WO1995010982A1 - Surgical instrument to perform subcutaneous endoscopic surgery - Google Patents

Surgical instrument to perform subcutaneous endoscopic surgery Download PDF

Info

Publication number
WO1995010982A1
WO1995010982A1 PCT/BR1993/000036 BR9300036W WO9510982A1 WO 1995010982 A1 WO1995010982 A1 WO 1995010982A1 BR 9300036 W BR9300036 W BR 9300036W WO 9510982 A1 WO9510982 A1 WO 9510982A1
Authority
WO
WIPO (PCT)
Prior art keywords
gas
surgical instrument
source
perform
endoscopic surgery
Prior art date
Application number
PCT/BR1993/000036
Other languages
French (fr)
Inventor
Marco Aurélio Moura de Faria CORRÊA
Original Assignee
Correa Marco Aurelio Moura De
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 Correa Marco Aurelio Moura De filed Critical Correa Marco Aurelio Moura De
Priority to PCT/BR1993/000036 priority Critical patent/WO1995010982A1/en
Publication of WO1995010982A1 publication Critical patent/WO1995010982A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320004—Surgical cutting instruments abrasive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system

Definitions

  • Endoscopic Surgery Technics has been used in General Surgery, Ginecology, Ortopedics, and its advantages over the tradicional surgical technics has been shwoed in these diferents fields.

Abstract

This invention is a medical surgical instrument to perform endoscopic plastic surgery without use of insuflatable gas techniques, avoiding the risk of gas embolization. This instrument has as a working head a blunt/sharp dissector with an optical system (4), illumination source (1), irrigation source (6), aspiration source (5), instrumentation channels (3) for cutting cauterization and suturing instruments, and channels for elevators/retractors (2) that can create a workspace at the subcutaneous tissue without use of gas.

Description

SURGICAL INSTRUMENT TO PERFORM SUBCUTANEOUS ENDOSCOPIC SURGERY
This invent is a surgical instrument to perform endoscopic surgery in the subcutaneous tissue. It has a work head that can perform the funcões of visualization, irrigation, aspiracion, cutting, cauterization, instrumentation in the subcutaneous tissue, and can criate its own work space without use of insuflate gas.
The Endoscopic Surgery Technics has been used in General Surgery, Ginecology, Ortopedics, and its advantages over the tradicional surgical technics has been shwoed in these diferents fields.
Endoscopic Surgery Technique allow a more confortable position to the surgeon; the amplification of images seen in the video monitor mate it more safe; delicate procedures can be performed trought small incisions, all specific advantages so diserable in Cosmetic Plastic Surgery.
Videoendoscopic technique has been developed in inner cavities and anatomical spaces that cam bee expanded by gases ( peritoneal and pleural cavities ) because a work space is required between the optical sisten and the tissues for the purposes of ilumunation, capture of images and execution of procedures.
Working at the subcutaneous Tissue the surgeon necessary must cut a many vessels In this way the traditional Endoscopic Gas lnfuflator Methods are a dangerous step due to the a rist of gas embolization, its dispersion and toxicity.
This device is a medical surgical instrument to bee used in Endoscopic Plastic Surgery, the "so called " SUBCUTANEOUSTOMOSCOPE that allow to work at the subcutaneous tissue through small incision without use of gases because it can criate its own work space avoiting the rist of gas embolous.
The caracteristic of this instrument are a "workhead" like a nave or capsul that can perform a blump/sharp disseccion at the subcutaneous tissue under monitor view, and can perform Subcutaneous Endoscopic Surgery through accesory canals providing instrumentation source, ligth source, cut/cauterization, aspiration sources. It have separetors/elevators and can cried its own work space, avoiting the use of insuflate gas technics and its riks.
Diferents prototypes were built and experimental surgery has been done on d ogs, pigs, and cadaveres, and the viability of the method has been proved; we can perform axilary nodes and braquial plexus endoscopic exploration, the mapping out of a cutaneous flap through endoscopic plus transilumination view, flaps pedicules diseccions, etc.
We have used this instrument to perform Aesthetic Plastic Surgery through small incisions and I have developed and describeb endoscopic technics to Abdomenopplasty and Mammoplasty The "so called" Subcutaneoustomoscope have the following advantages:
a) Avoid the risk of gas embolization and toxicity of the Videolaparoscopic technique;
b) Provide disection and visualization simultaneously c) bring to the Plastic Surgery the advantages of a minimal invasive surgery such as: less tissue trauma , decreased rates of infection, less hospitalization time, and a small scars so deserable whem dealing with Cosmetic Surgery.
In order to help the full understanding of the conception of this instrument, it will be explained and presented by same simple designs.

