An endoscope for laparoscopic surgery, including a shaft with a central axis, a proximal end, a distal end and a first optical beam path with a prism at the distal end of the shaft and having light entrance and exit surfaces, a lens with an optical axis, the lens behind the prism considered from the distal end of the shaft, and beam deflecting optics behind the lens considered from the distal end of the shaft. The light entrance surface is oriented perpendicular to the central axis, and the light exit surface forms a first angle of inclination with a first spatial axis oriented orthogonal to the central axis. To increase the numerical aperture of the lens, the optical axis is arranged perpendicular to the light exit surface of the prism. As a result, the lens has a cross-sectional area that is larger than the light entrance surface of the prism.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A sterile unit for the sterile connection of an instrument drive unit to a surgical instrument, including: a base with a circular passageway orifice having a transmission element supported to be rotatable around a rotational axis and axially movable in a direction of the rotational axis in a movement range between first and second end positions. The sterile unit also includes a first fastening mechanism connecting the sterile unit to the instrument drive unit and a second fastening mechanism connecting the sterile unit to the instrument. To improve the coupling between the sterile and instrument drive units, the transmission element has a conical region at a circumferential surface and the passageway orifice has a complementary conical region at a passageway wall. The conical regions are aligned coaxially and contact one another such that a rotation of the transmission element around the rotational axis relative to the base is blocked.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
The invention relates to a manipulator for robotic surgery, comprising an instrument drive unit (20) and a sterile unit (10) for coupling a surgical instrument (30), the sterile unit (10) having a base (11) with at least one transfer body (12) mounted rotatably about a rotation axis and having a first coupling structure and a first fastening mechanism for connecting the sterile unit (10) to the instrument drive unit (20). The instrument drive unit (20) has at least one drive (21), which is associated with the at least one transfer body (12) and comprises a drive body which has a second coupling structure complementary to the first coupling structure. The first and the second coupling structure together form an alignment mechanism so that the at least one transfer body (12) is aligned in accordance with the second coupling structure associated with it whilst the sterile unit (10) is connected to the instrument drive unit (20). In order to facilitate the alignment, one of the first and second coupling structures is formed by a first wedge-shaped recess and the other of the first and the second coupling structures is formed by a first wedge corresponding to the first wedge-shaped recess.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in electronic format related and sold therewith; Data processing equipment; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical and occular apparatus and instruments, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables. Medical and surgical equipment and apparatus; Computerised surgical operation systems comprised of a surgeon's console, master control, displays, including video display, video image processing equipment, camera image processing equipment, patient-side cart with fixed arms and controllable arms, sterile adaptors to connect arms to instruments, exchangeable and limited reusable operation instruments and surgical instruments; Devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for transporting and installing medical and ancillary devices; Surgical operation tools and equipment, namely endoscopes; laparoscopes; Urological apparatus and instruments; Ultrasound apparatus; laser devices; Trocars; apparatus and instruments for rinsing body cavities; Cannulae; Cutters; clips; Clamps; Instruments for attaching clamps; Instruments for attaching clips; Pliers; knives; electric knives; scissors; Dissectors; Needles; Needle holders; Suturing apparatus; Grasper; Surgical cutlery; Scalpels; Surgical blades; Surgical staplers; Tackers; Electronic controllers and control units for operation instruments and surgical instruments for use in surgical operation systems. Medical services, namely surgigal procedures; Ordering, renting, in relation to the following goods: Surgical, medical apparatus and instruments, rental of medical and surgical apparatus and instruments, Leasing and donating of medical and surgical apparatus and instruments; Surgical assistance services in the form of surgical advisory services provided to medical and surgical professionals in the operating room, including from remote locations via the internet and global computer networks through archived medical images and a data storage and data retrieval system.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in electronic format related and sold therewith; Data processing equipment; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical and occular apparatus and instruments, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables. Medical and surgical equipment and apparatus; Computerised surgical operation systems comprised of a surgeon's console, master control, displays, including video display, video image processing equipment, camera image processing equipment, patient-side cart with fixed arms and controllable arms, sterile adaptors to connect arms to instruments, exchangeable and limited reusable operation instruments and surgical instruments; Devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for transporting and installing medical and ancillary devices; Surgical operation tools and equipment, namely endoscopes; laparoscopes; Urological apparatus and instruments; Ultrasound apparatus; laser devices; Trocars; apparatus and instruments for rinsing body cavities; Cannulae; Cutters; clips; Clamps; Instruments for attaching clamps; Instruments for attaching clips; Pliers; knives; electric knives; scissors; Dissectors; Needles; Needle holders; Suturing apparatus; Grasper; Surgical cutlery; Scalpels; Surgical blades; Surgical staplers; Tackers; Electronic controllers and control units for operation instruments and surgical instruments for use in surgical operation systems. Medical services, namely surgigal procedures; Ordering, renting, in relation to the following goods: Surgical, medical apparatus and instruments, rental of medical and surgical apparatus and instruments, Leasing and donating of medical and surgical apparatus and instruments; Surgical assistance services in the form of surgical advisory services provided to medical and surgical professionals in the operating room, including from remote locations via the internet and global computer networks through archived medical images and a data storage and data retrieval system.
An instrument for a robotic surgery system that includes a housing and an outer shaft joined to an effector at a distal end, and to the housing at a proximal end. The connection is rotatory so that the outer shaft can rotate about its longitudinal axis. The rotatory connection takes place by way of a first coupling element that is fixed to the outer shaft. The instrument also includes a first inner shaft arranged within the outer shaft and movably supported relative to it. The relative motion may be either a rotation or translation. The first inner shaft is joined with the effector at a distal end and fixed to a second coupling element at a proximal end. The first coupling element encloses the first inner shaft in a first transition region at the proximal end of the outer shaft, and a first sealing element encloses the first inner shaft.
A method for controlling, by means of an input unit, at least one manipulator arm of a robotic surgery system and an instrument held by the at least one manipulator arm. The input unit features a multi-linkage kinematic chain with active and/or passive joints and an open end. The open end is configured as a handpiece with at least one first passive joint. An operator controls movements of the instrument via moving the handpiece. The first passive joint features a first position sensor creating position signals which are used to control the movements of the instrument. A first measured value is calculated from a chronological succession of position signals of the first position sensor, and compared with a specified first threshold value. Control of the movement of the instrument is interrupted when the first measured value is smaller than the first threshold value.
A stereo-endoscope for observation and analysis of an object, comprising a shaft with distal and proximal ends, illuminating means for illuminating the object, and stereoscopic imaging means which transfer light radiated by the object from the distal end to the proximal end. Light of a first imaging channel is fed into a first sensor, and light of a second imaging channel is fed into a second sensor. Both sensors contain mutually different beam splitters, which split the light into four light beams. One light beam from each of the sensors is deflected onto one sensor each; these two sensors are identical. The signals detected there are assembled to form a stereoscopic image. The stereo-endoscope comprises mutually different manipulating means for the other two light beams; by means of suitably-tuned image-processing algorithms, two different monoscopic images containing information complementary to each other and to the stereoscopic image are generated.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
H04N 23/80 - Chaînes de traitement de la caméraLeurs composants
A device for robot-assisted surgery comprises at least one manipulator arm with a non-sterile coupling unit comprising at least one first drive element. Further, the device comprises a sterile instrument unit arranged in a sterile area and comprising at least one second drive element arranged rotatably around an axis of rotation. The first drive element and the second drive element are configured and arranged in a coupled state such that by the first drive element a force can be exerted on the second drive element, for rotation of the second drive element about the axis of rotation, and in the coupled state the first drive element and the second drive element are arranged side by side in a plane of rotation orthogonally to the axis of rotation. Further, the device comprises a sterile barrier which is arranged at least between the first drive element and the second drive element.
