JPH07504581A - Reservoir for capturing and collecting samples from the body - Google Patents
Reservoir for capturing and collecting samples from the bodyInfo
- Publication number
- JPH07504581A JPH07504581A JP5515894A JP51589493A JPH07504581A JP H07504581 A JPH07504581 A JP H07504581A JP 5515894 A JP5515894 A JP 5515894A JP 51589493 A JP51589493 A JP 51589493A JP H07504581 A JPH07504581 A JP H07504581A
- Authority
- JP
- Japan
- Prior art keywords
- receptacle
- belt
- open end
- specimen
- guide member
- 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.)
- Pending
Links
- 239000004677 Nylon Substances 0.000 claims description 20
- 229920001778 nylon Polymers 0.000 claims description 20
- 239000000463 material Substances 0.000 claims description 18
- 238000000034 method Methods 0.000 claims description 10
- 238000002324 minimally invasive surgery Methods 0.000 claims description 7
- 238000005452 bending Methods 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 230000008569 process Effects 0.000 claims description 2
- 230000008676 import Effects 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 description 7
- 238000002357 laparoscopic surgery Methods 0.000 description 5
- 210000000056 organ Anatomy 0.000 description 5
- 238000011109 contamination Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 241000208140 Acer Species 0.000 description 1
- 241000257465 Echinoidea Species 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 239000012491 analyte Substances 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000002574 cystoscopy Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 239000013307 optical fiber Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
-
- 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
-
- 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
- A61B2017/00287—Bags for minimally invasive surgery
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/24—Medical-surgical bags
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Sampling And Sample Adjustment (AREA)
- Packages (AREA)
- Endoscopes (AREA)
Abstract
(57)【要約】本公報は電子出願前の出願データであるため要約のデータは記録されません。 (57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.
Description
【発明の詳細な説明】 体内の検体を取り込んで回収するためのリザーバ発明の分野 本発明は、生理学的検査のための材料を体腔内で取り込んで封入するリザーバに 関する。本発明のリザーバは、皮膚を貫通させて配置された外科手術用アクセス ポートを通して体腔内に導入され、体腔内のあらゆる部位に導かれる。本発明の リザーバは、外部つまり体腔の外側からの遠隔操作により、開いたり閉じたりす る。さらに詳しくは、本発明は、体腔の外側からの制御機構を使用した遠隔操作 により開いたり閉じたりするフレキシブルな回収リザーバに関する。この制御機 構は、リザーバのネック部を容易に開いたり閉じたりすることができる。そして 、あらゆる検体を容易に取り込んで容易に隔離する。この結果、検体は体腔内か ら容易かつ安全に除去され、または取り出される。遠隔操作によってリザーバを 容易に開き得ることは外科医師にとって重要である。なぜなら、医師が器具や検 体を操作したり移動させたりすることは、困難でありかつ制約を受けるからであ る。検体の隔離に際する汚染を防止するという観点からは、遠隔操作によってリ ザーバを容易に閉じ得るということが重要である。多くの検体は、もろくて、感 染しており、化学的に有害であり、または悪性である。閉じられたリザーバ内に 検体を適切に取り入れることは、感染や、化学的ダメージや、悪性部の増殖を防 止する点で重要である。[Detailed description of the invention] Field of Invention of Reservoir for Capture and Recovery of Specimen in the Body The present invention provides a reservoir for capturing and enclosing materials for physiological tests in a body cavity. related. The reservoir of the present invention can be used for surgical access placed through the skin. It is introduced into the body cavity through a port and guided to any site within the body cavity. of the present invention The reservoir can be opened and closed by remote control externally, i.e. from outside the body cavity. Ru. More particularly, the present invention provides for remote control using control mechanisms from outside the body cavity. Relating to a flexible collection reservoir that can be opened and closed by This control machine The mechanism allows the neck of the reservoir to be easily opened and closed. and , any specimen can be easily taken in and easily isolated. As a result, whether the specimen is inside the body cavity or not can be easily and safely removed or removed from the Reservoir controlled by remote control Easy opening is important to the surgeon. This is because doctors use instruments and This is because manipulating and moving the body is difficult and subject to restrictions. Ru. From the perspective of preventing contamination during specimen isolation, remote control It is important that the server can be easily closed. Many specimens are fragile and sensitive. contaminated, chemically harmful, or malignant. in a closed reservoir Proper specimen incorporation prevents infection, chemical damage, and malignant growth. This is important in terms of stopping.
