DE19934536A1 - Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one blade - Google Patents
Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one bladeInfo
- Publication number
- DE19934536A1 DE19934536A1 DE19934536A DE19934536A DE19934536A1 DE 19934536 A1 DE19934536 A1 DE 19934536A1 DE 19934536 A DE19934536 A DE 19934536A DE 19934536 A DE19934536 A DE 19934536A DE 19934536 A1 DE19934536 A1 DE 19934536A1
- Authority
- DE
- Germany
- Prior art keywords
- scissors
- axis
- rotation
- edge
- arms
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
- 238000001356 surgical procedure Methods 0.000 title 1
- 230000000694 effects Effects 0.000 description 5
- 230000015271 coagulation Effects 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 238000009413 insulation Methods 0.000 description 2
- 230000002411 adverse Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3201—Scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Scissors And Nippers (AREA)
- Surgical Instruments (AREA)
Abstract
Description
In der minimal invasiven Chirurgie sind Scheren bekannt, deren beide Arme isoliert sind und durch Anschluß an eine Hochfrequenz Spannungsquelle neben der Schneidwirkung auch gleichzeitig durch die Einwirkung des elektrischen Stroms die geschnittenen Gewebeteile koagulieren und damit z. B. gegen weitere Blutungen verschließen. Die dünnen Scherblätter werden aber mangels exakter Führung leicht verbogen und können dann ihre scherende Wirkung, die auch auf dem gleitenden Ablauf der beiden Schneiden gegeneinander beruht, nicht mehr richtig entfalten. Das Scherengelenk muß auch noch den achsiale Pressdruck zur Anpressung der beiden Scherblätter gegeneinander aufbringen. Bei den bipolaren Scheren beeinflußt die notwendige Pressung des Gelenkes Probleme mit der Isolation, so daß Kurzschlüsse auftreten können. Bei mangelhaft Isolierung können Hochfrequenz Energie Verluste eintreten und dadurch die Schneide/Koagulationswirkung negativ beeinflussen.Scissors are known in minimally invasive surgery both arms are isolated and connected to a radio frequency Power source in addition to the cutting effect at the same time the action of the electric current the cut Coagulate tissue parts and thus z. B. against further bleeding close. However, the thin shear blades are lacking exact guidance slightly bent and can then be sheared Effect that also on the sliding course of the two cutting edges against each other, no longer unfold properly. The The scissor joint must also have the axial pressing pressure Apply pressure between the two blades against each other. At the bipolar scissors affect the necessary pressure of the Joint problems with insulation, causing short circuits may occur. In the case of poor insulation, high frequency Energy losses occur and thereby the Adversely affect cutting edge / coagulation effect.
Der vorliegenden Erfindung liegt nun die Aufgabe zugrunde, die Schere so umzugestalten, daß die Nachteile bekannter Systeme vermieden werden. Dazu werden die Scherenarme durch eine Drehachse X-förmig zu einer .echten. Schere verbunden. Diese Drehachse ist so ausgebildet, daß die Scherenarme einerseits sich leicht drehen lassen, für bipolare Anwendung leicht zu isolieren sind und andererseits leicht auseinander genommen werden können. Zur Sicherung gegen auseinanderfallen der Scherenarme im normalen Gebrauch und zur Unterstützung der Schneide/Koagulationswirkung durch gleitende Bewegung der Schneiden aufeinander erhalten die Scherenarme in unmittelbarer Nähe der Drehachse je eine rechtwinklig abgebogene Lasche, die den jeweils anderen Scherenarm umgreift, ihn während des Schneidens führt, die Arme gegeneinander preßt und die Schere gegen Auseinanderfallen sichert. Zum Auseinandernehmen der Schere wird sie soweit geöffnet, daß die Laschen frei liegen und die Schere auseinander genommen werden kann.The present invention is based on the object Scissors to redesign so that the disadvantages of known systems be avoided. For this, the scissor arms are replaced by a Rotation axis X-shaped to a real one. Scissors connected. This The axis of rotation is designed so that the scissor arms on the one hand easy to turn, easy to bipolar use isolate and, on the other hand, easily taken apart can be. To protect against falling apart Scissor arms in normal use and to support the Cutting / coagulation effect through sliding movement of the The scissor arms receive cutting edges on top of each other Near the axis of rotation, a tab bent at right angles, the grips the other scissor arm, him during the Cutting leads, presses the arms together and the scissors secures against falling apart. To disassemble the Scissors are opened until the tabs are exposed and the scissors can be taken apart.
