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WO2014064479A1 - Instrument médical combiné - Google Patents

Instrument médical combiné Download PDF

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Publication number
WO2014064479A1
WO2014064479A1 PCT/IB2012/002107 IB2012002107W WO2014064479A1 WO 2014064479 A1 WO2014064479 A1 WO 2014064479A1 IB 2012002107 W IB2012002107 W IB 2012002107W WO 2014064479 A1 WO2014064479 A1 WO 2014064479A1
Authority
WO
WIPO (PCT)
Prior art keywords
instrument cluster
medical instrument
medical
cluster
handle
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
Application number
PCT/IB2012/002107
Other languages
German (de)
English (en)
Other versions
WO2014064479A9 (fr
Inventor
Daniel REISINGER
Severin REISINGER
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
REDAM-INSTRUMENTE GmbH
Original Assignee
REDAM-INSTRUMENTE GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by REDAM-INSTRUMENTE GmbH filed Critical REDAM-INSTRUMENTE GmbH
Priority to PCT/IB2012/002107 priority Critical patent/WO2014064479A1/fr
Publication of WO2014064479A1 publication Critical patent/WO2014064479A1/fr
Publication of WO2014064479A9 publication Critical patent/WO2014064479A9/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25F—COMBINATION OR MULTI-PURPOSE TOOLS NOT OTHERWISE PROVIDED FOR; DETAILS OR COMPONENTS OF PORTABLE POWER-DRIVEN TOOLS NOT PARTICULARLY RELATED TO THE OPERATIONS PERFORMED AND NOT OTHERWISE PROVIDED FOR
    • B25F1/00—Combination or multi-purpose hand tools
    • B25F1/003—Combination or multi-purpose hand tools of pliers'-, scissors'- or wrench-type with at least one movable jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2841—Handles
    • 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
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/0088—Material properties ceramic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00889—Material properties antimicrobial, disinfectant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2841—Handles
    • A61B2017/2845—Handles with a spring pushing the handle back
    • 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
    • A61B2017/303—Surgical pincettes, i.e. surgical tweezers without pivotal connections with four or more legs