発明の背景および従来技術 エンドスコープを使用する最小侵襲手術が有利であることが、多くの文献に記載 されている。これらの手術は実質的に切開される部分が小さいため、患者に与え る外傷が小さく、その結果、回復が促進される。多（の体腔内には、小さな切開 部を通して、ファイバーオブティクスを使用したビジュアルシステムや特別な外 科手術用器具を挿入することができる。トロスコーピ（ｔｈｏｒｏｓｃｏｐｙ） 、関節鏡検査、膀胱鏡検査、および腹腔鏡検査は、これら最も一般的な外科手術 の例である。Background of the invention and prior art Many publications have shown that minimally invasive surgery using an endoscope is advantageous. has been done. These surgeries have essentially small incisions, so they are less sensitive to the patient. The trauma involved is small, resulting in faster recovery. A small incision is made inside the body cavity of the Throughout the section, visual systems using fiber optics and special external Able to insert surgical instruments. thoroscopy , arthroscopy, cystoscopy, and laparoscopy are among these most common surgical procedures. This is an example.
エンドスコープを使用する外科手術の中で最も一般的なものの１つに、腹腔鏡検 査手術がある。中空のチューブまたはアクセスボート内に鋭利なトロカールが配 置されたトロカール組立体が、腹壁に刺し込まれる。手術上の要求により、他の 多様な器具を体内に導入するための多くのボートが使用される。他の多様な器具 とは、外科手術を完全に行うために手術部位のビジュアル化を図る光源や光学器 具等である。One of the most common surgical procedures using an endoscope is laparoscopy. There is a surgical procedure. A sharp trocar is placed inside a hollow tube or access boat. The placed trocar assembly is inserted into the abdominal wall. Due to surgical requirements, other Many boats are used to introduce various instruments into the body. various other instruments refers to light sources and optical instruments that help visualize the surgical site in order to perform a complete surgical procedure. Ingredients, etc.
エンドスコープを使用する外科手術においては、比較的小さな切開部を通して患 者の体内から検体を取り出さなければならないことが多い。取り出すべき検体は 、リザーバ内に取り込んでから取り出すのが最良である。これらの検体の多（は 有害であり、体腔に空けられた切開部を通して検体が除去されるときの汚染を防 止するため適切に包み込むことが必要である。In surgical procedures using an endoscope, the patient can be seen through a relatively small incision. It is often necessary to remove specimens from within a person's body. The specimen that should be taken out is , it is best to take it into the reservoir and then remove it. Many of these specimens harmful and to prevent contamination when the specimen is removed through an incision made into a body cavity. Appropriate wrapping is necessary to prevent
ウィルクの特許明細書に開示された器具は、操作が非常に難しい。なぜなら、不 安定な領域において、比較的大きな平坦シートまたは膜を開口させる必要がある からである。このことは、器官の位置を移動させてからシートを配置することを 要する。また、ウィルクの特許明細書に開示された器具は、検体収集器を遠隔操 作によって容易に開いたり閉じたりすることができない。ウィルクの器具を使用 した場合、外科医師は他の器具を使用して体腔内で平坦なシートを開口させなけ ればならない。このことは非常に困難である。その平坦なシートは、遠隔操作に より当該シートを開口させる一体的な機構を有していない。そのうえ、この機能 を有する他の器具が必要になり、それは遠隔操作では制御できない。The device disclosed in the Wilk patent is very difficult to operate. Because non- Requires opening of relatively large flat sheets or membranes in stable regions It is from. This makes it easier to move the organ position and then place the sheet. It takes. The device disclosed in Wilk's patent specification also allows remote control of the specimen collector. It cannot be opened or closed easily depending on the operation. Use Wilk's equipment the surgeon must use other instruments to open the flat sheet within the body cavity. Must be. This is extremely difficult. Its flat sheet can be controlled remotely It does not have an integrated mechanism for opening the sheet. Moreover, this feature other equipment is required, which cannot be controlled remotely.
