A vacuum vent and fluid delivery biopsy system includes a collection cannister and a biopsy device. The collection cannister is configured to retain tissue collected from a body with the biopsy device while preventing air from contacting the tissue. The biopsy device is configured to deliver the tissue to the collection cannister responsive to a vacuum being applied to the biopsy device. The biopsy device includes an outer cannula moveable along an axis to enter into the body and to at least partially remove the tissue from the body. The biopsy device further includes an inner cannula including a sampling aperture configured to cooperate with the outer cannula to sever, retain, and remove the tissue. The inner cannula delivers the tissue through the biopsy device and to the collection cannister responsive to the vacuum being applied to the biopsy device.
A surgical access assembly may include an outer sheath defined by an open distal end and an open proximal end and including a hollow body portion therebetween, a rim portion arranged at the proximal end of the outer sheath, and a flexible instrument adapter having cap and a clamp, the cap including a housing defining an opening, the clamp configured to selectively secure the cap to the rim portion. The cap including a guide tube coupled to the housing at the opening and configured to extend at least partially into the outer sheath to receive a flexible instrument at the cap and guide a flexible instrument proximate to a tissue.
A61B 90/10 - 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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interrogation of the area of interest may be performed to evaluate a disorder and/or abnormality, as well as evaluate treatment regimes. Interventional devices may also be introduced to the area of interest, as well as a variety of treatments.
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 1/04 - 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 1/313 - 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 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
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 90/30 - Dispositifs pour éclairer une zone chirurgicale, les dispositifs ayant une corrélation avec d’autres dispositifs chirurgicaux ou avec une intervention chirurgicale
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
A tissue cutting device is disclosed that allows for in-plane rotation of a distal end to avoid gross movements during surgical procedures. In one exemplary arrangement, the tissue cutting device comprises a housing, an outer cannula, and an inner cannula. The outer cannula is mounted for rotation to the handpiece. The inner cannula is mounted within the outer cannula and mounted for rotation with the outer cannula. Both the inner and outer cannula are provided with relieving cuts that are offset from one another.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A neuro stimulator adapter for a tissue removal device is disclosed. In certain arrangements, the adapter includes an engagement sleeve and a hub. The engagement sleeve is fixedly connected to a portion of the hub. In certain arrangements, the hub further has a contact assembly disposed therein, the contact assembly configured to be connected to an electrical source to deliver neurostimlation to the tissue removal device at a distal end thereof.
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
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
6.
SURGICAL ACCESS DEVICE WITH INTEGRATED ILLUMINATION
An outer sheath used with a surgical access assembly is disclosed. The outer sheath includes a proximal end, a distal end and a body portion therebetween. The proximal end defines a first opening. The distal end is disposed opposite the proximal end and defines a second opening. The body portion includes at least one slot formed therein. At least one light source is retained within the slot, adjacent the proximal end.
A61B 1/32 - Dispositifs pour ouvrir ou agrandir le champ de vision, p. ex. dans un conduit du corps
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
An adapter used with a surgical access assembly is disclosed. The adapter includes an adapter body and a positioning member. The adapter body is defined by a distal end and a proximal end opposite the distal end. The positioning member extends from the distal end of the adapter body. A channel extends through the adapter body, extending from the proximal end and toward the distal end.
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 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/17 - Dispositifs de guidage pour les forets
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
A61B 17/60 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet pour ostéosynthèse, p. ex. plaques, vis ou matériels de fixation pour l'ostéosynthèse externe, p. ex. appareils étireurs ou constricteurs
An adapter used with a surgical access assembly is disclosed. The adapter includes an adapter body and a positioning member. The adapter body is defined by a distal end and a proximal end opposite the distal end. The positioning member extends from the distal end of the adapter body. A channel extends through the adapter body, extending from the proximal end and toward the distal end.
A61B 17/17 - Dispositifs de guidage pour les forets
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 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
A61B 17/60 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet pour ostéosynthèse, p. ex. plaques, vis ou matériels de fixation pour l'ostéosynthèse externe, p. ex. appareils étireurs ou constricteurs
A tissue removal system may include a tissue removal device including a handpiece and an upper housing, and configured with an outer cannula having an outer cannula opening for severing tissue, an inner cannula disposed in the outer cannula and reciprocal within the outer cannula, an illumination device having a sleeve arranged at least partially on the outer cannula, and a fiber optic channel defining an opening and arranged offset from the sleeve, and a light source arranged within the channel and configured to supply light from the opening to a surgical site.
