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    SURGERY DEVICE
    7.
    发明申请
    SURGERY DEVICE 审中-公开
    手术设备

    公开(公告)号：WO2018055431A1

    公开(公告)日：2018-03-29

    申请号：PCT/IB2016/001797

    申请日：2016-12-21

    申请人： GAVANESCU, Cosmin-Adrian

    发明人： GAVANESCU, Cosmin-Adrian

    IPC分类号： A61F9/007 ,  A61B18/20 ,  A61F9/008 ,  A61B17/3209

    CPC分类号： A61F9/007 ,  A61B10/0283 ,  A61B18/22 ,  A61B2017/00544 ,  A61B2017/320024 ,  A61B2017/320064 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00982 ,  A61B2217/005 ,  A61B2217/007 ,  A61F9/00736 ,  A61F9/00745 ,  A61F9/00763 ,  A61F9/00821 ,  A61F2009/00868 ,  A61F2009/00891

    摘要： The invention relates to a device for surgery used in microsurgery (eye surgery, glaucoma surgery, vitreo-retinal surgery, neurosurgery, plastic surgery, ENT, and / or other surgical fields), in laparoscopic surgery, endoscopic surgery, general surgery, gynecology, orthopedic and / or other human and/or animal surgical fields, more exactly to a device for cutting, suction, endo- illumination, endo-coagulation. This device can coagulate and/or remove by cutting and/or suction parts and/or tissues of the eye globe, but which can also be used for removing other parts and/or tissues of the body, with the possibility of visualizing through a fiber optic visioning system that can project images on a screen. The surgery device consists of two metal tubes of cylindrical shape, one outer tube (1) and one inner tube (2). that are arranged concentrically with respect to one another. The outer tube (I) being fixed while the inner tube (2) can be rotated around its longitudinal axis by means of mechanical, electromechanical and/or piezoelectric actuators, and/or by means of pneumatic (air or another) actuators. The actuators can be placed at the proximal part and/or at the base of the device and/or in a compartment separated from it at a short distance from the tip. The outer tube can be enveloped with fiber optic filaments that can be used for illumination, imaging and laser coagulation. The irrigation/inflation system consists of a cylindrically shaped hollow piece that slides onto the outer tube and on top of the finer optic envelope. The piece has an opening that is placed on the opposite side with respect to the cutting opening. Through this opening fluid (liquid or gas) is pumped in order to keep the pressure inside the virtual cavity (eye, peritoneum, and/or others) at a desired value. The flow of fluid is controlled by a system, not illustrated here, that is placed at some distance away from the end piece. This system maintains the desired pressure inside the virtual cavity where the device works in, by controlling both the amount of suction from the inner tube and the irrigation from this outer sleeve. The tubes (1) and (2) are forming at the distal part an area in the shape of a truncated cone which ends with an end-piece (3), and near the tip of the device, the outer tube (1) has an opening (4), which may overlap with one or more openings (5) of the inner tube (2), symmetrically placed on the surface of the inner truncated cone, and which, by rotation of the inner tube, they are sliding under the opening (4) of the outer tube (1), thus cutting the tissue/material, which is sucked and discharged to the base of the device due to a negative pressure created inside the inner tube (2) The fiber optic envelope contains fibers responsible for illumination, fibers that will serve to have a light source inside the eye and/or other organ and/or body, fibers that will be responsible to capture the image and carried to a visioning system that will recreate a bi-dimensional and/or tridimensional imagines that can be projected on a screen and the third type of fibers will be responsible for the transmission of the laser radiation used for photocoagulation. This fiber optic envelope can be placed on different others intra-ocular instruments (scissors, forceps, picks, hooks, and/or others) and/or other instruments used in other human surgical fields, and in combination with images capture by a second instrument and/or device having the same envelope, with the help of a visioning system with a integrating video software, not illustrated here, to measure and recreate a tridimensional image that can be projected on a screen.