Claims

CLAIM
1- Medical Surgical Instrument to be used in Endoscopic Plastic Surgery without use of insuflatable gas avoiding the risk of gas embolization caracterizaided by to bee a blump/sharp dissector workhead (fig.) provided of a optical system (4), ilumination source (1), irrigation source (6), aspiration source (5), a instrumentation channel to cut/cauterization/suture (3), and elevators/separators to criate a subcutaneous workspace withouth use of gas.
PCT/BR1993/000036 1993-10-20 1993-10-20 Surgical instrument to perform subcutaneous endoscopic surgery WO1995010982A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/BR1993/000036 WO1995010982A1 (en) 1993-10-20 1993-10-20 Surgical instrument to perform subcutaneous endoscopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/BR1993/000036 WO1995010982A1 (en) 1993-10-20 1993-10-20 Surgical instrument to perform subcutaneous endoscopic surgery

Publications (1)

Publication Number Publication Date
WO1995010982A1 true WO1995010982A1 (en) 1995-04-27

Family

ID=4055585

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BR1993/000036 WO1995010982A1 (en) 1993-10-20 1993-10-20 Surgical instrument to perform subcutaneous endoscopic surgery

Country Status (1)

Country Link
WO (1) WO1995010982A1 (en)

Cited By (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0769270A1 (en) * 1995-10-20 1997-04-23 Ethicon Endo-Surgery, Inc. Method and devices for endoscopic vessel harvesting
WO1997040750A1 (en) * 1996-04-25 1997-11-06 Karl Storz Gmbh & Co. Surgical instrument system
US5902315A (en) * 1997-08-28 1999-05-11 Ethicon Endo-Surgery, Inc. Optical tissue dissector/retractor
US5922004A (en) * 1997-08-28 1999-07-13 Ethicon Endo-Surgery, Inc. Method for performing optical tissue dissection/retraction
EP0980673A2 (en) * 1998-06-22 2000-02-23 Origin Medsystems, Inc. Vessel isolating retractor cannula and method
US6193653B1 (en) 1998-02-06 2001-02-27 Ethicon Endo-Surgery, Inc. Methods and devices for visualizing, dissecting and harvesting vessels and the like
WO2005092200A1 (en) * 2004-03-09 2005-10-06 Atricure, Inc. Lighted dissector and method for use
US7326178B1 (en) 1998-06-22 2008-02-05 Origin Medsystems, Inc. Vessel retraction device and method
US7476198B1 (en) 1998-06-22 2009-01-13 Maquet Cardiovascular, Llc Cannula-based surgical instrument
US8460331B2 (en) 1998-08-12 2013-06-11 Maquet Cardiovascular, Llc Tissue dissector apparatus and method
US8852085B2 (en) 2004-08-27 2014-10-07 Smith & Nephew, Inc. Tissue resecting system
US8893722B2 (en) 1997-09-04 2014-11-25 Smith & Nephew, Inc. Surgical endoscopic cutting device and method for its use
US9060801B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9155454B2 (en) 2010-09-28 2015-10-13 Smith & Nephew, Inc. Hysteroscopic system
CN108542439A (en) * 2018-05-14 2018-09-18 浙江大学医学院附属第医院 Expander and surgical instrument
EP3409221A1 (en) * 2017-05-30 2018-12-05 Thomas Gaiselmann Instrument system for minimally invasive surgery in the tissue of a patient
US10299770B2 (en) 2006-06-01 2019-05-28 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US10299803B2 (en) 2016-08-04 2019-05-28 Covidien Lp Self-aligning drive coupler
US10507012B2 (en) 2000-11-17 2019-12-17 Maquet Cardiovascular Llc Vein harvesting system and method
US10772654B2 (en) 2017-03-02 2020-09-15 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
US10772652B2 (en) 2015-01-28 2020-09-15 Covidien Lp Tissue resection system
US10804769B2 (en) 2015-06-17 2020-10-13 Covidien Lp Surgical instrument with phase change cooling
US10799264B2 (en) 2015-06-18 2020-10-13 Covidien Lp Surgical instrument with suction control
US10842350B2 (en) 2015-06-17 2020-11-24 Covidien Lp Endoscopic device with drip flange and methods of use thereof for an operative procedure
US10945752B2 (en) 2019-03-20 2021-03-16 Covidien Lp Tissue resecting instrument including a rotation lock feature
US11179172B2 (en) 2019-12-05 2021-11-23 Covidien Lp Tissue resecting instrument
US11197710B2 (en) 2018-10-26 2021-12-14 Covidien Lp Tissue resecting device including a blade lock and release mechanism
US11317947B2 (en) 2020-02-18 2022-05-03 Covidien Lp Tissue resecting instrument
US11376032B2 (en) 2019-12-05 2022-07-05 Covidien Lp Tissue resecting instrument
US11452806B2 (en) 2019-10-04 2022-09-27 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11547782B2 (en) 2020-01-31 2023-01-10 Covidien Lp Fluid collecting sheaths for endoscopic devices and systems
US11553977B2 (en) 2019-05-29 2023-01-17 Covidien Lp Hysteroscopy systems and methods for managing patient fluid
US11596429B2 (en) 2020-04-20 2023-03-07 Covidien Lp Tissue resecting instrument
US11737777B2 (en) 2020-02-05 2023-08-29 Covidien Lp Tissue resecting instruments
US11883058B2 (en) 2019-03-26 2024-01-30 Covidien Lp Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same
US11890237B2 (en) 2019-10-04 2024-02-06 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3504292C1 (en) * 1985-02-08 1986-07-24 Richard Wolf Gmbh, 7134 Knittlingen Instrument for endoscopic interventions, especially for percutaneous gallstone removal or gallbladder surgery
WO1987001276A1 (en) * 1985-08-28 1987-03-12 Sonomed Technology, Inc. Endoscopic ultrasonic aspirator with modified working tip
US4760840A (en) * 1986-12-16 1988-08-02 The Regents Of The University Of California Endoscopic laser instrument
WO1992012680A1 (en) * 1991-01-28 1992-08-06 Laserscope Surgical probe for constrained distal energy application
US5245987A (en) * 1992-07-31 1993-09-21 Vir Engineering Surgical instrument with extendable blades