A61B 50/00 - Récipients, étuis, mobilier ou supports spécialement adaptés aux appareils ou aux instruments chirurgicaux ou de diagnostic, p. ex. étuis stériles
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
B25J 19/00 - Accessoires adaptés aux manipulateurs, p. ex. pour contrôler, pour observerDispositifs de sécurité combinés avec les manipulateurs ou spécialement conçus pour être utilisés en association avec ces manipulateurs
B25J 13/08 - Commandes pour manipulateurs au moyens de dispositifs sensibles, p. ex. à la vue ou au toucher
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
37 - Services de construction; extraction minière; installation et réparation
Produits et services
Software and instructional manuals and service manuals in
electronic format related and sold therewith; hardware for
data processing; relay units, cables and connecting cables. Medical and surgical apparatus and instruments; computerized
surgical operation system comprised of surgeon's console,
master control, display, such as video display, video image
processing equipment, camera image processing equipment,
patient-side cart with set-up arms and manipulator slave
arms, sterile adaptors to connect arms to instruments;
exchangeable limited re-use operation tools and surgical
instruments, devices for providing light and electrical
signals to endoscopes, light sources, cables and component
parts, electrosurgical instruments, carts used in operation
rooms for carrying and installing medical and auxiliary
devices; operation tools and surgical instruments, namely,
endoscopes, laparoscopes, urological apparatus and
instruments, ultrasound instruments, laser instruments,
trocars, apparatus and instruments for rinsing body
cavities, cannulas, cutters, clips, clamps, clip appliers,
clamps appliers, knives, electric knives, scissors,
dissectors, needles, needle holders, suturing apparatus,
graspers, scalpel, scalpel blades, staplers, tackers;
electronic controls and control units of operation tools and
surgical instruments for the use in surgical operation
systems; master controls, video displays, video printers,
system controllers, 3-D glasses, monitors, display panels,
operating panels, remote controllers, optical apparatus and
instruments and eyepieces, cameras, camera image processing
equipment, video image processing equipment and surgical
manipulation system software, all incorporated in surgical
manipulation systems. Installation, maintenance and repair of machines;
maintenance of medical apparatus.
37 - Services de construction; extraction minière; installation et réparation
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Installation, maintenance and repair of machines;
maintenance of medical apparatus. Organizing and conducting of seminars, trainings,
conferences and workshops in the field of surgical operative
techniques; training of physicians to perform surgical
procedures. Medical services, namely surgical treatment services; rental
and lending of medical and surgical apparatus and
instruments; surgical assistance services in the nature of
surgical advice provided to medical and surgical
professionals in the operating room, from remote locations
via the Internet and global computer networks through
archived medical images and a data storage and retrieval
system.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
37 - Services de construction; extraction minière; installation et réparation
Produits et services
Downloadable and recorded software for use in surgical robotic devices for operating said surgical robotical devices and instructional manuals and service manuals in electronic format related and sold therewith as a unit; computer hardware for data processing; electric relay units, electric cables and connecting electrical cables Medical and surgical apparatus and instruments for use in robot-assisted general surgery; computerized surgical operation system comprised of surgeon's console, master control, display, namely, video display, video image processing equipment, camera image processing equipment, patient-side cart with set-up arms and manipulator slave arms, sterile adaptors to connect arms to instruments; exchangeable limited re-use surgical operation devices and surgical instruments, medical devices for providing light and electrical signals to endoscopes, namely, light sources for use with endoscopes in the nature of light emitting diodes incorporated into endoscopes and external light emitting sources in the nature of medical examination lamps or light emitting diodes specially adapted to be operatively attached to endoscopes and their cables and component parts sold therewith; electrosurgical instruments, carts in the nature of trolleys for medical equipment used in operation rooms for carrying and installing medical and auxiliary devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamps appliers, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers; electronic controls and control units of surgical operation tools and surgical instruments specially adapted for the use in surgical operation systems; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical apparatus and instruments and eyepieces, cameras, camera image processing equipment, video image processing equipment and integrated recorded surgical manipulation system operating software, all of the aforementioned sold as a unit and incorporated in surgical manipulation systems Installation, maintenance and repair of machines; maintenance of medical apparatus
37 - Services de construction; extraction minière; installation et réparation
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Installation, maintenance and repair of machines; maintenance of medical apparatus Organizing and conducting of seminars, trainings, conferences and workshops in the field of surgical operative techniques; training of physicians to perform surgical procedures Medical services, namely, surgical treatment services; rental and lending of medical and surgical apparatus and instruments; surgical assistance services in the nature of surgical advice provided to medical and surgical professionals in the operating room, from remote locations via the Internet and global computer networks through archived medical images and a data storage and retrieval system
14.
Surgical instrument for minimally invasive surgery
A surgical instrument for minimally invasive surgery has an instrument shaft with a distal end and a proximal end. The proximal end is connectable to a signal generator. The surgical instrument has an instrument head which is pivotably connected to the distal end of the instrument shaft via a joint, and an end effector which is mounted rotatably about its longitudinal axis in the instrument head. The instrument further comprises a mechanical coupling element which is arranged at least partially in the instrument shaft and is configured to transmit and/or convert mechanical actuating signals of the signal generator for pivoting and rotating the instrument head, as well as a coil spring which bypasses the joint and connects the end effector to the coupling element to rotate the end effector. The coil spring has portions with different spring constants.
37 - Services de construction; extraction minière; installation et réparation
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
(1) Installation, maintenance and repair of machines; maintenance of medical apparatus
(2) Organizing and conducting of seminars, trainings, conferences and workshops in the field of surgical operative techniques; training of physicians to perform surgical procedures
(3) Medical services, namely surgical procedures; rental, lending, leasing and donating of medical and surgical apparatus and instruments; surgical assistance services in the nature of surgical advice provided to medical and surgical professionals in the operating room, from remote locations via the internet and global computer networks through archived medical images and a data storage and retrieval system
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
37 - Services de construction; extraction minière; installation et réparation
Produits et services
(1) Software and instructional manuals and service manuals in electronic format related and sold therewith; hardware for data processing; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical apparatus and instruments and eyepieces, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables.
(2) Medical and surgical apparatus and instruments; computerized surgical operation system comprised of surgeon's console, master control, display, such as video display, video image processing equipment, camera image processing equipment, patient-side cart with set-up arms and manipulator slave arms, sterile adaptors to connect arms to instruments; exchangeable limited re-use operation tools and surgical instruments, devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for carrying and installing medical and auxiliary devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamps appliers, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers; electronic controls and control units of operation tools and surgical instruments for the use in surgical operation systems. (1) Installation, maintenance and repair of machines; maintenance of medical apparatus.
17.