エンドスコープを使用する外科手術において使用される検体レセプタクルは、こ の分野において知られており、米国特許第５０３７３７９号明細書（クレイマン 等）に開示されている。このレセプタクルは、薄い高分子シート材料から作られ ており、レセプタクルの開口端に取り付けられた引きひもを有している。これに より、レセプタクルを除去すべき検体の周囲側から閉じることができる。レセプ タクルは、体腔外部の基端部において引きひもを引っ張ることにより閉じられる 。そのような検体レセプタクルまたは外科手術用検体バックは、容易に折り畳む ことができるシート材料から作られている。このため、レセプタクルは、体積を 小さくしてアクセスボートを通過させるべく容易に折り畳むことができる。この ような外科手術用レセプタクルの材料は、無孔で、柔軟で、裂けにくい特性を有 しているべきである。取り出されるべき検体は、尖った虫垂等の病的器官である ことが多く、多量の感染液（ｉｎｆｅｃｔｉｏｕｓ ｆｌｕｉｄ）を含んでいる 。この目的のため、レセプタクルは、取入れボートを有しているべきである。そ してこの取入れボートは、遠隔操作により容易に制御可能であって、レセプタク ルや検体の無駄な取り扱いをすることな（、迅速カリ容易に検体を取り入れるこ とができるものでなければならない。さらにレセプタクルは、遠隔操作により容 易に検体を包み込んで、体腔内から取り出す際の汚染を防止し得るものでなけれ ばならない。Specimen receptacles used in surgical procedures using endoscopes are It is known in the field of US Pat. No. 5,037,379 (Kleiman etc.). This receptacle is made from a thin polymeric sheet material. and has a drawstring attached to the open end of the receptacle. to this This allows the receptacle to be closed from the side around the specimen to be removed. receipt The tackle is closed by pulling the drawstring at the proximal end outside the body cavity . Such specimen receptacles or surgical specimen bags are easily foldable. It can be made from sheet material. Therefore, the receptacle has a volume of It can be easily folded down to make it smaller and pass access boats. this Surgical receptacle materials such as Should be. The specimen to be removed is a diseased organ such as a pointed appendix. often contain large amounts of infectious fluid . For this purpose, the receptacle should have an intake port. So This intake boat can be easily controlled by remote control and has a receptacle. Avoid wasteful handling of samples and samples (i.e., quickly and easily ingesting samples). It must be possible to Additionally, the receptacle can be remotely controlled. It must be able to easily enclose the specimen and prevent contamination when it is removed from the body cavity. Must be.
最小侵襲手術において使用される従来のエンドスコープ型検体レセプタクルに関 する問題点は、レセプタクルを体内において開口させるために、他のアクセスポ ートを通して体腔内に挿入された外科手術用器具を使用してレセプタクルを操作 しなければならないということである。このようなレセプタクルに係る余分な労 力は、本発明の原理により解消される。Regarding conventional endoscope-type specimen receptacles used in minimally invasive surgery. The problem is that other access points are required to open the receptacle inside the body. manipulate the receptacle using a surgical instrument inserted into the body cavity through the It means you have to do it. The extra labor associated with such receptacles The forces are eliminated by the principles of the present invention.