Die Ausbildung der Schere mit einer Drehachse in unmittelbarer Nähe der Schneiden verleiht der Schere eine hohe Stabilität und sorgt für eine effektive Wirkung, auch weil die Gefahr der Verbiegung wesentlich verringert wird. Die Laschen sichern die Schere vor dem Auseinanderfallen im normalen Gebrauch und pressen die Scherenarme gegeneinander, sichern einen gleitenden Schnitt/Koagulation und verhindern das Aufbiegen der Schere beim Schneiden von zähem Gewebe. Die Trennbarkeit der Scherenarme ist die Voraussetzung für eine leichte Reinigung des Geräts.The formation of the scissors with an axis of rotation in the immediate The scissors are very stable and close to the cutting edges ensures an effective effect, also because of the danger of Deflection is significantly reduced. The tabs secure the Scissors before falling apart in normal use and press the scissor arms against each other, secure a sliding Cut / coagulate and prevent the scissors from bending open Cutting tough tissue. The scissor arms are separable the prerequisite for easy cleaning of the device.
Weitere Ausbildungen der Erfindung sind in den Unteransprüchen aufgeführt.Further developments of the invention are in the subclaims listed.
Fig. 1 zeigt schematisch eine mögliche Ausführungsform der Er findung. Dabei bezeichnet (1) die Scherenarme, (2) die Scherendrehachse, (3) und (4) die Laschen zur Sicherung der Scherenteile. Weitere an sich bekannte Teile des Instruments, insbesondere der Betätigungsmechanismus mit den Handgriffen sind weggelassen. Fig. 1 shows schematically a possible embodiment of the invention. Here, ( 1 ) denotes the scissor arms, ( 2 ) the scissor axis of rotation, ( 3 ) and ( 4 ) the tabs for securing the scissor parts. Further known parts of the instrument, in particular the actuating mechanism with the handles, are omitted.
Claims (8)
Priority Applications (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19934536A DE19934536A1 (en) | 1998-11-05 | 1999-07-22 | Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one blade |
| PCT/EP1999/008483 WO2000027294A1 (en) | 1998-11-05 | 1999-11-05 | A medical instrument for cutting tissue in the human or animal body |
| DE59912404T DE59912404D1 (en) | 1998-11-05 | 1999-11-05 | Medical instrument for cutting tissue in the human or animal body |
| EP99957998A EP1126790B1 (en) | 1998-11-05 | 1999-11-05 | A medical instrument for cutting tissue in the human or animal body |
| US09/849,082 US6458129B2 (en) | 1998-11-05 | 2001-05-04 | Medical instrument for cutting tissue in the human or animal body |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19851006A DE19851006A1 (en) | 1998-11-05 | 1998-11-05 | Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one blade |
| DE19934536A DE19934536A1 (en) | 1998-11-05 | 1999-07-22 | Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one blade |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE19934536A1 true DE19934536A1 (en) | 2001-06-13 |
Family
ID=26049973
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19934536A Ceased DE19934536A1 (en) | 1998-11-05 | 1999-07-22 | Tissue cutter for surgery has two cutting arms each with edge overlapping opposing edge and with stiffening cover flange on one blade |
Country Status (1)
| Country | Link |
|---|---|
| DE (1) | DE19934536A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE202010007881U1 (en) | 2010-06-11 | 2010-11-04 | Schnorrenberg, Arno | connecting element |
-
1999
- 1999-07-22 DE DE19934536A patent/DE19934536A1/en not_active Ceased
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE202010007881U1 (en) | 2010-06-11 | 2010-11-04 | Schnorrenberg, Arno | connecting element |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| AF | Is addition to no. |
Ref country code: DE Ref document number: 19851006 Format of ref document f/p: P |
|
| 8122 | Nonbinding interest in granting licenses declared | ||
| 8131 | Rejection |