Arrangement for the sterile handling of non-sterile units in a sterile environment
An arrangement for the sterile handling of a non-sterile endoscope in a sterile environment comprises a sterile endoscope sheath for accommodating the endoscope and a cable via which the endoscope is connectable to a control unit, the arrangement further comprising a sterile cable sheath for accommodating at least a portion of the cable, wherein the endoscope sheath comprises a first sterile lock comprising at least one first sterile flap which in the closed state shields the endoscope arranged in the endoscope sheath in a sterile manner. The cable sheath comprises a second sterile lock having a second sterile flap which in a closed state shields the cable arranged in the cable sheath and/or a plug connector present on the arranged cable in a sterile manner. When connecting the cable or the plug connector to the endoscope, a movement of the first sterile flap from the closed state into an open state takes place and a movement of the second sterile flap from the closed state into an open state takes place so that a direct coupling of the cable to the endoscope or of the plug connector connected to the cable to a complementary plug connector of the endoscope is possible.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
H01R 13/453 - Volet ou plaque de recouvrement ouvert par l'engagement de la pièce complémentaire
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 1/07 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement utilisant des moyens conduisant la lumière, p. ex. des fibres optiques
A trocar holder for a manipulator of a robotic surgical system. The trocar holder includes a base element for securing the trocar holder to the manipulator and a clamp element which is replaceably connected to the base element via a coupling mechanism. Two limbs movable relative to each other in a clamp plane are formed on the clamp element. The limbs are connected via a spine and have free tips. The trocar holder also has a clamp mechanism for opening and closing the limbs and a receiving element for a trocar.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in
electronic format related and sold therewith; hardware for
data processing; master controls, video displays, video
printers, system controllers, 3-D glasses, monitors, display
panels, operating panels, remote controllers, optical and
ocular apparatus and instruments, cameras, camera image
processing equipment, video image processing equipment and
surgical manipulation system software, all incorporated in
surgical manipulation systems; electrical relay units,
cables and connecting cables; electronical controls and
control units of operation tools and surgical instruments
for the use in surgical operation systems. Medical and surgical apparatus and instruments; computerized
surgical operation system comprised of surgeon's console,
master control, display, namely video display, video image
processing equipment, camera image processing equipment,
patient-side cart with set-up arms and manipulator slave
arms, sterile adaptors to connect arms to instruments; tools
for medical operation and surgical instruments, reusable
with limited number of uses, devices for providing light and
electrical signals to endoscopes, light sources for medical
and surgical use and cables and component parts therefor,
electrosurgical instruments, trolleys used in operation
rooms for carrying and installing medical and ancillary
medical devices; operation tools and surgical instruments,
namely, endoscopes, laparoscopes, urological apparatus and
instruments, ultrasound instruments, laser instruments,
trocars, apparatus and instruments for rinsing body
cavities, cannulas, cutters, clips, clamps, clip appliers,
clamps appliers, forceps, knives, electric knives, scissors,
dissectors, needles, needle holders, suturing apparatus,
graspers, scalpel, scalpel blades, staplers, tackers. Medical services, namely surgical procedures; providing,
renting, lending, leasing and donating of medical and
surgical apparatus and instruments; surgical assistance
services in the nature of surgical advice provided to
medical and surgical professionals in the operating room,
also from remote locations via the Internet and global
computer networks through archived medical images and a data
storage and retrieval system.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in
electronic format related and sold therewith; hardware for
data processing; master controls, video displays, video
printers, system controllers, 3-D glasses, monitors, display
panels, operating panels, remote controllers, optical and
ocular apparatus and instruments, cameras, camera image
processing equipment, video image processing equipment and
surgical manipulation system software, all incorporated in
surgical manipulation systems; electrical relay units,
cables and connecting cables; electrical controls and
control units of operation tools and surgical instruments
for the use in surgical operation systems. Medical and surgical apparatus and instruments; computerized
surgical operation system comprised of surgeon's console,
master control, display, namely video display, video image
processing equipment, camera image processing equipment,
patient-side cart with set-up arms and manipulator slave
arms, sterile adaptors to connect arms to instruments; tools
for medical operation and surgical instruments, reusable
with limited number of uses, devices for providing light and
electrical signals to endoscopes, light sources for medical
and surgical use and cables and component parts therefor,
electrosurgical instruments, trolleys used in operating
rooms for carrying and installing medical and ancillary
devices; operation tools and surgical instruments, namely,
endoscopes, laparoscopes, urological apparatus and
instruments, ultrasound instruments, laser instruments,
trocars, apparatus and instruments for rinsing body
cavities, cannulas, cutters, clips, clamps, clip appliers,
clamps appliers, forceps, knives, electric knives, scissors,
dissectors, needles, needle holders, suturing apparatus,
graspers, scalpel, scalpel blades, staplers, tackers. Medical services, namely surgical procedures; providing,
renting, lending, leasing and donating of medical and
surgical apparatus and instruments; surgical assistance
services in the nature of surgical advice provided to
medical and surgical professionals in the operating room,
also from remote locations via the Internet and global
computer networks through archived medical images and a data
storage and retrieval system.
An arrangement for sterile handling of a non-sterile endoscope in a sterile environment. The arrangement includes a sterile endoscope sheath, and the non-sterile endoscope. The sterile endoscope sheath has an optical element arranged at a distal end of the sterile endoscope sheath. The non-sterile endoscope has an endoscope shaft with an optical element arranged at a distal end of the endoscope shaft.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An arrangement for sterile handling of a non-sterile endoscope in a sterile environment includes a sterile endoscope sheath having an optical element arranged at its distal end, and a non-sterile endoscope. The optical element has a light-reflecting element or a light-reflecting area which reflects detection light emitted by the detection light source as reflection light toward a proximal end of the endoscope sheath. The non-sterile endoscope includes an endoscope shaft, an illumination optical system, and an observation optical system. The non-sterile endoscope is received in the endoscope sheath.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
An instrument support device for a manipulator of a robotic surgical system, comprising: an arm having first, second and third arm elements; an interface for connecting the first arm element to the manipulator via a rotational joint; a torsional joint connecting the first and second arm elements; a first rotational joint connecting the second and third arm elements; a sliding joint connecting the third arm element to an instrument mounting for receiving a surgical instrument with a longitudinal axis; and a controller with drives for moving the arm elements and instrument mounting. The instrument mounting is connected to the third arm element via a second rotational joint, the rotational axes of the first and second rotational joints lie parallel to each other, and the longitudinal axis is guidable through a pivot point on the rotational axis of the torsional joint in an extension from the second arm element, without constraint.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A robotic surgical system comprising a supporting column, a plurality of manipulator arms, a control device and a boom. The boom is connected at one end to the supporting column and at the other end includes a plurality of coupling devices for coupling the manipulator arms to the booms Depending on the position of the respective manipulator arm on the boom, some manipulator arms may be connected via first coupling devices with first coupling mechanisms to the boom, and other arms may be connected via second coupling devices to the boom. The first coupling mechanism comprises a first pivot joint. The second coupling mechanism comprises a second pivot joint, a third pivot joint and a linkage part connecting the pivot joints. The axes of rotation of the second and third pivot joints are spaced apart by the linkage part and lie parallel to each other.