A61B 90/30 - Dispositifs pour éclairer une zone chirurgicale, les dispositifs ayant une corrélation avec d’autres dispositifs chirurgicaux ou avec une intervention chirurgicale
Multiple surgical devices that may be used during surgical procedures are shown and described herein. A surgical device includes an outer cannula and an inner member that has a pair of electrodes positioned at a distal end. The inner member defines an aspiration delivery channel with an opening. The inner member further defines a pair of electrode channels within which the electrodes are positioned. A handle assembly actuates the outer cannula relative to the inner member, thereby adjusting a size of the opening of the aspiration delivery channel. An irrigation hub is provided to deliver irrigation through the surgical device to the electrode channels.
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
A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either device within the brain.
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 thermal system for preserving tissue is disclosed. The cooling system comprises a base member, a temperature control sleeve constructed of a thermally conductive material, and a selectively removable lid member. The base member defines a reservoir and receives the temperature control sleeve. The temperature control sleeve at least partially defines a tissue collector chamber that is configured to receive a tissue collector. The temperature control sleeve is in communication with the reservoir. The reservoir is configured to receive a cooling medium. A slit formed within the tissue collection chamber that is sized to receive a tubing connected to the tissue collector therethrough. The lid member is configured to be selectively attached to the base member, and permit access to a tube mount for the tissue collector when the lid is attached to the base member.
A61B 10/00 - Instruments pour le prélèvement d'échantillons corporels à des fins de diagnostic Autres procédés ou instruments pour le diagnostic, p. ex. pour le diagnostic de vaccination ou la détermination du sexe ou de la période d'ovulationInstruments pour gratter la gorge
A61B 10/02 - Instruments pour prélever des échantillons cellulaires ou pour la biopsie
B65D 81/38 - Réceptacles, éléments d'emballage ou paquets pour contenus présentant des problèmes particuliers de stockage ou de transport ou adaptés pour servir à d'autres fins que l'emballage après avoir été vidés de leur contenu avec isolation thermique
An illuminating ring assembly is disclosed. The illuminating ring configured to be used with a surgical access element. The illuminating ring assembly comprises a housing defined by a cover and a wall member extending from the cover, wherein the cover and wall member cooperate to define a cavity therein, a light element configured to be disposed with the cavity, and an attachment mechanism configured to selectively attach the housing to a surgical access element. Wherein the cover and the light element both include an opening therethrough.
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 surgical access assembly is described that includes an outer sheath and a selectively removable obturator. The outer sheath is defined by an open distal end and an open proximal end and includes a hollow body portion therebetween. The obturator is defined by a distal end and a proximal end, wherein the distal end further comprises a tapered distal tip member. The obturator is configured to be received within the outer sheath such that the tapered distal tip member protrudes from the open distal end of the outer sheath when the obturator is in an introducing configuration. The outer sheath further includes a gripping member, wherein the gripping member includes at least one retaining notch formed on an outer surface thereof.
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 1/00 - 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 aspiration control device may include a conduit having a distal end and a proximal end. The conduit may define a conduit lumen and an aperture vent open to the conduit lumen. A coupling may be configured to couple the proximal end of the conduit with a vacuum source and an inner cannula of a tissue cutting device. The inner cannula may define an inner cannula lumen wherein the vacuum source is configured to supply a vacuum to each of the coupling lumen and the inner cannula lumen. A sleeve may be movably disposed about the conduit, and a device motor may be in communication with the sleeve and be configured to move the sleeve to a predefined position relative to the vent in response to an input single from a user interface. The predefined position of the sleeve may correspond to a predefined level of vacuum to be supplied to the inner cannula lumen.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A surgical device is disclosed that comprises a shaft member and a pair of electrodes. The shaft member has a pair of electrode channels that open at the distal end of the shaft member, wherein the electrode channels are positioned adjacent to one another. The pair of electrodes are configured to deliver energy, and one of the pair of electrodes are configured to be disposed in each electrode channel such that distal ends of each of the electrodes are arranged to protrude from the distal end of the shaft member. The shaft member further includes at least one lumen opening at the distal end of the shaft member.