発明の概要 本発明の原理に従い、最小侵襲手術において使用されるエンドスコープ型の検体 捕集装置が製造される。本発明のレセプタクルは、患者の体外に位置する装置基 端部からの遠隔操作により、閉口状態から開口状態へと、そして開口状態から閉 口状態へと変化することができる。Summary of the invention Endoscopic specimens used in minimally invasive surgery according to the principles of the invention A collection device is manufactured. The receptacle of the present invention is a device base located outside the patient's body. By remote control from the end, it can be changed from closed state to open state and from open state to closed state. It can change into a mouth state.
米国特許第５０３７０３９号明細書（クレイマン等）に開示された装置のように 柔軟な引きひもを使用する代わりに、本発明の装置は、チューブ内に配置された 細長いベルトを使用している。チューブは長さ方向に作用する力に対して相当の 剛性を有しているため、体内にチューブを挿入して手術部位へ導くことができる 。装置の末端部から、前記ベルトを使用して、検体捕集レセプタクルを開口した り閉口したりすることができる。細長いベルトは、その長袖がレセプタクルの開 口端部を含む平面に対して垂直方向を向くように配置されているので、レセプタ クルの開口端部の周囲に沿って比較的容易に湾曲するが、開口端部を含む平面に 垂直な方向には実質的には湾曲しない。好ましい実施例においては、ベルトは、 断面形状が楕円状となるようにナイロンを押出し成形して得られる。そして楕円 の長軸が、レセプタクルの開口端部を含む平面に対して垂直となるように配置さ れる。As in the device disclosed in U.S. Pat. No. 5,037,039 (Kleiman et al.) Instead of using a flexible drawstring, the device of the invention uses a A long and thin belt is used. The tube is capable of resisting forces acting along its length. Due to its rigidity, the tube can be inserted into the body and guided to the surgical site. . From the distal end of the device, the belt was used to open the specimen collection receptacle. You can also shut your mouth. The long sleeve of the elongated belt opens the receptacle. The receptor is oriented perpendicular to the plane containing the mouth end. It curves relatively easily around the open end of the curve, but in a plane that includes the open end. There is no substantial curvature in the vertical direction. In a preferred embodiment, the belt is It is obtained by extrusion molding nylon so that the cross-sectional shape is elliptical. and an ellipse the long axis of the receptacle is perpendicular to the plane containing the open end of the receptacle. It will be done.
本発明の１つの態様により、最小侵襲手術において、検体を取り込んで患者から 取り出すための検体捕集レセプタクルを使用する改善された方法および装置が提 供される。レセプタクルは、患者の体外からの遠隔操作により容易に開口するこ とができる。In accordance with one aspect of the invention, specimens are acquired from a patient during minimally invasive surgery. An improved method and apparatus for using a specimen collection receptacle for retrieval is provided. Served. The receptacle can be easily opened by remote control from outside the patient's body. I can do it.
本発明の他の態様により、最小侵襲手術において、手術部位から検体を取り出す 改善された方法および装置が提供される。病的器官や、感染したまたは病的な体 内生成物等の検体が、検体捕集レセプタクルを取り出されるべき検体の周囲から 閉じることにより患者の体腔から取り出される。その際に、患者の体内の手術部 位においてレセプタクルを開口させる器具を操作する必要はない。According to another aspect of the invention, in minimally invasive surgery, a specimen is removed from a surgical site. Improved methods and apparatus are provided. a diseased organ or an infected or diseased body Samples such as internal products are removed from the sample collection receptacle from around the sample to be removed. It is removed from the patient's body cavity by closing. At that time, the surgical site inside the patient's body There is no need to operate an instrument to open the receptacle in the position.
図面の簡単な説明 本発明の、上記のまたは他の態様、利点、および新規な特徴は、図面を参照して 以下に述べる好ましい実施例の詳細な説明により明らかになるだろう。Brief description of the drawing The above and other aspects, advantages and novel features of the invention will be apparent with reference to the drawings. This will become clearer from the detailed description of the preferred embodiments below.
図１は、本発明の方法および装置を使用して、最小侵襲による腹腔鏡検査を患者 に施しているところを示す立面図である。FIG. 1 shows minimally invasive laparoscopy performed on a patient using the method and device of the present invention. FIG.