A surgical robot system includes a manipulator for a surgical instrument intended for use in one single operation, a control unit for controlling the manipulator, and a read and write device for reading and storing data of a data memory. The read and write device is configured to read out first data with first information on the surgical instrument from the data memory and to transmit them to the control unit when the surgical instrument is coupled with the robot system. The control unit checks whether at least the one compatibility criterion meets at least one compatibility condition stored in the control unit in a preset manner based on the second information. The control unit approves the surgical instrument for use by the surgical robot system only when the compatibility criterion meets the at least one compatibility condition stored in a preset manner.
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
27.
METHOD FOR THE APPROVAL CONTROL OF A SURGICAL INSTRUMENT TO BE USED IN A SURGICAL ROBOT SYSTEM AND SURGICAL ROBOT SYSTEM
A surgical robot system (10) comprises a manipulator (12) for moving and/or actuating a surgical instrument (500) intended for use in one single operation, a control unit (36) for controlling the manipulator (12), a read and write device (160) for reading and storing data of a data memory (494) of the surgical instrument (500). The read and write device (160) is configured to read out first data with first information on the surgical instrument (500) from the data memory (494) and to transmit them to the control unit (36) in connection with a coupling of the surgical instrument (500) with the robot system (10). The control unit (36) checks on the basis of the second information contained in the second data whether at least the one compatibility criterion meets at least one compatibility condition stored in the control unit (36) in a preset manner. The control unit (36) only approves the surgical instrument (500) for use by the surgical robot system (10) when the compatibility criterion meets the at least one compatibility condition stored in a preset manner. A corresponding method for the approval control guarantees a use of a surgical instrument (500) in only one single operation.
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
The invention relates to a robotic surgical system which comprises a supporting column (2), a number of manipulator arms (9), a control device (19) for controlling the robotic surgical system and a boom (3). The boom (3) is connected at one of its ends to the supporting column (2) and at the other of its ends has means for coupling the manipulator arms (9) with a number of coupling devices for the manipulator arms (9) corresponding to the number of manipulator arms (9). According to the invention, depending on the position of the respective manipulator arm (9) on the boom (3), via first coupling devices with first coupling mechanisms a first portion of the number of manipulator arms (9) and via second coupling devices with second coupling mechanisms a second portion of the number of manipulator arms (9) are connected to the boom (3). The first coupling mechanism consists of a first pivot joint (5). The second coupling mechanism consists of a second pivot joint (6) and a third pivot joint (7) as well as a linkage part (8) connecting the two pivot joints (6, 7). The axes of rotation of the two pivot joints (6, 7) lie parallel to each other and are spaced apart by means of the linkage part (8). The second pivot joint (6) and the third pivot joint (7) are also arranged spaced apart from each other in the direction of the axes of rotation by means of the linkage part (8).
A relay optical system for a rigid endoscope has two identically formed lens systems which are arranged symmetrically to each other with respect to a plane of symmetry that is perpendicular to the optical axis. The lens systems each comprise a first biconvex lens, a biconcave lens, a rod lens having a convex lens surface facing the plane of symmetry and a concave lens surface facing away from the plane of symmetry, and a second biconvex lens, in this order as viewed from the plane of symmetry.
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/002 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec des agencements de lentilles-barreau
A61B 1/055 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision avec des agencements de lentilles-barreau
G02B 13/00 - Objectifs optiques spécialement conçus pour les emplois spécifiés ci-dessous
An objective lens for an endoscope has an object-side lens element including a plane-convex rod lens and an image-side lens element including a biconvex lens arranged at the image-side end of the objective lens. The object-side lens element includes a plane-convex first lens and a biconcave second lens which form a front lens and are arranged in this order on the object side of the plane-convex rod lens forming a third lens. As viewed from the object side, the image-side lens element includes a biconvex fourth lens, a concave-plane fifth lens and a biconcave sixth lens which are arranged in this order on the object side of the biconvex lens that is arranged at the image-side end of the objective lens and forms a seventh lens.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/002 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec des agencements de lentilles-barreau
G02B 1/10 - Revêtements optiques obtenus par application sur les éléments optiques ou par traitement de la surface de ceux-ci
A camera objective lens for an endoscope has an object-side first prism and an image-side second prism, a first lens system arranged on the object side of the first prism and a second lens system arranged on the image side of the first prism, and a sensor surface arranged at the image-side end of the camera objective lens parallel to the longitudinal axis of an endoscope shaft of the endoscope. The first prism and the second prism are designed to cause a first to third beam deflection as a three-fold beam deflection. The first lens system includes a biconcave first lens, a biconvex second lens, a third lens formed as a rod lens, a plane-concave fourth lens and a biconvex fifth lens in this order as viewed from the object side. The second lens system includes a convex-plane sixth lens, a seventh lens formed as a meniscus lens, a biconvex eighth lens and a biconcave ninth lens in this order as viewed from the object side.
G02B 9/64 - Objectifs optiques caractérisés à la fois par le nombre de leurs composants et la façon dont ceux-ci sont disposés selon leur signe, c.-à-d. + ou — ayant plus de six composants
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G02B 13/00 - Objectifs optiques spécialement conçus pour les emplois spécifiés ci-dessous
G02B 27/09 - Mise en forme du faisceau, p. ex. changement de la section transversale, non prévue ailleurs
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/002 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec des agencements de lentilles-barreau
32.
CAMERA OBJECTIVE LENS FOR AN ENDOSCOPE AND ENDOSCOPE
A camera objective lens (1) for an endoscope (18, 19), comprises an object-side first prism (2) and an image-side second prism (3), a first lens system (4) arranged on the object side of the first prism (2) and a second lens system (5) arranged on the image side of the first prism (2), and a sensor surface (20) arranged at the image-side end of the camera objective lens (1) parallel to the longitudinal axis of an endoscope shaft of the endoscope. The first prism (2) and the second prism (3) are designed to cause a first to third beam deflection as a three- fold beam deflection. The first lens system (4) includes a biconcave first lens (6), a biconvex second lens (7), a third lens (8) formed as a rod lens, a plane-concave fourth lens (9) and a biconvex fifth lens (10) in this order as viewed from the object side. The second lens system (5) includes a convex-plane sixth lens (11), a seventh lens (12) formed as a meniscus lens, a biconvex eighth lens (13) and a biconcave ninth lens (14) in this order as viewed from the object side.
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/055 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision avec des agencements de lentilles-barreau
G02B 11/04 - Objectifs optiques caractérisés par le nombre total de lentilles simples et composées constituant l'objectif et par leur disposition ayant uniquement deux lentilles disposées C C
G02B 13/00 - Objectifs optiques spécialement conçus pour les emplois spécifiés ci-dessous
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
33.
RELAY OPTICAL SYSTEM FOR A RIGID ENDOSCOPE AND ENDOSCOPE
A relay optical system (1) for a rigid endoscope (12, 13) comprises two identically formed lens systems (2) which are arranged symmetrically to each other with respect to a plane of symmetry (A) that is perpendicular to the optical axis (0). The lens systems (2) each comprise a first biconvex lens (4), a biconcave lens (5), a rod lens (6) having a convex lens surface (F5) facing the plane of symmetry (A) and a concave lens surface (F6) facing away from the plane of symmetry (A), and a second biconvex lens (7), in this order as viewed from the plane of symmetry (A).