A surgical system includes a surgical tool having a motor with a shaft configured to rotate, a cutting device that reciprocates in accordance with the rotation of the shaft, and a position sensor that determines a state of the motor and outputs a position signal representing the motor state. A fluid regulator provides fluid to the motor, and the motor rotates in accordance with the fluid provided. A controller generates a fluid flow command based at least in part on the position signal. The fluid regulator receives the fluid flow command and regulates fluid flow to the motor accordingly.
A preservation system to be used with a tissue cutting device is disclosed. In one arrangement, the preservation system is configured to deliver fluids to tissue samples in a tissue collector, as samples are being taken. A cooling system is also disclosed that may be used with the preservation system. The cooling system is configured to receive a tissue collector and maintain a desired temperature of the tissue collector and any samples disposed therein.
A61B 10/02 - Instruments pour prélever des échantillons cellulaires ou pour la biopsie
A61B 10/00 - Instruments pour le prélèvement d'échantillons corporels à des fins de diagnostic Autres procédés ou instruments pour le diagnostic, p. ex. pour le diagnostic de vaccination ou la détermination du sexe ou de la période d'ovulationInstruments pour gratter la gorge
A surgical access assembly is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either device within the brain.
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 1/313 - 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 surgical access assembly (100) is disclosed. The surgical access assembly comprises an outer sheath (102) and an obturator (104). The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either device within the brain.
A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. A delivery sleeve may be selectively provided that is configured to be disposed about the outer cannula for delivery of a variety of devices.
A tissue cutting device especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. At least one position transducer for tracking a location in space of the tissue cutting device is rigidly associated with the handpiece. The position transducer is operable for sending a signal indicative of a location of a distal end of the outer cannula. The tissue cutting device may also include an angular position sensor for determining an angular position of the outer cannula relative to the position transducer.
A61B 10/02 - Instruments pour prélever des échantillons cellulaires ou pour la biopsie
A61B 17/295 - Pinces pour la chirurgie faiblement invasive combinées à des instruments coupants
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 tissue cutting device is proposed that comprises a slidable cutting member ( 204 ) and a stationary base member. The slidable cutting member is defined by an open distal end ( 230 ) and an open proximal end ( 232 ). The slidable cutting member is operatively connected to an actuator assembly ( 210 ). The stationary base member has an upwardly extending footplate ( 208 ) disposed on a distal end thereof. The slidable cutting member is configured for reciprocating movement with respect to the stationary base member. A distal end of the slidable cutting member and the foot plate cooperates to define a tissue receiving opening. A vacuum source is operatively connected to a proximal end of the cutting member so as to deliver vacuum through the cutting member. This configuration allows multiple tissue samples to be taken with a single insertion, thereby minimizing tissue removal time and trauma to the patient. The footplate may further include a textured surface to assist in retaining tissue to be severed.
A61B 17/295 - Pinces pour la chirurgie faiblement invasive combinées à des instruments coupants
A61B 10/02 - Instruments pour prélever des échantillons cellulaires ou pour la biopsie
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61B 1/018 - 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 caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The inner cannula includes a hinge between a body section and a cutting section that allows the cutting section to pivot when the inner cannula reciprocates within the outer cannula. The inner cannula also includes a bending portion between the proximal end of the inner cannula and the hinge which is bendable with the outer cannula. The device is particularly suited for accessing neurosurgical sites that are not accessible along a linear path.
A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The inner cannula includes a hinge between a body section and a cutting section that allows the cutting section to pivot when the inner cannula reciprocates within the outer cannula. A tissue collector is also provided and is in fluid communication with the lumen of the inner cannula. The outer and inner cannulae are offset from the motor and drive assembly, and the center of gravity of the device is in the forward part of the device, providing an ergonomic design that is particularly suited for neurosurgical applications.
A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The inner cannula includes a hinge between a body section and a cutting section that allows the cutting section to pivot when the inner cannula reciprocates within the outer cannula. A tissue collector is also provided and is in fluid communication with the lumen of the inner cannula. A fluid supply sleeve is disposed about the outer cannula and is selectively positionable along the length of the outer cannula.
brevets
