An instrument advancing apparatus for translationally and/or rotationally driving at least one first instrument is disclosed. The instrument advancing apparatus includes a guide device having at least one first axis body extending in a translational driving direction of the at least one first instrument. The apparatus further includes at least one first motor configured to be motor-driven along the first axis body and at least one second motor being motor-driven along the first axis body or along a second axis body which is aligned parallel to the first axis body. The first motor is connected or connectable to a first holding means for holding and/or moving the at least one first instrument. The second motor is connected or connectable to a second holding means for holding and/or moving the at least one first instrument or a second instrument. A use of a spindle device with double threads is also disclosed.
A positioning arm for positioning instruments, devices or tools, is disclosed. The positioning arm includes at least two arm elements pivotably connected to one another about a pivot axis via a central joint. At least one of the arm elements includes a further joint at an end opposite the central joint. The positioning arm includes a blocking device for blocking and releasing the central joint and the at least one further joint. The blocking device is arranged on the central joint and effects the blocking and release of the further joints via at least one transmission device formed on the arm elements. The transmission device is formed by a pair of gripper arms which also form the arm elements.
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 motorized positioning arm is disclosed for positioning instruments, in particular medical instruments, wherein the motorized positioning arm includes at least two arm elements connected to one another so as to be pivotable about a pivot axis by means of a central joint. At least one of the arm elements includes a further joint at an end opposite to the central joint. The motorized positioning arm includes a blocking mechanism for blocking and releasing the central joint and the at least one further joint. The blocking mechanism includes a central shaft arranged coaxially with the pivot axis, and at least one transmission device from the central shaft to the at least one further joint. The blocking mechanism includes an electrical blocking device configured to engage with the central shaft to enable blocking and unblocking of the joints. The electrical blocking device is configured to move along the central shaft.
The invention relates to an instrument advancing device (100) for driving at least one first instrument (210) in a translational and/or rotating manner, said instrument advancing device (100) having the following: a guide device (110) comprising at least one first shaft body (111) which extends in a translational drive direction of the at least one first instrument (210); at least one first motor (120) which is designed to be movable along the first shaft body (111) in a motor-driven manner; and at least one second motor (130) which is designed to be movable along the first shaft body (111) or along a second shaft body (112) in a motor-driven manner, said second shaft body being aligned parallel to the first shaft body (111), wherein the first motor (120) is connected or can be connected to a first holding device (125) for holding and/or moving the first instrument (210), and the second motor (130) is connected or can be connected to a second holding device (135) for holding and/or moving the first instrument (210) or a second instrument (220). The invention additionally relates to the use of a spindle device (150) with a double thread in an instrument advancing device (100).
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 an instrument advancing device (100) for driving at least one first instrument (210) in a translational and/or rotating manner, said instrument advancing device (100) having the following: a guide device (110) comprising at least one first shaft body (111) which extends in a translational drive direction of the at least one first instrument (210); at least one first motor (120) which is designed to be movable along the first shaft body (111) in a motor-driven manner; and at least one second motor (130) which is designed to be movable along the first shaft body (111) or along a second shaft body (112) in a motor-driven manner, said second shaft body being aligned parallel to the first shaft body (111), wherein the first motor (120) is connected or can be connected to a first holding device (125) for holding and/or moving the first instrument (210), and the second motor (130) is connected or can be connected to a second holding device (135) for holding and/or moving the first instrument (210) or a second instrument (220). The invention additionally relates to the use of a spindle device (150) with a double thread in an instrument advancing device (100).
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 positioning arm (100) for positioning instruments, equipment or tools, wherein the positioning arm (100) has at least two arm elements (110, 120), which are connected to one another by means of a central joint (130) such that they can be pivoted about a pivot axis (131), wherein at least one of the arm elements (110, 120) has a further joint (140, 150) at an end opposite the central joint (130), wherein the positioning arm (100) has a blocking device (132) for blocking and releasing the central joint (130) and the at least one further joint (140, 150), wherein the blocking device (132) is arranged on the central joint (130) and causes the further joints (140, 150) to be blocked and released via at least one transmission device (111, 112; 121, 122), which is formed on the arm elements (110, 120), and wherein the transmission device (111, 112; 121, 122) is formed by a pair of pincer arms (111, 112; 121, 122), which at the same time also form the arm elements (110, 120).
The invention relates to a patient immobilization apparatus (100) comprising a planar element (105) made of a non-woven fabric. The planar element (105) has an elongate middle section (110) and a plurality of arms (120; 130), which extend out laterally on both sides of the middle section (110). The patient immobilization apparatus (100) can be provided to the end user, preferably in a folded state. In the folded state, each of the arms (120; 130) is folded laterally on the elongate middle section (110). Parts of the elongate middle section (110), having the arms (120; 130) folded laterally thereon, are advantageously additionally foldable onto each other in the longitudinal direction. Each arm (120; 130) can be folded laterally in part on itself before it is folded laterally on the elongate middle section (110).