図２は、本発明の装置を示す拡大斜視図である。FIG. 2 is an enlarged perspective view of the device of the invention.
図３は、図２に示される装置の一部を示す拡大斜視図である。FIG. 3 is an enlarged perspective view of a portion of the apparatus shown in FIG. 2.
図４は、図３の４−４線に沿う部分の詳細図であり、図３の装置のベルト部の断 面形状が楕円形であることを示している。FIG. 4 is a detailed view of a portion taken along line 4-4 in FIG. It shows that the surface shape is elliptical.
図５は、図３の５−５線に沿う部分の断面図であり、レセプタクルの縁縫部およ びベルト一端の装置への取付は状態を示している。FIG. 5 is a cross-sectional view of a portion taken along line 5-5 in FIG. and the attachment of one end of the belt to the device indicates the condition.
図６は、図２の装置の検体レセプタクル部を示す側面図である。FIG. 6 is a side view showing the sample receptacle portion of the apparatus of FIG. 2.
図７は、図２の装置の開口したレセプタクル部を示す上面図である。7 is a top view of the open receptacle portion of the device of FIG. 2; FIG.
図８は、図２の装置の閉口したレセプタクル部を示す上面図である。8 is a top view of the closed receptacle portion of the device of FIG. 2; FIG.
図９は、アクセスポート内の導入スリーブ内に配置された図９の装置を示す断面 図である。FIG. 9 is a cross-section showing the device of FIG. 9 positioned within an introducer sleeve within an access port; It is a diagram.
図１０は、図１０（原文どおり）と同様に、体腔内に配置された図２の装置を示 す図である。Figure 10 shows the device of Figure 2 placed within a body cavity, similar to Figure 10 (sic). This is a diagram.
図１１は、図３の４−４線に沿う一部断面図であり、図２の装置の楕円ベルトの 変形例として、共有押出し成形により成形されたベルトを示している。FIG. 11 is a partial cross-sectional view taken along line 4-4 in FIG. 3, showing the elliptical belt of the device in FIG. As a variant, a belt formed by coextrusion is shown.
好ましい実施例の詳細な説明 本発明の原理に従えば、検体を取り入れる装置１０（図１〜３参照）は、柔軟な レセプタクル１２を備えている。レセプタクル１２は、ナイロン等の防水性があ り、柔軟で、裂けにくい材料で作られている。レセプタクル１２は、開口端部ま たはネック部１４、および検体を保持するレセプタクル部またはバック１５を備 えている。レセプタクル部またはバック１５は、開口端部またはネック部１４か ら延びており、細長くて、略環状で、シールされている。装置１ｏはさらに、開 口端部１４を開いたり閉じたりする操作ベルト１６を備えている。操作ベルト１ ６は、レセプタクル１２の開口端部１４に摺動可能に取り付けられている。剛性 を有する案内チューブ１８が、患者の体外に位置するその基端部からベルト１６ を案内規制する。ベルト１６は、案内チューブ１８内を貫通しており、レセプタ クル１２の開口端部１４の縁縫部１９内に案内される。カラー２０が、案内チュ ーブ１８の末端部２２付近に配置されており、ベルト１６の末端部６３を案内チ ューブ１８に固定する。この固定は、ベルト１６の長軸っまり長い方の径寸法Ａ （図４参照）が、レセプタクル１２の開口端部１４を含む平面を横切る方向を向 （ように行なわれる。ハンドル２４（図２参照）が、案内チューブ１８の基端部 ２５上で入れ予成（ｔｅｌｅｓｃｏｐｉｃａｌｌｙ）に摺動するように配置され ており、ベルト１６の基端部２６に固定されている。ハンドル２４が案内チュー ブ１８上をレセプタクル１２に向かって末端方向に摺動すると、ベルト１６が案 内チューブ１８内で末端方向（図６参照）に向かって押される。これにより、ベ ルト１６の全長のうちの、案内チューブ１８の末端部２２を越えて末端方向側に 存在する部分が長くなる。このように長くなってレセプタクル１２の開口端部１ ４の縁縫部１９内に存在するに至ったベルト１６の部分が、レセプタクル１２を 開口させる（図７参照）。ハンドル２４を逆方向に移動させると、検体レセプタ クル１２は閉じられる（図８参照）。DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS In accordance with the principles of the present invention, the specimen intake device 10 (see Figures 1-3) is a flexible A receptacle 12 is provided. The receptacle 12 is made of waterproof material such as nylon. Made of flexible, tear-resistant material. The receptacle 12 has an open end or or a neck portion 14, and a receptacle portion or back 15 for holding the specimen. It is growing. The receptacle portion or back 15 has an open end or neck portion 14. It is elongated, generally annular, and