Definitions

  • the present invention relates to a medical
  • Instrument as used for example in the conduct of operations, surgical, neurological or other medical interventions ⁇ use.
  • Such medical instruments must usually be sterile or germ-free. For this they are in gas-tight sealable pressure vessels, called autoclave,
  • Physician is disturbed in his focus or focus on the work area or at least interrupted when a change of instrument is performed - whether it is because a surgical nurse or assistant takes off the previously used instrument and the new 'enough, or because he himself the previously used deposits, thereby turning his eyes away from the work area and reaches for the new instrument.
  • An example of an optimizable workflow is the sewing of the
  • the object of the present invention is under
  • an inventive medical instrument cluster between the working ends comprises a central part, which in turn comprises control surfaces or grips for the instruments, for an actuation of both individual instruments
  • Dilators in consideration, but generally such instruments in which the mechanical movement of at least one control surface or vo-n at least one handle also results in a mechanical movement or a stroke of the instrument ends or tips.
  • the middle part according to the invention further comprises at least one spring, preferably in the form of a leaf spring, which further preferably. is firmly connected to the grips.
  • springs or spring arrangements are also arranged between the grips spring clips into consideration, but in principle also single or double Evolutenfedern and coil springs. Because it is a medical
  • Combination instrument further preferably comprises a
  • Mass center of the medical instrument cluster is arranged. This thickening serves on the one hand an improved feel or handling, but on the other hand, an optimization of the weight and balance when rotating the medical instrument cluster in accordance with the invention in the hand, that is in the
  • the fixed connections between the individual parts of a combination instrument according to the invention are preferably welded, ground and further preferably
  • connection As already mentioned, other types of connection include screwing, riveting and / or gluing.
  • An inventive medical instrument cluster is preferably surface-treated, preferably also antibacterial nanocoated, for example with
  • Nanosilver or plasma-coated to a new " from the - - ⁇ - Fraunhofer Institute for Manufacturing Technology and Applied
  • Instrument cluster can be flat or round handles, which preferably have a width or a diameter which is in a range of 3-15 mm and preferably about 9mm.
  • the grips may have a corrugation, preferably a so-called pyramid corrugation.
  • a so-called golf ball design which is characterized by in
  • Diameter about 1-10 mm, preferably in a length about 4 and in a width about 3 mm amount, oval domed depressions in the surface is characterized.
  • This golf ball design gives best results in terms of cleanability and sterilizability, but also in terms of handling and feel.
  • An inventive medical instrument cluster is preferably made of titanium or one or more
  • Titanium alloys made, but there are also stainless steel alloys or a composite of the materials mentioned into consideration.
  • Needle holder include a cutter or a pair of pliers, preferably have a so-called turned on a lathe end of the branches - this shape allows a safe sliding over the thread without snagging and / or tearing.
  • the springs can be welded to the grips surface, screwed, riveted or glued, but is preferably a laterally open or ei closed cutout in the handle, in which the spring is the bayonet-like use Versch prolongen.
  • the lifting movement of an instrument may be limited by a stop pin which is disposed internally between the instrument cluster arms.
  • the pressure or the lifting movement on the grips of a medical combination instrument according to the invention has the functional closing movement of one of the instruments or both instruments simultaneously. It is possible to let the pressure on the grips correspond to a closing movement of the instrument, but also by means of a deflection of the branches or tweezer arms an opening movement.
  • Reversal of the function is particularly advantageous if an automatic closing of the instrument is desired and it is to be rotated, for example, with the captured object.
  • the lifting movement is in a preferred
  • Design variant of a combination instrument according to the invention preferably from approximately synchronous stroke movements of a first and a second instrument cluster arm together, ie, both instrument cluster arms are due to approximately the same spring strengths to the same extent flexible.
  • Embodiment variants of medical combination instruments according to the invention each with a instrument cluster arm, which is divided into two arm parts and rigid, wherein the two arm parts are connected to one another with a hinge.
  • Embodiment variants of a medical instrument cluster according to the invention in the context of the disclosure of the present application in which one or both instrument cluster arms are configured completely rigid. If this embodiment variant is an instrument combination of scissors and / or needle holders or similar instruments with one end of two branches, at least one of the two ends is equipped with a guide slot. The screwing of the two branches can describe in this way a guided longitudinal movement. Incidentally, this last described embodiment variant is well suited for the