The invention relates to a positioning arm (100) for positioning instruments, equipment or tools, wherein the positioning arm (100) has at least two arm elements (110, 120), which are connected to one another by means of a central joint (130) such that they can be pivoted about a pivot axis (131), wherein at least one of the arm elements (110, 120) has a further joint (140, 150) at an end opposite the central joint (130), wherein the positioning arm (100) has a blocking device (132) for blocking and releasing the central joint (130) and the at least one further joint (140, 150), wherein the blocking device (132) is arranged on the central joint (130) and causes the further joints (140, 150) to be blocked and released via at least one transmission device (111, 112; 121, 122), which is formed on the arm elements (110, 120), and wherein the transmission device (111, 112; 121, 122) is formed by a pair of pincer arms (111, 112; 121, 122), which at the same time also form the arm elements (110, 120).
The invention relates to a motorized positioning arm (1000) for positioning instruments, more particularly medical instruments. The motorized positioning arm (1000) has at least two arm elements (1100a, 1100b), which are interconnected for pivoting about a pivot axis by means of a central joint (1001). At least one of the arm elements (1100a, 1100b) has an additional joint (1110a, 1110b) at an end (1120a, 1120b) remote from the central joint (1001). The motorized positioning arm (1000) has a blocking mechanism (1200) for blocking and releasing the central joint (1001) and the at least one additional joint (1110a, 1110b). The blocking mechanism (1200) has a central shaft (1210), which is coaxial with the pivot axis, and at least one transmission device (1220) from the central shaft (1210) to the at least one additional joint (1110a, 1110b), and the blocking mechanism (1200) has an electrical blocking device (1230), which is designed to be in engagement with the central shaft (1210) in order to allow the blocking and releasing of the joints (1001, 1110a, 1110b).
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
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
The invention relates to a motorized positioning arm (1000) for positioning instruments, more particularly medical instruments. The motorized positioning arm (1000) has at least two arm elements (1100a, 1100b), which are interconnected for pivoting about a pivot axis by means of a central joint (1001). At least one of the arm elements (1100a, 1100b) has an additional joint (1110a, 1110b) at an end (1120a, 1120b) remote from the central joint (1001). The motorized positioning arm (1000) has a blocking mechanism (1200) for blocking and releasing the central joint (1001) and the at least one additional joint (1110a, 1110b). The blocking mechanism (1200) has a central shaft (1210), which is coaxial with the pivot axis, and at least one transmission device (1220) from the central shaft (1210) to the at least one additional joint (1110a, 1110b), and the blocking mechanism (1200) has an electrical blocking device (1230), which is designed to be in engagement with the central shaft (1210) in order to allow the blocking and releasing of the joints (1001, 1110a, 1110b).
A compact medical robot provides guidance and actuation of a medical instrument with five or more degrees of freedom. The robot has a lower actuator arm movable within a lower plane. A lower gimbal mount is attached to the lower actuator arm. An upper actuator arm is movable within an upper plane and an upper gimbal mount is attached to the upper actuator arm. A guide tube is attached to the lower gimbal mount and to the upper gimbal mount. A linear actuator is attached to the guide tube to longitudinally move a medical instrument which extends through the guide tube. The linear actuator includes an actuating rod and a linear motor arranged within a main body portion of the linear actuator. An additional rotational actuator for rotating the medical instrument may be provided and firmly connected to the actuating rod.
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 patient immobilization apparatus (100) comprising a planar element (105) made of a non-woven fabric. The planar element (105) has an elongate middle section (110) and a plurality of arms (120; 130), which extend out laterally on both sides of the middle section (110). The patient immobilization apparatus (100) can be provided to the end user, preferably in a folded state. In the folded state, each of the arms (120; 130) is folded laterally on the elongate middle section (110). Parts of the elongate middle section (110), having the arms (120; 130) folded laterally thereon, are advantageously additionally foldable onto each other in the longitudinal direction. Each arm (120; 130) can be folded laterally in part on itself before it is folded laterally on the elongate middle section (110).
The invention relates to a patient immobilization apparatus (100) comprising a planar element (105) made of a non-woven fabric. The planar element (105) has an elongate middle section (110) and a plurality of arms (120; 130), which extend out laterally on both sides of the middle section (110). The patient immobilization apparatus (100) can be provided to the end user, preferably in a folded state. In the folded state, each of the arms (120; 130) is folded laterally on the elongate middle section (110). Parts of the elongate middle section (110), having the arms (120; 130) folded laterally thereon, are advantageously additionally foldable onto each other in the longitudinal direction. Each arm (120; 130) can be folded laterally in part on itself before it is folded laterally on the elongate middle section (110).