sealed. The device 1o is further configured to open An operating belt 16 for opening and closing the mouth end 14 is provided. Operation belt 1 6 is slidably attached to the open end 14 of the receptacle 12. rigidity A guide tube 18 having a Guide and regulate. The belt 16 passes through the guide tube 18 and is attached to the receptor. It is guided into the hem 19 of the open end 14 of the sleeve 12. Color 20 is the guide tube. It is disposed near the distal end 22 of the belt 18, and guides the distal end 63 of the belt 16 through the guide chute. the tube 18. This fixation is performed by using the long axis of the belt 16, which is the longer diameter dimension A. (see FIG. 4) is oriented in a direction transverse to the plane containing the open end 14 of the receptacle 12. (The handle 24 (see FIG. 2) is attached to the proximal end of the guide tube 18. arranged to slide telescopically on the 25 and is fixed to the base end 26 of the belt 16. The handle 24 is the guide tube. By sliding distally over the belt 18 towards the receptacle 12, the belt 16 It is pushed distally within the inner tube 18 (see FIG. 6). This allows the base of the entire length of the guide tube 18 in the distal direction beyond the distal end 22 of the guide tube 18. The existing part becomes longer. The open end 1 of the receptacle 12 is thus elongated. The part of the belt 16 that has come to exist within the hem 19 of Open it (see Figure 7). When the handle 24 is moved in the opposite direction, the analyte receptor The cell 12 is closed (see FIG. 8).
レセプタクルが閉じられた後に、レセプタクル材の縁縫部１９がひだ状に集合し た状態のままとなることを防止するため、縁縫部の端部２７および２９の一方ま たは両方を案内チューブ１８またはカラー２０に取り付けてもよい。例えば、端 部２７および２９を、図３に示されているように、案内チューブ１８とカラー２ ０との間に摩擦係合させることができる。導入スリーブ３１は、カラー２０およ び案内チューブ１８の一部を取り囲んでおり、折り畳まれた状態にあるレセプタ クル１２と縁縫部１９内のベルトとを受け入れる。ネック部は少なくとも一部分 が閉じられており、最初にレセプタクル１２がアクセスポートを通して体腔内の 手術部位へと挿入される。代わりに、レセプタクル１２を閉じた状態で最初に導 入スリーブ３１内に配置してもよい。After the receptacle is closed, the edge seams 19 of the receptacle material collect in pleats. In order to prevent the hem from remaining in the or both may be attached to guide tube 18 or collar 20. For example, the edge parts 27 and 29 are connected to guide tube 18 and collar 2 as shown in FIG. 0 can be frictionally engaged. The introduction sleeve 31 is connected to the collar 20 and and a portion of the guide tube 18, and the receptor is in a folded state. The belt 12 and the belt in the hemmed portion 19 are received. At least a portion of the neck is closed and the receptacle 12 is first inserted into the body cavity through the access port. inserted into the surgical site. Instead, first conduct with receptacle 12 closed. It may be placed inside the sleeve 31.
アクセスポート内に配置された導入スリーブを通して体腔内に挿入した後、レセ プタクル１２は前述のようにベルト１６によって完全に開口される。After insertion into the body cavity through the introducer sleeve placed in the access port, the receptacle The putacle 12 is completely opened by the belt 16 as described above.