  • the guide slot preferably not parallel to one of the branches, but arranged along the longitudinal axis of the medical instrument cluster.
  • Instrument cluster as well as the design variants with or without thickening, with or without stop pin, with or without deflection, with or without surface treatment, color scheme, - Matting or diamond coating, with the described
  • the present application discloses a method for
  • the surgeon has several instruments optionally available in an instrument cluster.
  • the instruments are optimally cleanable and sterilizable.
  • the surgeon can keep his field of vision on the work area under the microscope or magnifying glasses.
  • the instruments are glare-free or glare-free.
  • Fig. 1 is a schematic representation of an exemplary first embodiment variant of an inventive
  • Fig. 2 is a schematic representation of
  • Embodiment variant of a medical instrument cluster according to the invention from Figure 1 in side view.
  • Fig. 3 is a schematic representation of a blank of a
  • FIG. 4a shows a schematic plan view of the blank of an industry from FIG. 3;
  • FIG. 4a shows a schematic plan view of the blank of an industry from FIG. 3;
  • Fig. 4b is a schematic bottom view of the blank of an industry from the Fig. 3 and 4a;
  • Fig. 5 is a schematic representation of another
  • Fig. 6a is a schematic plan view of the blank of an industry of Fig. 5;
  • Fig. 6b is a schematic bottom view of the blank of a sector of Figs. 5 and 6a;
  • Fig. 7 is a schematic representation of an exemplary second embodiment variant of an inventive medical instrument cluster in perspective view
  • Fig. 8 is a schematic representation of
  • Fig. 9 is a schematic representation of a possible
  • inventive medical instrument cluster
  • 10a is a schematic plan view of the tweezer arm of FIG. 9;
  • Fig. 10b is a schematic view from below of
  • FIG. 11 is a schematic representation of an exemplary third embodiment variant of a medical instrument cluster according to the invention in a perspective view;
  • FIG. 12 is a schematic representation of an exemplary fourth embodiment variant of a medical instrument cluster according to the invention in a perspective view;
  • FIG. 13 is a schematic representation of an exemplary fifth embodiment variant of a medical instrument cluster according to the invention in a perspective view;
  • FIG. 14 is a schematic representation of an exemplary sixth embodiment variant of a medical instrument cluster according to the invention in side view;
  • FIG. 15 is a schematic representation of an exemplary seventh embodiment variant of a medical instrument cluster according to the invention in side view;
  • 16 is a schematic representation of an exemplary eighth embodiment variant of an inventive
  • FIG. 17 is a schematic representation of an exemplary ninth embodiment variant of a medical instrument cluster according to the invention in side view and
  • FIG. 18 is a schematic representation of an exemplary tenth embodiment variant of an inventive medical instrument cluster in side view.
  • Fig. 1 is an exemplary first
  • Longitudinal alignment along a longitudinal axis LA has, with a first working end 1 and an opposite working end 2. Between the working ends 1 and 2 is a central part MT. At the first working end 1, a first mechanically actuable single instrument Ii is arranged and at the second working end 2, a second mechanically actuated
  • the middle part MT comprises in the illustrated first
  • Embodiment variant of a combination instrument 100 according to the invention in a first instrument cluster arm 200a grips 3a and 3b, which are interconnected by means of a spring 4a.
  • a cut seam is shown in the illustrated form, but for reasons of cleaning or
  • the middle part MT further comprises a second instrument cluster arm 200b, which in turn is formed from grips 3c and 3d and a spring 4b connecting them.
  • a second instrument cluster arm 200b which in turn is formed from grips 3c and 3d and a spring 4b connecting them.
  • Handle pair 3a-3c or 3b-3d applied pressure D causes a stroke ⁇ in the mechanically actuated single instrument Ii - in the illustrated embodiment, a needle holder 5 - and at the same time a stroke H 2 in the mechanically actuated single instrument I 2 - in the illustrated embodiment variant a pair of scissors 6.
  • the gripping pieces 3a-3d are formed semicircular in cross-section and have, as seen on the flat sides of the grips 3c and 3d, for the purpose of material and weight savings ever a groove 7a and 7b.
  • the grip pieces 3a-3d have on the round sides a so-called golf ball design, which is formed by oval depressions 13.
  • the needle holder 5 each comprises an industry or arm 8a and 8b, which are held together by means of a screw, a dowel pin or a rivet 9, which is arranged in a counterbore 10.
  • An end 11 of the needle holder arms 8a and 8b is a so-called turned-off end because corresponding ones
  • End surfaces 12a and 12b not milled, but are rotated and have a radius.
  • branches 14a and 14b of the pair of scissors 6 are held together by a screw, a dowel pin or a rivet 15 in a counterbore 16.
  • a screw a dowel pin or a rivet 15 in a counterbore 16.
  • a center of mass MMP is located outside the body.
  • the medical instrument cluster 100 is rotatable in its application about the center of mass, but of course also about the longitudinal axis LA.