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/002 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec des agencements de lentilles-barreau
An objective lens (1) for an endoscope (24, 25) comprises an object-side lens element (2) including a plane-convex rod lens (7) and an image-side lens element (3) including a biconvex lens (13) arranged at the image-side end of the objective lens (1). The object-side lens element (2) includes a plane-convex first lens (5) and a biconcave second lens (6) which form a front lens (4) and are arranged in this order on the object side of the plane-convex rod lens (7) forming a third lens. As viewed from the object side, the image-side lens element (3) includes a biconvex fourth lens (9), a concave-plane fifth lens (10) and a biconcave sixth lens (12) which are arranged in this order on the object side of the biconvex lens (13) that is arranged at the image-side end of the objective lens (1) and forms a seventh lens.
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G02B 11/04 - Objectifs optiques caractérisés par le nombre total de lentilles simples et composées constituant l'objectif et par leur disposition ayant uniquement deux lentilles disposées C C
G02B 13/00 - Objectifs optiques spécialement conçus pour les emplois spécifiés ci-dessous
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Downloadable software, namely operating software for surgical systems and instruments, and instruction manuals in electronic format sold therewith; Computer hardware for data processing; electrical relay units, namely, electric relays, cables, namely electrical cables, and connecting cables, namely electrical connection cables Medical apparatus and instruments, namely, medical imaging apparatus and instruments, and surgical apparatus and instruments; computerized surgical operation system comprised of surgeon's console, master control, display, namely, video display, video image processing equipment, camera image processing equipment, patient side-cart with set-up arms and manipulator slave arms, and sterile adapters to connect arms to instruments; medical devices for providing light and electrical signals to endoscopes, namely, light emitting diodes, gas lamps, optical waveguides, wired interfaces and wireless transmitters incorporated into endoscopes for use in surgical procedures, light sources, namely, surgical lamps for medical and surgical use; cables and component parts, namely, transmitting cables for medical electrodes for use in surgical procedures; electrosurgical instruments, trolleys used in operation rooms for carrying and installing medical and ancillary medical devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, neurological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamp appliers, forceps, knives, electric knives, scissors, dissectors, needles, needle holders, centering apparatus, graspers, scalpel, scalpel blades, staplers, tackers Medical services, namely surgical procedures; renting, lending, leasing, and donating of medical and surgical apparatus and instruments; surgical assistant services in the nature of surgical advice provided to medical and surgical professionals in the operating room, also from remote locations by the Internet and global computer networks through archived medical images and a data storage and retrieval system
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Downloadable Software, namely operating software for surgical systems and instruments, and instruction manuals in electronic format sold therewith; computer hardware for data processing; electrical relay units, namely, electric relays, cables, namely electrical cables, and connecting cables, namely electrical connection cables Medical apparatus and instruments, namely, medical imaging apparatus and instruments, and surgical apparatus and instruments; computerized surgical operation system comprised of surgeon's console, master control, display, namely video display, video image processing equipment, camera image processing equipment, patient side- cart with set-up arms and manipulator slave arms, and sterile adapters to connect arms to instruments; medical devices for providing light and electrical signals to endoscopes, namely light emitting diodes, gas lamps, optical waveguides, wired interfaces and wireless transmitters incorporated into endoscopes for use in surgical procedures, light sources, namely surgical lamps for medical and surgical use; cables, namely, transmitting cables for medical electrodes for use in surgical procedures and component parts therefor; electrosurgical instruments, trolleys used in operation rooms for carrying and installing medical and ancillary medical devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars , apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamp appliers, forceps, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers Medical services, namely surgical procedures; renting, lending, leasing, and donating of medical and surgical apparatus and instruments; surgical assistant services in the nature of surgical advice provided to medical and surgical professionals in the operating room, also from remote locations by the Internet and global computer networks through archived medical images and a data storage and retrieval system
37.
OPERATING DEVICE FOR A ROBOT-ASSISTED SURGICAL SYSTEM
The invention relates to an operating device (42) for a robot-assisted surgery system (10) comprising a manually actuatable operating element (124) as well as an interface (100) for attaching the operating device (42) to a holding unit (50). When attached to the holding unit (50), the operating element (124) is rotatable relative to the interface (100) about three axes of rotation (106, 114, 126) running orthogonally to each other, these three axes of rotation (106, 114, 126) intersecting in a common point of intersection (150).
An operating device (42) for a robot-assisted surgery system (10) comprising a manually actuatable operating element (124) as well as an interface (100) for attaching the operating device (42) to a holding unit (50). When attached to the holding unit (50), the operating element (124) is rotatable relative to the interface (100) about three axes of rotation (106, 114, 126) running orthogonally to each other, these three axes of rotation (106, 114, 126) intersecting in a common point of intersection (150).
G05B 19/19 - Commande numérique [CN], c.-à-d. machines fonctionnant automatiquement, en particulier machines-outils, p. ex. dans un milieu de fabrication industriel, afin d'effectuer un positionnement, un mouvement ou des actions coordonnées au moyen de données d'un programme sous forme numérique caractérisée par systèmes de commande de positionnement ou de commande de contournage, p. ex. pour commander la position à partir d'un point programmé vers un autre point ou pour commander un mouvement le long d'un parcours continu programmé
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
39.
Device to set and retrieve a reference point during a surgical procedure
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in electronic format related and sold therewith; hardware for data processing; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical and occular apparatus and instruments, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables. Medical and surgical apparatus and instruments; Computerized surgical operation system comprised of surgeon's console, master control, display, such as video display, video image processing equipment, camera image processing equipment, patient-side cart with set-up arms and manipulator slave arms, sterile adaptors to connect arms to instruments; reposable limited re-use operation tools and surgical instruments, devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for carrying and installing medical and ancillary devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamps appliers, forceps, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers; electronical controls and control units of operation tools and surgical instruments for the use in surgical operation systems. Medical services, namely surgical procedures; Providing, renting, lending, leasing and donating of medical and surgical apparatus and instruments; Surgical assistance services in the nature of surgical advice provided to medical and surgical professionals in the operating room, also from remote locations via the Internet and global computer networks through archived medical images and a data storage and retrieval system.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software and instructional manuals and service manuals in electronic format related and sold therewith; hardware for data processing; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical and occular apparatus and instruments, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables. Medical and surgical apparatus and instruments; Computerized surgical operation system comprised of surgeon's console, master control, display, such as video display, video image processing equipment, camera image processing equipment, patient-side cart with set-up arms and manipulator slave arms, sterile adaptors to connect arms to instruments; reposable limited re-use operation tools and surgical instruments, devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for carrying and installing medical and ancillary devices; operation tools and surgical instruments; namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamps appliers, forceps, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers; electronical controls and control units of operation tools and surgical instruments for the use in surgical operation systems. Medical services, namely surgical procedures; Providing, renting, lending, leasing and donating of medical and surgical apparatus and instruments; Surgical assistance services in the nature of surgical advice provided to medical and surgical professionals in the operating room, also from remote locations via the Internet and global computer networks through archived medical images and a data storage and retrieval system.