図１は、腹腔鏡検査を受けている患者３ｏを示しており、病的器官または他の検 体３２が本発明の装置１０を使用して取り出される。本発明に従いエンドスコー プを使用する最小侵襲手術においては、腹部を加圧した後で、トロカール組立体 （図示せず）を使用して、患者３０の腹部のトロカールが配置される位置３４お よび３６に開口部または切開部が形成される。中空管状のアクセスポート３８お よび４ｏは、開口部を形成する工程で取り付けられ、腹腔内または他の体腔内へ と延ばされる。Figure 1 shows a patient 3o undergoing laparoscopy, in which a diseased organ or other A body 32 is removed using the apparatus 10 of the present invention. According to the present invention, an endoscope In minimally invasive surgery using a trocar, the trocar assembly is (not shown) on the patient's 30 abdomen at the location 34 where the trocar will be placed. Openings or incisions are formed in and 36. Hollow tubular access port 38 and 4o are attached during the process of forming the opening and enter the abdominal cavity or other body cavity. It is extended.
図１に示されているように、最初にエンドスコープ４２が第１アクセスポート３ ８を通して挿入される。そして、光ファイバー４３を通して光が伝達され、モニ ター４６に映像が映しだされる。As shown in FIG. 1, the endoscope 42 is first inserted into the first access port 3. inserted through 8. Then, light is transmitted through the optical fiber 43 and monitored. The image is projected on the tar 46.
本発明の装置１０を、続いて配置されるアクセスポート４ｏを通して挿入して、 １または２以上の検体３２を取り出してもよい。腹腔鏡検査においては、一般的 にアクセスポート３８は、二酸化炭素源（図示せず）に接続された通常のハウジ ングバルブ組立体を有しており、腹腔内を加圧状態に保つ。Inserting the device 10 of the invention through a subsequently placed access port 4o, One or more specimens 32 may be taken out. In laparoscopy, common The access port 38 is a conventional housing connected to a carbon dioxide source (not shown). The abdominal cavity is kept pressurized by the peritoneal valve assembly.
アクセスポート４０を体腔内の手術部位に装着した後、そこからレセプタクル１ ２が体腔内に挿入される。レセプタクル１２は、アクセスポート４ｏ内への挿入 の前に、導入スリーブ３１内にフィツトするように、その開口端部１４が閉じら れ、管状のレセプタクル部１５が折り畳まれることが好ましい（図９参照）。折 り畳まれ部分的に閉じられたレセプタクル１２が内部に配置されたスリーブ３１ は、手でアクセスポート４０内に挿入することができる。スリーブ３１がら横方 向に一体的に延在する環状の係止部または肩部３３を設ければ、スリーブ３１が アクセスポート４ｏの末端部４８を越えて延出することを防止できる。肩部３３ がアクセスポート４ｏの基端部３５と当接することにより、スリーブ３１が体腔 内に入ることが防止される。導入スリーブ３１はさらに、ポート４０をシールし て、レセプタクル１２を体腔内に挿入する際に加圧状態が太き（損なわれること を防止する。こうして、図１および図４に示されているように、導入スリーブ３ １をアクセスポート４ｏ内に保持しつつ、レセプタクル１２および案内チューブ １８を、アクセスポート４ｏを通して手で検体３２の存在する手術部位へと導（ ことができる。レセプタクル１２および案内チューブ１８を体腔内に ゛挿入す る際、案内チューブ１８は導入スリーブの肩部３３に対して長手軸方向に移動し 、肩部３３はアクセスポートの基端部３５上に止どまる。After the access port 40 is attached to the surgical site in the body cavity, the receptacle 1 is inserted from there. 2 is inserted into the body cavity. The receptacle 12 is inserted into the access port 4o. its open end 14 is closed so that it fits within the introducer sleeve 31. It is preferable that the tubular receptacle portion 15 is folded (see FIG. 9). Occasionally a sleeve 31 with a folded and partially closed receptacle 12 disposed therein; can be manually inserted into access port 40. Lateral side of sleeve 31 By providing an annular locking portion or shoulder portion 33 integrally extending in the direction, the sleeve 31 can be Extending beyond the distal end 48 of the access port 4o can be prevented. Shoulder part 33 When the sleeve 31 comes into contact with the proximal end 35 of the access port 4o, the sleeve 31 is inserted into the body cavity. Prevented from entering. Introductory sleeve 31 further seals port 40. Therefore, when inserting the receptacle 12 into the body cavity, the pressurized state is too thick (or may be damaged). prevent. Thus, as shown in FIGS. 1 and 4, the introducer sleeve 3 1 in the access port 4o, the receptacle 12 and the guide tube. 18 by hand through the access port 4o to the surgical site where the specimen 32 is present ( be able to. Inserting the receptacle 12 and guide tube 18 into the body cavity When introducing the guide tube 18, the guide tube 18 moves longitudinally relative to the shoulder 33 of the introducer sleeve. , the shoulder 33 rests on the proximal end 35 of the access port.
