DE102011101188A1 - Method for performing minimally invasive surgery to remove tissue parts at surgical site in body of patient, involves performing energy transmission, liquid supply and -discharge, viewing possibility and illumination of site using conduit - Google Patents
Method for performing minimally invasive surgery to remove tissue parts at surgical site in body of patient, involves performing energy transmission, liquid supply and -discharge, viewing possibility and illumination of site using conduit Download PDFInfo
- Publication number
- DE102011101188A1 DE102011101188A1 DE102011101188A DE102011101188A DE102011101188A1 DE 102011101188 A1 DE102011101188 A1 DE 102011101188A1 DE 102011101188 A DE102011101188 A DE 102011101188A DE 102011101188 A DE102011101188 A DE 102011101188A DE 102011101188 A1 DE102011101188 A1 DE 102011101188A1
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- DE
- Germany
- Prior art keywords
- apparatus therefor
- minimally
- surgical site
- surgery according
- intensive surgery
- Prior art date
- 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.)
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Classifications
-
- 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
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- 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
-
- 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
- A61B1/0638—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 providing two or more wavelengths
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00553—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated using a turbine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00685—Archimedes screw
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320024—Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
-
- 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
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- 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
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
-
- 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
Abstract
Description
Die Erfindung betrifft ein Verfahren zur minimalinvasiven Chirurgie, dadurch gekennzeichnet, dass in einer vornehmlich flexiblen Leitung Energieübertragung, Flüssigkeitszuführung und – abführung, Sichtmöglichkeit und Beleuchtung der Operationsstelle vereinigt sind und dass das zur Realisierung des Verfahrens entwickelte Gerät dieser Erfindung Gewebeteile am Operationsplatz zerkleinert und diese Gewebeteile verfahrensgemäss ausgeschwemmt werden. Die Patentschrift
Die Patentschrift
Die Patentschrift
- – das punktuelle Entfernen von Gewebe und seine Zerkleinerung ermöglicht,
- – die Zuführung von Flüssigkeit zum Operationsplatz und die Abführung der Flüssigkeit mit den gelösten Gewebeteilen ermöglicht,
- – den Erfordernissen des Eingriffs entsprechend den Aufbau von Druck oder Vakuum oder oder einen druckfreien Zustand am Operationsplatz ermöglicht,
- – und die notwendigen Einrichtungen zur Beleuchtung des Operationsfeldes und das Sehen der Arbeitsvorgänge im Gerät integriert.
- - enables the selective removal of tissue and its comminution,
- - allows the supply of liquid to the surgical site and the discharge of the liquid with the dissolved tissue parts,
- - allows the requirements of the intervention according to the build-up of pressure or vacuum or or a pressure-free state at the operating theater,
- - And integrates the necessary facilities to illuminate the surgical field and seeing the operations in the device.
Nachfolgend wird die Erfindung beschrieben und durch Zeichnungen näher erläutert.The invention will be described and explained in more detail by drawings.
In
Vor und während des Operationsvorganges wird Flüssigkeit zum Spülen und zum Abtransport der mit dem Schneidkopf entfernten Gewebeteile benötigt. Für die Flüssigkeitszuführung können Zuleitungen (
In der Regel wird zur Abführung der Flüssigkeit und der ausgetrennten Gewebeteile die Röhre (
Für den Abtransport der Flüssigkeit sind erfindungsgemäß verschiedene Methoden vorgesehen. Außerhalb der Röhre mir eine absaugende Pumpe vorgesehen, die ein Vakuum erzeugt und so die Flüssigkeit absaugt.For the removal of the liquid, various methods are provided according to the invention. Outside of the tube, a suction pump is provided, which creates a vacuum and thus sucks the liquid.
Alternativ kann die Welle (
Als weitere Alternative bietet sich an, die Messerträger (
Die Einführung der Röhre zur Operationsstelle wird wesentlich erleichtert, wenn während diese Vorganges die Spitze der Röhre spitz gestaltet ist und der Schneidkopf (
Vorgesehen ist, dass am Kopf der Röhre zwei Halbklappen (
In die Halbklappen können die Seheinrichtung (
Für die Beleuchtung kann vorgesehen werden, dass Licht unterschiedlicher Frequenzen gesteuert eingesetzt wird. Dafür sind gesondert Schutzrechte angemeldet.For the lighting can be provided that light of different frequencies is used controlled. For this purpose, separate protection rights have been registered.
Sowohl die Seheinrichtung (
Bei Bedarf können die Linsen fernbedient vorschaltbar gestaltet sein.If necessary, the lenses can be designed remotely controllable.