  • the medical instrument cluster 100 has
  • color codings 54a and 54b preferably color codings 54a and 54b.
  • FIG. 2 shows the medical instrument cluster 100 from FIG. 1 in a side view.
  • the handles 3a-3d to the longitudinal axis LA each form an opening angle W, which is in a range of 3 to 30 degrees, but preferably is approximately 15 degrees.
  • FIG. 3 shows schematically and in side view a blank 19 which, corresponding to the hold-down arm 8a of FIG. 1, in a later operation to a hold-down Arm 8c will be processed.
  • the blank 19 already has a counterbore 16a and a handle 3e, which, however, in contrast to the previous Griff Gland- Ausiresphasen has a cutout 20, in which when installing the medical instrument cluster, the spring insert and welded, screwed, verniet- or is glued.
  • the blank 19 optionally has between the longitudinal axis
  • angle Wi which is in a range of 1 to 15 degrees, but preferably about 5 degrees. This angle Wi ensures that the mouth of the holddown also closes securely before the handles abut each other.
  • Fig. 5 shows a further blank 19a, which is intended for the later production of a pair of scissors.
  • This blank 19a comprises an industry 14c, in which a counterbore 16b is already set and a projection 21a, which merges into a handle 3f. Between the two latter and the longitudinal axis LA there is an angle W 2 and in the handle 3f this time a cutout 20a is arranged, which is not open at the side. A plugged into this cutout 20a and welded, screwed, riveted or glued spring results
  • FIG. 6a shows the blank 19a from FIG. 5 in FIG.
  • FIG. 7 shows a second embodiment variant of a medical instrument cluster 100a according to the invention illustrated, in which at a first working la a first mechanically actuated single instrument I 3 in the form of a Pierce tweezers 22, and at a second working end 2a a second mechanically actuated single instrument I 4 in the form of a normal, straight tweezers 23 is arranged.
  • the medical instrument cluster 100a further comprises a central part ⁇ , which itself is a handle 3g, a spring 4c, a further spring 4d and a further handle 3h an upper, first instrument cluster arm 200c, and a handle 3i, a spring 4e, another Spring 4f and another handle 3j of a lower, second instrument cluster arm 200d-um-fas-str- & re - springs 4c r 4 ⁇ f are all by means of a
  • Connector 24 welded, bolted, riveted or glued.
  • a pressure D x on the handle pair 3g / 3i causes a mechanical actuation H3 of the Pierce tweezer 22 and a pressure D 2 on the handle pair 3h / 3j a mechanical
  • Fig. 8 is the medical instrument cluster
  • FIG. 7 100a of FIG. 7 shown in side view.
  • Pierce tweezers 22 have an upper one
  • Tweezer leg 25 and a lower tweezer leg 26 clearly visible, forming a mouth 27.
  • Four tweezer arms 28a-28d each include - only the example of the lower left
  • Tweezer 28c enumerated - the lower tweezer leg 26, a projection 21b, the handle 3i and the spring 4e.
  • Fig. 9 shows schematically an optional
  • Embodiment variant of a tweezer arm 28e as it corresponds to the position of the tweezer arm 28c of FIG. 8.
  • This tweezer arm 28e includes a lower pincer leg 26a having a closing surface 29, a projection 21c
  • tweezer arm 28e is shown in FIG.
  • FIG. 11 shows a third embodiment variant of a medical instrument cluster 100b according to the invention, in which at a first working end lb a first mechanically actuable individual instrument I 5 in the form of a
  • the medical instrument cluster 100b further comprises a middle part MT 2 , which itself is a handle 31, a spring 4h, another spring 4i and another handle 3m of an upper, first
  • Instrument cluster arm 200e and a handle 3n, a spring 4j, another spring 4k and another handle 3o of a lower, second instrument cluster arm 200f includes.
  • the springs 4h-4k are all by means of a connecting piece 24b
  • a pressure D 3 on the handle pair 31 / 3n causes a mechanical actuation H 5 of the pointed tweezers 30 and a pressure D 4 on the handle pair 3m / 3o a mechanical
  • FIG. 12 shows a fourth embodiment variant of a medical instrument cluster 100c according to the invention, in which a first mechanically actuatable individual instrument I7 in the form of a curved forceps 32, and at a second working end 2c at a first working end second mechanically actuated single instrument Ia in the form of a dilator 33 is arranged.
  • the medical instrument cluster 100c according to the invention, in which a first mechanically actuatable individual instrument I7 in the form of a curved forceps 32, and at a second working end 2c at a first working end second mechanically actuated single instrument Ia in the form of a dilator 33 is arranged.
  • Instrument cluster 100c further comprises a central part MT 3 , which itself is a handle 3p, a spring 41, a further spring 4m and another handle 3q of an upper, first
  • Instrument cluster arm 200g and a handle 3r, a spring 4n, another spring 4o and another handle 3s of a lower, second instrument cluster arm 200h includes.
  • the springs 41-4o are all by means of a connecting piece 24c
  • a pressure D 5 on the handle pair 3p / 3r causes a mechanical actuation H 7 of the bent tweezer 32 and a pressure D 6 on the handle pair 3q / 3s a mechanical
  • FIG. 13 shows a fifth embodiment variant of a medical instrument cluster lOOd according to the invention is shown, in which at a first working end ld a first mechanically actuated single instrument I 9 in the form of a straight, toothed tweezers 34, and at a second