Medical instruments and devices, in particular for minimally invasive surgeries; Medical navigating and referencing apparatus; All the aforesaid goods not including syringes for injections, Hypodermic needles, Injection sleeves, Injection instruments without needles and Automatic medical dosing apparatus for injections.
A compact medical robot (200) provides guidance and actuation of a medical instrument (400) with five or more degrees of freedom. The robot has a lower actuator arm movable within a lower plane. A lower gimbal mount is attached to the lower actuator arm. An upper actuator arm is movable within an upper plane and an upper gimbal mount is attached to the upper actuator arm. A guide tube is attached to the lower gimbal mount and to the upper gimbal mount. A linear actuator is attached, to the guide tube to longitudinally move a medical instrument which extends through the guide tube. The linear actuator includes an actuating rod and a linear motor arranged within a main body portion of the linear actuator. An additional rotational actuator for rotating the medical instrument may be provided and firmly connected to the actuating rod.
A compact medical robot (200) provides guidance and actuation of a medical instrument (400) with five or more degrees of freedom. The robot has a lower actuator arm movable within a lower plane. A lower gimbal mount is attached to the lower actuator arm. An upper actuator arm is movable within an upper plane and an upper gimbal mount is attached to the upper actuator arm. A guide tube is attached to the lower gimbal mount and to the upper gimbal mount. A linear actuator is attached, to the guide tube to longitudinally move a medical instrument which extends through the guide tube. The linear actuator includes an actuating rod and a linear motor arranged within a main body portion of the linear actuator. An additional rotational actuator for rotating the medical instrument may be provided and firmly connected to the actuating rod.
In order to provide a simple device for positioning sterile instruments, particularly puncture needles, injection needles or surgical probes, with respect to a patient (P), where said device comprises a sheath (3) at least the inside of which is sterile and which at least partially encompasses a sterile instrument (2), as well as at least one gas-tight feedthrough provided on said sheath (3), it is suggested that the sterile instrument (2) has at least one sterile instrument holder (2′) and that, by moving the instrument holder (2′) outside of the sheath (3), said instrument may be moved in a controlled manner in at least two spatial directions.
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 10/02 - Instruments pour prélever des échantillons cellulaires ou pour la biopsie
In order to create a simple device for immobilizing the human body or parts of the body in a manner that is gentle on the patient, in particular for arranging medical targeting devices, markers or surgical instruments for image-guided, minimally invasive surgery, said device having at least one immobilization element (1) which can be positioned on the surface of the body, the immobilization element (1) is made of a bonded nonwoven fabric (2) which can be fastened by means of a micro hook-and-loop fastener (3).
A61F 5/37 - Dispositifs pour comprimer le corps ou des parties du corpsChemises comprimantes
A61B 6/04 - Mise en position des patientsLits inclinables ou similaires
A61F 13/00 - Bandages ou pansementsGarnitures absorbantes
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
A61G 13/10 - Parties constitutives, détails ou accessoires
A61G 13/12 - Appuis qui leur sont spécialement adaptésDisposition des surfaces pour supporter des patients
A61B 46/23 - Draps de chirurgie spécialement adaptés aux patients avec des moyens pour maintenir ou porter des instruments chirurgicaux
The aim of the invention is to provide a simple and secure fixation of a mounting comprising arms (1a, 1b) hinged to a rotational body (1) for adjusting the angle of the arms relative to each other and for holding an instrument (7) in a stable manner. This is achieved in that the adjusted angle can be fixed by a ratchet (3) attached to the rotational body (1) via a coupling (2), the coupling (2) is equipped with a switch (5) which locks the angular position of the arms (1a, 1b) relative to each other in a switch position, and a locking device (4) is provided for connecting the ratchet (3) to the coupling (2).
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
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
In order to provide a simple device for positioning sterile instruments, particularly puncture needles, injection needles or surgical probes, with respect to a patient (P), where said device comprises a sheath (3) at least the inside of which is sterile and which at least partially encompasses a sterile instrument (2), as well as at least one gas-tight feedthrough provided on said sheath (3), it is suggested that the sterile instrument (2) has at least one sterile instrument holder (2') and that, by moving the instrument holder (2') outside of the sheath (3), said instrument may be moved in a controlled manner in at least two spatial directions.