    摘要翻译： 本发明涉及在腹腔镜手术中用于显微手术（眼外科手术，青光眼手术，玻璃体视网膜手术，神经外科手术，整形手术，耳鼻喉科和/或其他手术领域）的外科手术装置， 内窥镜手术，普通外科，妇科，整形外科和/或其他人类和/或动物外科手术领域，更确切地说涉及用于切割，抽吸，内照射，内凝固的装置。 该装置可通过切割和/或抽吸眼球的部件和/或组织来凝结和/或移除，但也可用于移除身体的其他部位和/或组织，并可通过纤维显现 可以在屏幕上投影图像的光学视觉系统。 手术装置由两个圆柱形金属管，一个外管（1）和一个内管（2）组成。 它们相对于彼此同心地布置。 外管（I）是固定的，而内管（2）可以通过机械，机电和/或压电致动器和/或通过气动（空气或其他）致动器绕其纵轴旋转。 致动器可以放置在装置的近侧部分和/或基部处和/或放置在与尖端短距离处与其分离的隔室中。 外管可以用可用于照明，成像和激光凝固的光纤细丝包裹。 灌溉/充气系统由一个圆柱形的中空件组成，该中空件可滑动到外管上，并位于较精细的光学外壳的顶部。 该件有一个开口，放置在相对于切割开口的相反侧。 通过该开口泵送流体（液体或气体）以将虚拟腔体（眼睛，腹膜和/或其他）内的压力保持在期望值。 流体的流动受到一个系统的控制，这里没有画出，这个系统放置在离端部件一定距离处。 该系统通过控制来自内管的抽吸量和来自该外套管的冲洗量来维持设备工作的虚拟腔内的期望压力。 管（1）和（2）在远端部分形成截头圆锥形的区域，该区域以端部件（3）结束，并且在装置的尖端附近，外管（1）具有 可以与内管（2）的一个或多个开口（5）重叠的开口（4）对称地放置在内部截头圆锥的表面上，并且通过内管的旋转，开口（4） （1）的开口（4），从而切割由于在内管（2）内部产生的负压而被吸入并排出到装置基部的组织/材料。光纤外壳包含纤维 负责照明，将用于在眼睛和/或其他器官和/或身体内部具有光源的光纤，负责捕获图像并被携带到视觉系统的光纤，所述视觉系统将重建二维和/ 或立体的想象可以投射在屏幕上，而第三种类型的光纤将负责该屏幕 透射用于光凝的激光辐射。 该光纤封套可以放置在不同的其他眼内器械（剪刀，镊子，镐，钩子和/或其他）和/或用于其他人类手术领域的其他器械上，并且与通过第二种器械 和/或具有相同包络的设备，借助具有集成视频软件的视觉系统（在此未示出）来测量和重新创建可投影在屏幕上的三维图像。

    送液具、処置具ユニット及び処置システム
    8.
    发明申请
    送液具、処置具ユニット及び処置システム 审中-公开
    流体输送装置，治疗仪器单元和治疗系统

    公开(公告)号：WO2017203636A1

    公开(公告)日：2017-11-30

    申请号：PCT/JP2016/065486

    申请日：2016-05-25

    申请人： オリンパス株式会社

    发明人： 加納　彰人

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B17/320092 ,  A61B18/085 ,  A61B2017/32007 ,  A61B2017/32008 ,  A61B2017/320084 ,  A61B2017/320094 ,  A61B2018/00029 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2218/002 ,  A61B2218/007

    摘要： 　生体組織を把持可能な処置具の把持部に装着されて用いられる処置具用の送液具は、流体を受け取るポートと、ポートに連続し、把持部のうち生体組織を把持可能な把持面に対して反対側の背面を覆うカバーとを有する。カバーは、把持部と協働してポートから連続する流路を形成し、ポートから受け取った液体をカバーのうち把持面に隣接する縁部と把持面の縁部との間から流出させる。

    摘要翻译： Okuekigu为

    生物组织被安装在所使用的可抓握处理器具处理器具的把手部是用于接收流体，连续端口，生物出抓握部分的一个端口 并且用于覆盖与能够夹持组织的抓握表面相反的背侧的覆盖物。 盖与所述夹持部分的通道形成为从所述端口继续相配合，以从该夹持表面的相邻边缘和边缘部从所述端口接收到所述盖的抓握表面的液体之间流出。