  • the medical instrument cluster lOOd further comprises a central part MT 4 , itself a handle 3t, a spring 4p, another spring 4q and another handle 3u an upper, first instrument cluster arm 200i, and a handle 3v, a spring 4r, a another spring 4s and another
  • Handle 3w of a lower, second instrument cluster arm 200j includes.
  • the springs 4p-4s are all by means of a
  • a pressure D 7 on the handle pair 3t / 3v causes a mechanical actuation H 9 of the straight, toothed tweezers 34 and a pressure D 8 on the handle pair 3u / 3w a
  • Fig. 14 is a sixth
  • the medical instrument cluster 100e further comprises a central part MT 5 , itself a handle 3x, a spring 4t, another spring 4u and another handle 3y an upper, first instrument cluster arm 200k, and a handle 3z, a spring 4v, a another spring 4w and another
  • Handle 3a 'of a lower, second instrument cluster arm 2001 comprises.
  • the springs 4t-4w are all by means of a
  • Connector 24e welded, screwed, riveted or glued, which also forms a thickening, for better handling and weight balance of the medical
  • a pressure D 9 on the handle pair 3x / 3z causes a mechanical actuation H n of the needle holder 36, but this time because of a deflection 38 of extensions 21 d and 21 e not a closure, but an opening.
  • FIG. 15 shows a seventh embodiment variant of a medical instrument cluster lOOf according to the invention, in which a first mechanically operable individual instrument I13 in the form of scissors 39 and at a second working end 2f a second mechanically actuated individual instrument If at a first working end 1 is arranged in the form of a needle holder 40.
  • the medical instrument cluster 100f further comprises a central part ⁇ , itself a handle 3b ', a joint 41a, another handle 3c' and a
  • Handle 3e 'and a spring clip 4y a lower, second instrument cluster arm 200n includes.
  • the spring clips 4x and 4y are connected to each other in an interlocking 42 form fit.
  • a pressure D n on the handle pair 3b '/ 3d' - or a pressure ⁇ 12 on the handle pair 3c '/ 3e' - causes
  • FIG. 16 shows an eighth embodiment variant of a medical instrument cluster 100g according to the invention, in which a first mechanically actuatable individual instrument I15 in the form of scissors 43 and at a second working end 2g a second mechanically actuatable individual instrument Ig at a first working end 16 is arranged in the form of a needle holder 44.
  • the medical instrument cluster 100g further comprises a central part MT 7 , which itself is a handle 3f and a spring clip 4z of an upper, first, in this case rigid instrument cluster arm 200o, and a handle 3g 'and a spring clip 4a' a lower, second, also includes rigid instrument arm 200p.
  • the spring clips 4z and 4a ' are positively connected with each other in an entanglement 42a.
  • a pressure D i3 on the handle pair 3f '/ 3g' likewise causes a mechanical actuation ⁇ 5 of the scissors 43 and a mechanical actuation H i6 of the needle holder 44.
  • Hi 5 and Hi 6 it is in this embodiment variant or rather type of medical instrument cluster 100g according to the invention required that at least one screw 45 of the scissors 43 or a screw 45a of the needle holder 44 can describe a longitudinal movement approximately in the direction of the longitudinal axis LA.
  • a screw 46 is disposed in a slot 47.
  • the slot 47 is preferably not aligned parallel to the material edges of the scissor industries, but in the direction of the longitudinal axis LA. This reduces the friction and improves the function of the
  • FIG. 17 shows a ninth embodiment variant of a medical instrument cluster 100h according to the invention, in which at a first working end, a first mechanically actuable single instrument 17 in the form of a pair of scissors 48, and at a second working end 2h a second, mechanically actuable single instrument Ii 8 is arranged in the form of a needle holder 49.
  • the medical instrument cluster 100h further comprises a middle part MT 8 , itself a handle 3h ', a spring clip 4b', a rigid connector 50 to an opposite handle 3i 'and another
  • Spring clip 4e 'and another handle 3k' includes.
  • the spring clips 4b 'and 4d' are interconnected in an entanglement 42b and the spring clips 4c 'and 4e' in an entanglement 42c.
  • a pressure D 15 on the handle pair 3h '/ 3j' causes a mechanical actuation Hi 7 of the scissors 48 and a pressure Di 5 on the handle pair 3i '/ 3k' mechanical actuation Hi 8 the needle holder 49.
  • FIG. 18 shows a tenth embodiment variant of a medical instrument cluster lOOi according to the invention, in which a first mechanically operable individual instrument I 19 in the form of a pair of scissors 51 and at a second working end 2i a second, mechanically actuable individual instrument I20 is arranged in the form of a needle holder 52.
  • the medical instrument cluster lOOi further comprises a central part MT 9 , which itself is a handle 31 ', a spring clip 4f', a rigid, cranked
  • Connector 53 to a diagonally opposite
  • Handle 3o 'and another spring clip 4i' a cranked instrument cluster arm 200r, and a handle 3m ', a spring clip 4g', another spring clip 4h 'and another handle 3n' includes.
  • a pressure D 16 on the handle pair 31 '/ 3n' causes a mechanical actuation H19 of the scissors 51 and a pressure D i7 on the handle pair 3m '/ 3o' a mechanical actuation H 2 o of the needle holder 52nd

