethicon Endo-Surgery, Inc.|Tissue retrieval device with pouch stretching arm|
    US8419749B2|2010-01-26|2013-04-16|Ethicon Endo-Surgery, Inc.|Tissue retrieval device with reinforced pouch and variable volume|
    US8771306B2|2010-03-11|2014-07-08|Covidien Lp|Insertion device and method of use|
    US20120022575A1|2010-07-26|2012-01-26|Warsaw Orthopedic, Inc. An Indiana Corporation|Laterally expanding surgical dilator|
    US10258368B2|2010-09-14|2019-04-16|Suremka, Llc|Retractable cannula for surgical procedures|
    US8298185B2|2010-09-14|2012-10-30|Suremka Medical, Llc|Retractable cannula for surgical procedures|
    US9022926B2|2010-11-23|2015-05-05|Covidien Lp|Reinforced flexible access assembly|
    FR2973999B1|2011-04-14|2014-04-25|Assist Publ Hopitaux De Paris|DEVICE FOR ASSISTING THE COLLECTION OF BIOLOGICAL LIQUID PRESENT IN A CAVITY|
    KR101090665B1|2011-05-18|2011-12-07|손정완|Length controllable cannula|
    US11071448B2|2011-05-18|2021-07-27|Conmed Corporation|Length adjustable cannula|
    US10603073B2|2011-05-31|2020-03-31|Karl Storz Se & Co. Kg|Trocar sleeve|
    EP2532317B1|2011-06-06|2015-11-25|Karl Storz GmbH & Co. KG|Interlocking element for a medical instrument for creating an access point for minimally invasive procedures|
    US20130018408A1|2011-07-14|2013-01-17|Farley Daniel K|Minimally Invasive Dilator and Retractor System|
    US20130041398A1|2011-08-08|2013-02-14|James Goddard|Dilator|
    US8491545B2|2011-08-25|2013-07-23|Ethicon Endo-Surgery, Inc.|Surgical access device with adjustable cannula|
    US8496633B2|2011-08-25|2013-07-30|Ethicon Endo-Surgery, Inc.|Surgical access device with adjustable cannula|
    US8439881B2|2011-08-25|2013-05-14|Ethicon Endo-Surgery, Inc.|Surgical access device with adjustable cannula|
    US8486045B2|2011-08-25|2013-07-16|Ethicon Endo-Surgery, Inc.|Surgical access device with adjustable cannula|
    US8496632B2|2011-08-25|2013-07-30|Ethicon Endo-Surgery, Inc.|Surgical access device with adjustable cannula|
    US8708889B2|2011-10-24|2014-04-29|Trocare, LLC|Jawed trocar assembly|
    DE202011051747U1|2011-10-25|2012-01-30|A.M.I. Agency For Medical Innovations Gmbh|Medical instrument for a rescue bag|
    US8961535B2|2011-10-25|2015-02-24|Medtronic Navigation, Inc.|Method and apparatus for securing a guide tube|
    CN104105511A|2011-12-07|2014-10-15|世界心脏公司|Cannula ring and related systems and methods|
    DE102011088337A1|2011-12-13|2013-06-13|Karl Storz Gmbh & Co. Kg|Sealing device for sealing a passage for a medical instrument|
    WO2013101730A2|2011-12-27|2013-07-04|Coopersurgical, Inc.|Suture passer guides and related kits and methods|
    EP2816963B1|2012-02-23|2021-12-01|Boston Scientific Scimed, Inc.|Expandable endoscopic hoods|
    US9572580B2|2012-03-16|2017-02-21|Covidien Lp|Closure tape dispenser|
    JP6132484B2|2012-06-21|2017-05-24|オリンパス株式会社|Access port|
    WO2014028428A1|2012-08-13|2014-02-20|Tel-Hashomer - Medical Research, Infrastructure And Services Ltd.|Improved veress needle|
    US20140051934A1|2012-08-16|2014-02-20|Covidien Lp|Stabilizing Port for Surgery for Facilitating Concurrent Introduction of Multiple Instruments|