The invention relates to an instrument support device (3) for a manipulator (1) of a robotic surgical system, comprising a three-element arm in the form of an end piece of an open kinematic chain with a first, second, and third arm element (3.1, 3.2, 3.3), an interface for connecting the first arm element (3.1) to the manipulator (1) via an interface rotational joint (GS), a torsional joint (G3.1) which connects the first arm element (3.1) to the second arm element (3.2), a first rotational joint (G3.2) which connects the second arm element (3.2) to the third arm element (3.3), and a sliding joint (G3.3) which connects the third arm element (3.3) to an instrument mounting (3.4) for receiving a surgical instrument (4, 5, 18, 19) with an instrument longitudinal axis (I). The instrument support device (3) also comprises a controller for driving the torsional joint (G3.1), the first rotational joint (G3.2), and the sliding joint (G3.3) in order to move the arm elements (3.1, 3.2, 3.3) and the instrument mounting (3.4) relative to one another. In such an instrument support device (3), the instrument mounting (3.4) is connected to the third arm element (3.3) via a second passive rotational joint (G3.4) and can be freely rotated about the rotational axis of the instrument mounting. The rotational axes of the first and second rotational joint (G3.2, G3.4) are parallel to each other, whereby the instrument longitudinal axis (I) can be guided by a pivot point (PP) without exerting a force, said pivot point lying on the rotational axis of the torsional joint in an extension from the second arm element (3.2).
A device for robot-assisted surgery with at least one coupling unit (100) of a manipulator arm (16) comprising a first transmitting means (102). A sterile cover (38) comprising a sterile lock (200) serves to shield the manipulator arm (16) from a sterile area (39). The sterile lock (200) is connectable both to the coupling unit (100) and to the sterile unit (400). The sterile lock (200) has at least one lock flap (208, 210) which in a closed state shields the first transmitting means (102) in a sterile manner. The sterile unit (400) comprising a second transmitting means (406) has sterile flaps (402, 404) which in a closed state shield the second transmitting means (406) in a sterile manner. When connecting the sterile unit (400) to the sterile lock (200) the lock flap (208, 210) and the sterile flap (402, 404) are opened so that a direct transmission between the first transmitting means (102) and the second transmitting means (406) is possible. When separating the sterile unit (400) from the sterile lock (200) the lock flaps (208, 210) and the sterile flap (402, 404) are each automatically closed and locked so that they shield the first transmitting means (102) and the second transmitting means (406) from the sterile area (39). Further, the invention relates to a sterile lock (200) and a method for robot-assisted surgery.
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 46/10 - Draps de chirurgie spécialement adaptés aux instruments
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
B25J 19/00 - Accessoires adaptés aux manipulateurs, p. ex. pour contrôler, pour observerDispositifs de sécurité combinés avec les manipulateurs ou spécialement conçus pour être utilisés en association avec ces manipulateurs
A61B 90/30 - Dispositifs pour éclairer une zone chirurgicale, les dispositifs ayant une corrélation avec d’autres dispositifs chirurgicaux ou avec une intervention chirurgicale
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
45.
ARRANGEMENT FOR THE STERILE HANDLING OF NON-STERILE UNITS IN A STERILE ENVIRONMENT
The invention relates to an arrangement (100) for the sterile handling of a sterile endoscope (114) in a sterile environment (110), comprising a sterile endoscope sheath (112) for receiving the endoscope (114), and a cable (118), by way of which the endoscope (114) can be connected to a control unit. The arrangement (100) further comprises a sterile cable sheath (116) for receiving at least one section of the cable (118). The endoscope sheath (112) comprises a first sterile lock (142) having at least one first sterile flap (144, 146), which in a closed state shields the endoscope (114) arranged in the endoscope sheath (112) in a sterile manner. The cable sheath (116) comprises a second sterile lock (148) having a second sterile flap (150, 152), which in a closed state shields the cable (118) arranged in the cable sheath (116) and/or an existing plug-in connector (156) arranged on the cable (118) in a sterile manner. When the cable (118), or the plug connector (156), is connected to the endoscope (114), a movement of the first sterile flap (144, 146) from the closed state into an open state, and a movement of the second sterile flap (150, 152) from the closed state into an open state takes place occurs such that a direct coupling of the cable (118) with the endoscope (114), or of the plug-in connector (156) connected to the cable (118) using a complementary plug-in connector (138) of the endoscope (114) is possible.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 46/10 - Draps de chirurgie spécialement adaptés aux instruments
H01R 13/52 - Boîtiers protégés contre la poussière, les projections, les éclaboussures, l'eau ou les flammes
46.
ARRANGEMENT FOR THE STERILE HANDLING OF NON-STERILE UNITS IN A STERILE ENVIRONMENT
The invention relates to an arrangement (100) for the sterile handling of a sterile endoscope (114) in a sterile environment (110), comprising a sterile endoscope sheath (112) for receiving the endoscope (114), and a cable (118), by way of which the endoscope (114) can be connected to a control unit. The arrangement (100) further comprises a sterile cable sheath (116) for receiving at least one section of the cable (118). The endoscope sheath (112) comprises a first sterile lock (142) having at least one first sterile flap (144, 146), which in a closed state shields the endoscope (114) arranged in the endoscope sheath (112) in a sterile manner. The cable sheath (116) comprises a second sterile lock (148) having a second sterile flap (150, 152), which in a closed state shields the cable (118) arranged in the cable sheath (116) and/or an existing plug-in connector (156) arranged on the cable (118) in a sterile manner. When the cable (118), or the plug connector (156), is connected to the endoscope (114), a movement of the first sterile flap (144, 146) from the closed state into an open state, and a movement of the second sterile flap (150, 152) from the closed state into an open state takes place occurs such that a direct coupling of the cable (118) with the endoscope (114), or of the plug-in connector (156) connected to the cable (118) using a complementary plug-in connector (138) of the endoscope (114) is possible.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 46/10 - Draps de chirurgie spécialement adaptés aux instruments
H01R 13/52 - Boîtiers protégés contre la poussière, les projections, les éclaboussures, l'eau ou les flammes
z) is determined. A first control information is generated when the amount of the determined distance vector (V) has and/or falls below a first preset value. An output unit outputs a signal dependent on the first control information.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/32 - Robots chirurgicaux opérant de façon autonome
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
48.
Apparatus and method for robot-assisted surgery as well as positioning device
The invention relates to an apparatus for robot-assisted surgery, a positioning device (600, 700) as well as a method for assisting in the positioning of a manipulator arm (16) of an apparatus for robot-assisted surgery. The apparatus comprises a positioning device (600, 700) which is connected to a coupling unit (100) of the manipulator arm (16) instead of an instrument unit (300). The instrument unit (300) has a surgical instrument (500) with an instrument shaft (512), the proximal end (514) of which is passable through a body orifice of a patient (18) to a target area (30).
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/13 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre avec des guides pour aiguilles ou instruments, p. ex. des glissières courbes ou des articulations à rotule guidés par la lumière, p. ex. pointeurs lasers
A61B 90/30 - Dispositifs pour éclairer une zone chirurgicale, les dispositifs ayant une corrélation avec d’autres dispositifs chirurgicaux ou avec une intervention chirurgicale
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
49.
Holding and positioning apparatus of a surgical instrument and/or an endoscope for minimally invasive surgery and a robotic surgical system
The invention describes a retaining and positioning device of a surgical instrument and/or of an endoscope for minimally invasive surgery, more particularly for use within a surgical robot system, including a first axis of rotation, around which a retaining element can be rotated. The first axis of rotation always intersects with a longitudinal axis of at least one surgical instrument and/or of an endoscope in a pivotal point by means of a thrust drive being attached to the retaining element, to which thrust drive an instrument drive unit can be rotatably arranged around the pivotal point. The instrument drive unit has a telescopic arrangement via which the surgical instrument can be moved in a translational manner along the longitudinal axis thereof by means of a guide arrangement in the body in such a manner that the longitudinal axis of the surgical instrument is variably adjustable relative to the telescopic arrangement.