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un instrument médical combiné (100) ayant une orientation longitudinale le long d'un axe longitudinal (LA) et comprenant une première extrémité de travail (1), une deuxième extrémité de travail (2) opposée ainsi qu'une partie centrale (MT) disposée entre elles et dotée d'une poignée (3a-3d). Un premier instrument individuel (I1) actionnable mécaniquement est disposé à la première extrémité de travail (1), un deuxième instrument individuel (I2) mécaniquement actionnable est disposé à la deuxième extrémité de travail (2), l'actionnement des instruments individuels (I1, I2) ayant lieu par pression sur ladite poignée (3a-3d), et la partie centrale (MT) comprend au moins un ressort (4a, 4b).
PCT/IB2012/002107 2012-10-22 2012-10-22 Instrument médical combiné Ceased WO2014064479A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/IB2012/002107 WO2014064479A1 (fr) 2012-10-22 2012-10-22 Instrument médical combiné

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/IB2012/002107 WO2014064479A1 (fr) 2012-10-22 2012-10-22 Instrument médical combiné

Publications (2)

Publication Number Publication Date
WO2014064479A1 true WO2014064479A1 (fr) 2014-05-01
WO2014064479A9 WO2014064479A9 (fr) 2014-09-25

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103989504A (zh) * 2014-05-21 2014-08-20 朱亚琴 一种带有蓄电池的医用镊子
WO2025037055A1 (fr) * 2023-08-14 2025-02-20 Xavier Renard Dispositif chirurgical

Citations (9)

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DE3902250C1 (en) * 1989-01-26 1990-02-01 Aesculap Ag, 7200 Tuttlingen, De Surgical instrument for laser surgery
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