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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/18 - Housses de retenue, p. ex. masques d'immobilisation
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
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
In order to create a simple device for immobilizing the human body or parts of the body in a manner that is gentle on the patient, in particular for arranging medical targeting devices, markers or surgical instruments for image-guided, minimally invasive surgery, said device having at least one immobilization element (1) which can be positioned on the surface of the body, the immobilization element (1) is made of a bonded nonwoven fabric (2) which can be fastened by means of a micro hook-and-loop fastener (3).
In order to create a simple device for immobilizing the human body or parts of the body in a manner that is gentle on the patient, in particular for arranging medical targeting devices, markers or surgical instruments for image-guided, minimally invasive surgery, said device having at least one immobilization element (1) which can be positioned on the surface of the body, the immobilization element (1) is made of a bonded nonwoven fabric (2) which can be fastened by means of a micro hook-and-loop fastener (3).
A61G 13/10 - Parties constitutives, détails ou accessoires
A61B 19/02 - Boîtiers ou étuis protecteurs pour appareils ou pour instruments, p.ex. boîtes ou étuis stériles; Tables ou armoires pour instruments; Sacs de docteur
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 19/10 - avec des moyens pour maintenir ou porter les instruments chirurgicaux
A61F 13/00 - Bandages ou pansementsGarnitures absorbantes
27.
DEVICE FOR ATTACHING MEDICAL TARGET DEVICES AND THE LIKE
The aim of the invention is to create a device for arranging medical targeting devices, markers, probes or surgical instruments for image-assisted, minimally invasive operations, which has a simple construction and is easy to use. Said device according to the invention has at least one carrier element (1) that can be positioned preferably with an adhesive layer on the surface of the body, and a fine-positioning unit (2). It is proposed that the carrier element (1) comprises at least one interlocking mount (3) for the fine-positioning unit (2) which has a matching complementary shape (3c).
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
A61B 90/18 - Housses de retenue, p. ex. masques d'immobilisation
The aim of the invention is to create a device for arranging medical targeting devices, markers, probes or surgical instruments for image-assisted, minimally invasive operations, which has a simple construction and is easy to use. Said device according to the invention has at least one carrier element (1) that can be positioned preferably with an adhesive layer on the surface of the body, and a fine-positioning unit (2). It is proposed that the carrier element (1) comprises at least one interlocking mount (3) for the fine-positioning unit (2) which has a matching complementary shape (3c).
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)
For variable use and simple construction of an instrument guide, particularly for inserting a puncture needle into patients, wherein the instrument guide (1) has a main body (2), which is mounted pivotably in a plurality of axes preferably on two adjusting arms (3, 4), according to the invention the instrument guide (1) has two or more guide cheeks (5), which are centrally adjustable and coupled to one another. This ensures that, when changing between instruments or needles of different thicknesses, the centre of the needle channel remains precisely on the target or central axis (6a).
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)
In order to easily fix the human body or parts thereof in a manner that is gentle on the patient, in particular for arranging medical targeting devices, markers or surgical instruments for image-assisted, minimally invasive operations, with at least one impression element (1) that can be positioned on the body surface, a device is proposed in which the impression element (1) has at least one adhesive layer (2). The impression element (1) can preferably change from a dimensionally stable state to a deformable state, in particular by annulling a vacuum in the impression element (1).
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)
A device for immobilizing a patient for a medical test or operation includes a molding element that is convertible from a flexible, elastic form to a rigid form by the application of a vacuum. The molding element is attached to the patient by an elastic layer while in the flexible, elastic form where it conforms to the contours of the patient's body. Then the molding element is converted to its rigid form thereby immobilizing the patient. Auxiliary devices can be attached to the immobilizing device and these devices, such as a pivot arm suspension can be used to fix the immobilized patient to an operating table.
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
A61B 90/17 - Fixateurs pour parties du corps, p. ex. clamps crâniensDétails de construction des fixateurs, p. ex. broches pour tissus mous, p. ex. supports mammaires
A61B 90/14 - Fixateurs pour parties du corps, p. ex. clamps crâniensDétails de construction des fixateurs, p. ex. broches
A61B 6/04 - Mise en position des patientsLits inclinables ou similaires
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
32.
Methods for planning and performing thermal ablation
A thermal ablation system is operable to perform thermal ablation using an x-ray system to measure temperature changes throughout a volume of interest in a patient. Image data sets captured by the x-ray system during a thermal ablation procedure provide temperature change information for the volume being subjected to the thermal ablation. Intermediate image data sets captured during the thermal ablation procedure may be fed into a system controller, which may modify or update a thermal ablation plan to achieve volume coagulation necrosis targets. The thermal ablation may be delivered by a variety of ablation modes including radiofrequency ablation, microwave therapy, high intensity focused ultrasound, laser ablation, and other interstitial heat delivery methods. Methods of performing thermal ablation using x-ray system temperature measurements as a feedback source are also provided.
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes