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3504292C1 (en) * 1985-02-08 1986-07-24 Richard Wolf Gmbh, 7134 Knittlingen Instrument for endoscopic interventions, especially for percutaneous gallstone removal or gallbladder surgery
WO1987001276A1 (en) * 1985-08-28 1987-03-12 Sonomed Technology, Inc. Endoscopic ultrasonic aspirator with modified working tip
US4760840A (en) * 1986-12-16 1988-08-02 The Regents Of The University Of California Endoscopic laser instrument
WO1992012680A1 (en) * 1991-01-28 1992-08-06 Laserscope Surgical probe for constrained distal energy application
US5245987A (en) * 1992-07-31 1993-09-21 Vir Engineering Surgical instrument with extendable blades

Cited By (64)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0769270A1 (en) * 1995-10-20 1997-04-23 Ethicon Endo-Surgery, Inc. Method and devices for endoscopic vessel harvesting
EP0867148A1 (en) * 1995-10-20 1998-09-30 Ethicon Endo-Surgery, Inc. Devices for endoscopic vessel harvesting
WO1997040750A1 (en) * 1996-04-25 1997-11-06 Karl Storz Gmbh & Co. Surgical instrument system
US6402715B2 (en) * 1996-04-25 2002-06-11 Karl Storz Gmbh & Co. Kg Surgical instrument system
US5902315A (en) * 1997-08-28 1999-05-11 Ethicon Endo-Surgery, Inc. Optical tissue dissector/retractor
US5922004A (en) * 1997-08-28 1999-07-13 Ethicon Endo-Surgery, Inc. Method for performing optical tissue dissection/retraction
US9427247B2 (en) 1997-09-04 2016-08-30 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9226650B2 (en) 1997-09-04 2016-01-05 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9089358B2 (en) 1997-09-04 2015-07-28 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9226765B2 (en) 1997-09-04 2016-01-05 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9750520B2 (en) 1997-09-04 2017-09-05 Covidien Lp Surgical endoscopic cutting device and method for its use
US8893722B2 (en) 1997-09-04 2014-11-25 Smith & Nephew, Inc. Surgical endoscopic cutting device and method for its use
US6193653B1 (en) 1998-02-06 2001-02-27 Ethicon Endo-Surgery, Inc. Methods and devices for visualizing, dissecting and harvesting vessels and the like
US7326178B1 (en) 1998-06-22 2008-02-05 Origin Medsystems, Inc. Vessel retraction device and method
US7476198B1 (en) 1998-06-22 2009-01-13 Maquet Cardiovascular, Llc Cannula-based surgical instrument
EP0980673A3 (en) * 1998-06-22 2000-03-01 Origin Medsystems, Inc. Vessel isolating retractor cannula and method
EP0980673A2 (en) * 1998-06-22 2000-02-23 Origin Medsystems, Inc. Vessel isolating retractor cannula and method
US8460331B2 (en) 1998-08-12 2013-06-11 Maquet Cardiovascular, Llc Tissue dissector apparatus and method
US8986335B2 (en) 1998-08-12 2015-03-24 Maquet Cardiovascular Llc Tissue dissector apparatus and method
US9730782B2 (en) 1998-08-12 2017-08-15 Maquet Cardiovascular Llc Vessel harvester
US9700398B2 (en) 1998-08-12 2017-07-11 Maquet Cardiovascular Llc Vessel harvester
US10507012B2 (en) 2000-11-17 2019-12-17 Maquet Cardiovascular Llc Vein harvesting system and method
US9066745B2 (en) 2001-10-26 2015-06-30 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9060801B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9636130B2 (en) 2001-10-26 2017-05-02 Covidien Lp Reciprocating rotary arthroscopic surgical instrument
US10441306B2 (en) 2001-10-26 2019-10-15 Covidien Lp Reciprocating rotary arthroscopic surgical instrument
US9060800B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