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
A61B 90/11 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre avec des guides pour aiguilles ou instruments, p. ex. des glissières courbes ou des articulations à rotule
The invention relates to a device for robot-assisted surgery, comprising at least one coupling unit (100) of a manipulator arm (16), which coupling unit comprises a first transmitting means (102). A sterile cover (38) comprising a sterile lock (200) is used to shield the manipulator arm (16) from a sterile region (39). The sterile lock (200) can be connected to the coupling unit (100) and to the sterile unit (400). The sterile lock (200) has at least one lock flap (208, 210), which shields the first transmitting means (102) in a sterile manner in a closed state. The sterile unit (400), which comprises a second transmitting means (406), has sterile flaps (402, 404), which shield the second transmitting means (406) in a sterile manner in a closed state. When the sterile unit (400) is connected to the sterile lock (200), the lock flap (208, 210) and the sterile flap (402, 404) are opened, such that direct transmission between the first transmitting means (102) and the second transmitting means (406) is possible. When the sterile unit (400) is disconnected from the sterile lock (200), the lock flap (208, 210) and the sterile flap (402, 404) are each automatically closed and locked, such that the lock flap and the sterile flap shield the first transmitting means (102) and the second transmitting means (406) from the sterile region (39). The invention further relates to a sterile lock (200) and to a method for robot-assisted surgery.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A device for robot-assisted surgery, comprising at least one non-sterile manipulator arm (12) having a coupling unit (100) with drive elements. The device further has an instrument unit (300) which comprises a surgical instrument (500) and a sterile sterile unit (400) for coupling the surgical instrument (500) to the drive elements of the coupling unit (100). The coupling unit (100) comprises a translatory drive element (110, 112) for generating a translatory drive movement and a rotatory drive element (114, 116) for generating a rotatory drive movement. The sterile unit (400) has a translationally driven element (408, 410) couplable to the translatory drive element (110, 112) and a rotationally driven element (412, 414) couplable to the rotatory drive element (114, 116). The device has a sterile lock (200) which is capable of being coupled to the coupling unit (100) and to the sterile unit (400).
A61B 46/10 - Draps de chirurgie spécialement adaptés aux instruments
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 90/40 - Appareils fixés au patient, ou à proximité de celui-ci, spécialement adaptés pour fournir un environnement chirurgical aseptique
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
The invention relates to a device for robot-assisted surgery, comprising at least one coupling unit (100) of a manipulator arm (16), which coupling unit comprises a first transmitting means (102). A sterile cover (38) comprising a sterile lock (200) is used to shield the manipulator arm (16) from a sterile region (39). The sterile lock (200) can be connected to the coupling unit (100) and to the sterile unit (400). The sterile lock (200) has at least one lock flap (208, 210), which shields the first transmitting means (102) in a sterile manner in a closed state. The sterile unit (400), which comprises a second transmitting means (406), has sterile flaps (402, 404), which shield the second transmitting means (406) in a sterile manner in a closed state. When the sterile unit (400) is connected to the sterile lock (200), the lock flap (208, 210) and the sterile flap (402, 404) are opened, such that direct transmission between the first transmitting means (102) and the second transmitting means (406) is possible. When the sterile unit (400) is disconnected from the sterile lock (200), the lock flap (208, 210) and the sterile flap (402, 404) are each automatically closed and locked, such that the lock flap and the sterile flap shield the first transmitting means (102) and the second transmitting means (406) from the sterile region (39). The invention further relates to a sterile lock (200) and to a method for robot-assisted surgery.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Organizing and conducting of seminars, trainings,
conferences and workshops in the field of surgical operative
techniques; training of physicians to perform surgical
procedures. Medical services, namely surgical procedures; rental,
lending, leasing and donating of medical and surgical
apparatus and instruments; surgical assistance services in
the nature of surgical advice provided to medical and
surgical professionals in the operating room, also from
remote locations via the internet and global computer
networks through archived medical images and a data storage
and retrieval system.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
Produits et services
Software and instructional manuals and service manuals in
electronic format related and sold therewith; hardware for
data processing; master controls, video displays, video
printers, system controllers, 3-D glasses, monitors, display
panels, operating panels, remote controllers, optical and
occular apparatus and instruments, cameras, camera image
processing equipment, video image processing equipment and
surgical manipulation system software, all incorporated in
surgical manipulation systems; relay units, cables and
connecting cables. Medical and surgical apparatus and instruments; computerized
surgical operation system comprised of surgeon's console,
master control, display, such as video display, video image
processing equipment, camera image processing equipment,
patient-side cart with set-up arms and manipulator slave
arms, sterile adaptors to connect arms to instruments; and
reposable limited re-use operation tools and surgical
instruments, devices for providing light and electrical
signals to endoscopes, light sources, cables and component
parts, electrosurgical instruments, carts used in operation
rooms for carrying and installing medical and ancillary
devices; operation tools and surgical instruments, namely,
endoscopes, laparoscopes, urological apparatus and
instruments, ultrasound instruments, laser instruments,
trocars, apparatus and instruments for rinsing body
cavities, cannulas, cutters, clips, clamps, clip appliers,
clamps appliers, forceps, knives, electric knives, scissors,
dissectors, needles, needle holders, suturing apparatus,
graspers, scalpel, scalpel blades, staplers, tackers;
electronical controls and control units of operation tools
and surgical instruments for the use in surgical operation
systems.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
Produits et services
Software and instructional manuals and service manuals in electronic format related and sold therewith; hardware for data processing; master controls, video displays, video printers, system controllers, 3-D glasses, monitors, display panels, operating panels, remote controllers, optical and occular apparatus and instruments, cameras, camera image processing equipment, video image processing equipment and surgical manipulation system software, all incorporated in surgical manipulation systems; relay units, cables and connecting cables. Medical and surgical apparatus and instruments; Computerized surgical operation system comprised of surgeon's console, master control, display, such as video display, video image processing equipment, camera image processing equipment, patient-side cart with set-up arms and manipulator slave arms, sterile adaptors to connect arms to instruments; and reposable limited re-use operation tools and surgical instruments, devices for providing light and electrical signals to endoscopes, light sources, cables and component parts, electrosurgical instruments, carts used in operation rooms for carrying and installing medical and ancillary devices; operation tools and surgical instruments, namely, endoscopes, laparoscopes, urological apparatus and instruments, ultrasound instruments, laser instruments, trocars, apparatus and instruments for rinsing body cavities, cannulas, cutters, clips, clamps, clip appliers, clamps appliers, forceps, knives, electric knives, scissors, dissectors, needles, needle holders, suturing apparatus, graspers, scalpel, scalpel blades, staplers, tackers; electronical controls and control units of operation tools and surgical instruments for the use in surgical operation systems.
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Organizing and conducting of seminars, trainings, conferences and workshops in the field of surgical operative techniques; training of physicians to perform surgical procedures. Medical services, namely surgigal procedures; Rental, lending, leasing and donating of medical and surgical apparatus and instruments; Surgical assistance services in the nature of surgical advice provided to medical and surgical professionals in the operating room, also from remote locations via the Internet and global computer networks through archived medical images and a data storage and retrieval system.