    US9226771B2|2012-08-24|2016-01-05|Tycast Technologies, Llc|Medical device for providing port-like access to a mammalian urinary system and methods of inserting an utilizing the same|
    US9717399B2|2012-09-28|2017-08-01|Endopodium, Inc.|Endoscope with multifunctional extendible arms and endoscopic instrument with integrated image capture for use therewith|
    US9113854B2|2012-10-22|2015-08-25|Alan G Ellman|Tissue retractor|
    EP2922483B1|2012-11-20|2020-01-01|Kreuz, Gerold|Trocar device and use thereof|
    US20140275768A1|2013-03-13|2014-09-18|Covidien Lp|Thoracic Scope With Skirt And Gap|
    WO2014164661A1|2013-03-13|2014-10-09|Vantage Surgical Systems, Inc.|A merged trocar-obturator device for optical-entry in minimally invasive surgery|
    US20160106461A1|2014-06-29|2016-04-21|Robert Edward Morris|Safety cannula|
    AU2014306164A1|2013-08-05|2016-02-18|Endo-Tagss, Llc|Transabdominal gastric surgery system and method|
    WO2015047886A1|2013-09-18|2015-04-02|Teleflex Medical Incorporated|Exchanger surgical access port assembly and methods of use|
    US20150196321A1|2014-01-14|2015-07-16|Bivacor Pty Ltd|Cannula|
    ES2807174T3|2014-04-23|2021-02-22|Applied Med Resources|Systems for tissue extraction|
    US9545264B2|2014-06-06|2017-01-17|Surgiquest, Inc.|Trocars and obturators|
    CA2957951A1|2014-08-15|2016-02-18|Applied Medical Resources Corporation|Natural orifice surgery system|
    EP3182911A4|2014-08-19|2018-03-14|Covidien LP|Specimen retrieval systems|
    US20160192828A1|2015-01-07|2016-07-07|Nicholes Sexton|Retractor cannula and method of use|
    US9808282B2|2015-06-04|2017-11-07|Medos International Sarl|Surgical cannula system and method of use|
    US20170079658A1|2015-09-18|2017-03-23|Empire Technology Development Llc|Insitu swappable clip delivery cartridge|
    JP6896746B2|2016-01-22|2021-06-30|アプライド メディカル リソーシーズ コーポレイション|Systems and methods for tissue removal|
    US20170119430A1|2017-01-16|2017-05-04|Amir Keshvari|Peritonial dialysis port apparatus|CN109893078B|2017-12-11|2021-12-03|梅达布蒂奇股份有限公司|Laparoscope|
    WO2019245666A1|2018-06-22|2019-12-26|Conmed Corporation|Surgical gas delivery system with remote gaseous sealing module for maintaining stable pressure in a surgical cavity|
    US11197968B2|2018-06-22|2021-12-14|Conmed Corporation|Surgical gas delivery device with internal gaseous sealing module and filtered tube set therefor|
    EP3649971A1|2018-11-12|2020-05-13|Kreuz, Gerold|Surgical device for morcellation and removing body tissue|
    法律状态:
    2017-08-21| PLFP| Fee payment|Year of fee payment: 2 |
    2017-12-22| PLSC| Search report ready|Effective date: 20171222 |
    2018-08-22| PLFP| Fee payment|Year of fee payment: 3 |
    2019-08-20| PLFP| Fee payment|Year of fee payment: 4 |
    2020-08-19| PLFP| Fee payment|Year of fee payment: 5 |
    2021-08-19| PLFP| Fee payment|Year of fee payment: 6 |
    优先权:
    申请号 | 申请日 | 专利标题
    DE102015012964.3A|DE102015012964B4|2015-10-08|2015-10-08|Access system for endoscopic operations|
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