Erfindungsgemäß können die Flüssigkeitszuleitungen
Mit der Erfindung wird ein Verfahren zur schonenden Durchführung minimalinvasiven Operationen bei minimalen Investitions- und Betriebskosten vorgestellt, das eine Vielzahl von Gestaltungsmöglichkeiten in Anpassung an die speziellen Bedürfnisse des Operateurs ermöglicht.With the invention, a method for the careful implementation of minimally invasive operations with minimal investment and operating costs is presented, which allows a variety of design options in adaptation to the special needs of the surgeon.
BezugszeichenlisteLIST OF REFERENCE NUMBERS
- 11
- Röhretube
- 22
- Wellewave
- 33
- Motorengine
- 44
- Turbineturbine
- 55
- Hohlwellehollow shaft
- 66
- Düsejet
- 77
- Flüssigkeitszuleitungliquid supply
- 88th
- Einspritzdüseinjection
- 99
- Absaugeinrichtungsuction
- 1010
- Auffangbehälterreceptacle
- 1111
- 1212
- ZerhackerkopfZerhackerkopf
- 1313
- gegenläufige Hohlwelleopposite hollow shaft
- 1414
- gegenläufige Schneidmessercounter-rotating cutting blades
- 1515
- Messerträgerblade carrier
- 1616
- Förderschraubefeed screw
- 1717
- Anstellwinkelangle of attack
- 1818
- Halbklappenhalf flaps
- 1919
- SeheinrichtungSeheinrichtung
- 2020
- Lagerungstorage
- 2121
- 2222
- Beleuchtungseinrichtunglighting device
- 2323
- Beleuchtungseinrichtunglighting device
- 2424
- Glasfaserleitungfiber optic line
- 2525
- Linselens
ZITATE ENTHALTEN IN DER BESCHREIBUNG QUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.
Zitierte PatentliteraturCited patent literature
- EP 0310431 B1 [0001] EP 0310431 B1 [0001]
- DE 19742669 [0002] DE 19742669 [0002]
- DE 3421390 A [0003] DE 3421390 A [0003]
Claims (18)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102011101188A DE102011101188A1 (en) | 2011-05-11 | 2011-05-11 | Method for performing minimally invasive surgery to remove tissue parts at surgical site in body of patient, involves performing energy transmission, liquid supply and -discharge, viewing possibility and illumination of site using conduit |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102011101188A DE102011101188A1 (en) | 2011-05-11 | 2011-05-11 | Method for performing minimally invasive surgery to remove tissue parts at surgical site in body of patient, involves performing energy transmission, liquid supply and -discharge, viewing possibility and illumination of site using conduit |
Publications (1)
Publication Number | Publication Date |
---|---|
DE102011101188A1 true DE102011101188A1 (en) | 2012-11-15 |
Family
ID=47070471
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE102011101188A Withdrawn DE102011101188A1 (en) | 2011-05-11 | 2011-05-11 | Method for performing minimally invasive surgery to remove tissue parts at surgical site in body of patient, involves performing energy transmission, liquid supply and -discharge, viewing possibility and illumination of site using conduit |
Country Status (1)
Country | Link |
---|---|
DE (1) | DE102011101188A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022248455A1 (en) | 2021-05-26 | 2022-12-01 | Universität Rostock | Device for cleaning tissues and/or implants |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3421390A1 (en) | 1984-06-08 | 1985-12-12 | Werner Dr.med. 4330 Mülheim Schubert | High-pressure catheter with a cutting and/or abrasion device |
EP0310431B1 (en) | 1987-09-30 | 1994-11-02 | Valleylab, Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
DE19742669A1 (en) | 1997-09-26 | 1999-04-22 | Fraunhofer Ges Forschung | Catheter |
-
2011
- 2011-05-11 DE DE102011101188A patent/DE102011101188A1/en not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3421390A1 (en) | 1984-06-08 | 1985-12-12 | Werner Dr.med. 4330 Mülheim Schubert | High-pressure catheter with a cutting and/or abrasion device |
EP0310431B1 (en) | 1987-09-30 | 1994-11-02 | Valleylab, Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
DE19742669A1 (en) | 1997-09-26 | 1999-04-22 | Fraunhofer Ges Forschung | Catheter |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022248455A1 (en) | 2021-05-26 | 2022-12-01 | Universität Rostock | Device for cleaning tissues and/or implants |
DE102021113606B4 (en) | 2021-05-26 | 2023-06-22 | Universität Rostock, Körperschaft des öffentlichen Rechts | Device for cleaning tissues and/or implants |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
R086 | Non-binding declaration of licensing interest | ||
R012 | Request for examination validly filed | ||
R119 | Application deemed withdrawn, or ip right lapsed, due to non-payment of renewal fee |
Effective date: 20131203 |