57.
Endoscope comprising a system with multiple cameras for use in minimal-invasive surgery
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 1/32 - Dispositifs pour ouvrir ou agrandir le champ de vision, p. ex. dans un conduit du corps
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
The present invention relates to an active positioning device for a surgical instrument arranged on a robot arm, comprising a carrier plate (3, 33), which can be connected with a robot arm (1, 31), a port mechanism (4, 34), which is arranged on carrier plate (3, 33) and intended as entry point into the interior of a body, at least one guide device (6, 36, 59) for insertion of a surgical instrument (8, 38, 61) into the body, whereby the shaft of surgical (8, 38, 61) instrument extends through guide device (6, 36, 59) and whereby guide device (6, 36, 59) is variably connected to port mechanism (4, 34) via a compensating element (5, 35) and an adjustment device (9, 10, 11, 12, 13, 14, 39, 40, 41, 42, 43, 44, 62, 63, 64, 65, 66, 67) for guide device (6, 36, 59) opposite port mechanism (4, 34), which is arranged on carrier plate (3, 33) and/or port mechanism (4, 34) on the one hand and guide device (6, 36, 59) on the other hand, in such a way that the shaft of surgical instrument (8, 38, 61) is movable both in x-direction and y-direction in relation to the starting position, in which the longitudinal extension of the surgical instrument runs parallel to the longitudinal extension of port mechanism (4, 34).
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
59.
RETAINING AND POSITIONING DEVICE OF A SURGICAL INSTRUMENT AND/OR AN ENDOSCOPE FOR MINIMALLY INVASIVE SURGERY AND SURGICAL ROBOT SYSTEM
The invention describes a retaining and positioning device of a surgical instrument and/or of an endoscope for minimally invasive surgery, more particularly for use within a surgical robot system, comprising a first axis of rotation (3), around which a retaining element (4) can be rotated, wherein the first axis of rotation (3) always intersects with a longitudinal axis (11) of at least one surgical instrument (9; 17a, 17b) and/or of an endoscope (9; 17a, 17b) in a pivotal point (13) by means of a thrust drive (5) being attached to the retaining element (4), to which thrust drive (5) an instrument drive unit (15) can be rotatably arranged around the pivotal point (13), and wherein the instrument drive unit (15) has a telescopic arrangement (8) via which the surgical instrument (9; 17a, 17b) can be moved in a translational manner along the longitudinal axis (11) thereof by means of a guide arrangement (10, 10s) in the body in such a manner that the longitudinal axis (11) of the surgical instrument (9; 17a, 17b) is variably adjustable relative to the telescopic arrangement (8).
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
The present invention relates to an active positioning arrangement of a surgical instrument for use on a robotic arm, comprising a support plate (3, 33), which can be connected to a robotic arm (1, 31), a port device (4, 34), which is arranged on the support plate (3, 33) and which is provided for access to the interior of a body, at least one guiding device (6, 36, 59) for guiding a surgical instrument (8, 38, 61) into the body, the shank of the surgical instrument (8, 38, 61) extending through the guiding device (6, 36, 59), and the guiding device (6, 36, 59) being variably connected to the port device (4, 34) via a compensating element (5, 35), and an adjustment device (9, 10, 11, 12, 13, 14, 39, 40, 41, 42, 43, 44, 62, 63, 64, 65, 66, 67) for the guiding device (6, 36, 59) with respect to the port device (4, 34) which is mounted on the support plate (3, 33) and/or the port device (4, 34) and on the other end on the guiding device (6, 36, 59) such that the shank of the surgical instrument (8, 38, 61) can be moved relative to the initial position, in which the longitudinal extent of the surgical instrument runs parallel to the longitudinal extent of the port device (4, 34), in the x direction as well as in the y direction.
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
61.
DECOUPLED MULTI-CAMERA SYSTEM FOR MINIMALLY INVASIVE SURGERY
The present invention relates to a robotic surgical system comprising at least two robotic arms (45, 47, 49, 51), at least one endoscope being arranged on each robotic arm for minimally invasive surgery. The first endoscope on the first robotic arm (47) comprises a main support device (4b), which extends substantially over the entire endoscope length from the exterior into the interior of the body and the distal end of which has at least one lighting unit (23, 24) and two image capturing devices (20a, 21 a, 22a, 20b, 21b, 22b), the image capturing devices (20a, 21 a, 22a, 20b, 21b, 22b) being arranged such that they can be swiveled substantially in the same plane from the main support device (4) outwards, and a trocar (1b), which facilitates access of the first endoscope to the interior of the body. The second endoscope on the second robotic arm (45) comprises a main support device (4a), which extends substantially over the entire endoscope length from the exterior into the interior of the body, a trocar (1a), which facilitates access of the first endoscope to the interior of the body, and an additional support device (3), which is provided on the trocar (1a) and/or the main support device (4a). The distal end of the additional support device (3) has an additional image capturing device (8, 9, 10, 11), which is arranged such that it can be swiveled from the additional support device (3) outwards. The additional image capturing device (8, 9, 10, 11) comprises an additional lighting unit (10, 11) and at least one additional image sensor (8, 9), which has a monitoring region that covers the two monitoring regions of the image capturing devices (20a, 21a, 22a, 20b, 21b, 22b) of the first endoscope. The robotic system further comprises an image processing unit (31), which is coupled to the two image capturing devices (20a, 21a, 22a, 20b, 21b, 22b) and to the additional image capturing device (8, 9, 10, 11), and a visualization unit (33), which displays 2D image data and/or 3D image data of the image capturing devices (20a, 21a, 22a, 20b, 21b, 22b) and/or of the additional image capturing device (8, 9, 10, 11).
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 1/32 - Dispositifs pour ouvrir ou agrandir le champ de vision, p. ex. dans un conduit du corps
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
62.
ENDOSCOPE WITH A MULTI-CAMERA SYSTEM FOR MINIMALLY INVASIVE SURGERY
The present invention relates to an endoscope for minimally invasive surgery, especially for use in a robotic surgical system, comprising a main support device (4), which extends substantially over the entire endoscope length from the exterior into the interior of the body and the distal end of which has at least one lighting unit (15, 16) and two image capturing devices (12a, 13a, 14a, 12b, 13b, 14b; 12c), the image capturing devices (12a, 13a, 14a, 12b, 13b, 14b; 12c) being arranged such that they can be swiveled substantially in the same plane from the main support device (4) outwards, a trocar (1), which facilitates access of the endoscope to the interior of the body, and an additional support device (3), which is provided on the trocar (1) and/or the main support device (4). The distal end of the additional support device (3) has an additional image capturing device (8, 9, 10, 11), which is arranged such that it can be swiveled from the additional support device (3) outwards. The additional image capturing device (8, 9, 10, 11) comprises an additional lighting unit (10, 11) and at least one additional image sensor (8, 9), which has a monitoring region that covers the two monitoring regions of the image capturing devices (12a, 13a, 14a, 12b, 13b, 14b; 12c) of the main support device (4).
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 1/32 - Dispositifs pour ouvrir ou agrandir le champ de vision, p. ex. dans un conduit du corps
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)