WO2005092200A1 (en) * 2004-03-09 2005-10-06 Atricure, Inc. Lighted dissector and method for use
US9936861B2 (en) 2004-08-27 2018-04-10 Covidien Lp Tissue resecting system
US10076237B2 (en) 2004-08-27 2018-09-18 Covidien Lp Tissue resecting system
US10939810B2 (en) 2004-08-27 2021-03-09 Covidien Lp Tissue resecting system
US8852085B2 (en) 2004-08-27 2014-10-07 Smith & Nephew, Inc. Tissue resecting system
US9125550B2 (en) 2004-08-27 2015-09-08 Smith & Nephew, Inc. Tissue resecting system
US11141055B2 (en) 2006-06-01 2021-10-12 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US11134835B2 (en) 2006-06-01 2021-10-05 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US10299770B2 (en) 2006-06-01 2019-05-28 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US10251539B2 (en) 2010-09-28 2019-04-09 Covidien Lp Hysteroscopic system
US11889993B2 (en) 2010-09-28 2024-02-06 Covidien Lp Hysteroscopic system
US11229354B2 (en) 2010-09-28 2022-01-25 Covidien Lp Hysteroscopic system
US9155454B2 (en) 2010-09-28 2015-10-13 Smith & Nephew, Inc. Hysteroscopic system
US10772652B2 (en) 2015-01-28 2020-09-15 Covidien Lp Tissue resection system
US11666354B2 (en) 2015-01-28 2023-06-06 Covidien Lp Tissue resection system
US10804769B2 (en) 2015-06-17 2020-10-13 Covidien Lp Surgical instrument with phase change cooling
US10842350B2 (en) 2015-06-17 2020-11-24 Covidien Lp Endoscopic device with drip flange and methods of use thereof for an operative procedure
US11659977B2 (en) 2015-06-17 2023-05-30 Covidien Lp Endoscopic device with drip flange and methods of use thereof for an operative procedure
US11712262B2 (en) 2015-06-18 2023-08-01 Covidien Lp Surgical instrument with suction control
US10799264B2 (en) 2015-06-18 2020-10-13 Covidien Lp Surgical instrument with suction control
US10299803B2 (en) 2016-08-04 2019-05-28 Covidien Lp Self-aligning drive coupler
US11622787B2 (en) 2017-03-02 2023-04-11 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
US10772654B2 (en) 2017-03-02 2020-09-15 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
EP3409221A1 (en) * 2017-05-30 2018-12-05 Thomas Gaiselmann Instrument system for minimally invasive surgery in the tissue of a patient
CN108542439A (en) * 2018-05-14 2018-09-18 浙江大学医学院附属第医院 Expander and surgical instrument
US11197710B2 (en) 2018-10-26 2021-12-14 Covidien Lp Tissue resecting device including a blade lock and release mechanism
US10945752B2 (en) 2019-03-20 2021-03-16 Covidien Lp Tissue resecting instrument including a rotation lock feature
US11883058B2 (en) 2019-03-26 2024-01-30 Covidien Lp Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same
US11553977B2 (en) 2019-05-29 2023-01-17 Covidien Lp Hysteroscopy systems and methods for managing patient fluid
US11890237B2 (en) 2019-10-04 2024-02-06 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11452806B2 (en) 2019-10-04 2022-09-27 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11179172B2 (en) 2019-12-05 2021-11-23 Covidien Lp Tissue resecting instrument
US11376032B2 (en) 2019-12-05 2022-07-05 Covidien Lp Tissue resecting instrument
US11547782B2 (en) 2020-01-31 2023-01-10 Covidien Lp Fluid collecting sheaths for endoscopic devices and systems
US11737777B2 (en) 2020-02-05 2023-08-29 Covidien Lp Tissue resecting instruments
US11317947B2 (en) 2020-02-18 2022-05-03 Covidien Lp Tissue resecting instrument
US11596429B2 (en) 2020-04-20 2023-03-07 Covidien Lp Tissue resecting instrument

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