レセプタクル１２のレセプタクル部１５は、十分な柔軟性を有していて、生物学 的な特異性（ｂｉｏｌｏｇｉｃａｌｌｙ １ｎｔｒｕｓｉｖｅ）が最小である材 料から作られる。特に好ましい材料の１つに薄いナイロン材料がある。ナイロン は例えば、６ナイロン、６゜６ナイロン、６．１２ナイロン、１２．１２ナイロ ン等である。レセプタクル１２がアクセスポート４０の末端部４８から患者３０ の体内に侵入したとき、レセプタクル１２は拡径するベルト１６の影響を受けて 拡がり、図２、図６および図１０に示されるような略管状の機能状態となる。本 発明の重要な特徴により、外科医師はレセプタクルを開口させるための他の器具 を患者３０に設けた他の切開部から挿入することな（、レセプタクル１２の端部 １４を患者３０の体内で開口させることができる。The receptacle portion 15 of the receptacle 12 has sufficient flexibility and is suitable for biological applications. Materials with minimal biologically specificity made from ingredients. One particularly preferred material is a thin nylon material. Nylon For example, 6 nylon, 6°6 nylon, 6.12 nylon, 12.12 nylon N et al. Receptacle 12 extends from distal end 48 of access port 40 to patient 30. When the receptacle 12 enters the body of the patient, the receptacle 12 is affected by the expanding belt 16. It expands and assumes a substantially tubular functional state as shown in FIGS. 2, 6 and 10. Book An important feature of the invention allows the surgeon to use other instruments to open the receptacle. through another incision made in the patient 30 (the end of the receptacle 12). 14 can be opened within the patient's 30 body.
レセプタクル１２を開口させた後、レセプタクル１２の開口端部１４がら検体３ ２が取り込まれる。検体３２がレセプタクル１２内に位置せしめられ、レセプタ クル１２が例えは器官等の検体３２の周囲側から閉じられる。レセプタクル１２ は、ハンドル２４を基端部方向に引っばってベルト１６の一部を案内チューブ１ ８内に戻すことにより閉しられる。After opening the receptacle 12, the specimen 3 is removed from the open end 14 of the receptacle 12. 2 is imported. A specimen 32 is positioned within the receptacle 12, and the receptor The cell 12 is closed from around the specimen 32, such as an organ. Receptacle 12 pull the handle 24 toward the proximal end and insert a portion of the belt 16 into the guide tube 1. 8, it is closed.
その後、案内チューブ１８およびレセプタクル１２が基端部に向かって外側に引 っばられて、アクセスポート４０を通って検体３２が患者３０から取り出される 。検体３２がアクセスポート４０を通して患者３０から取り出すには大きすぎる 場合には、検体３２を取り込んだレセプタクル１２を取り出す前に、アクセスポ ート４ｏが最初に取り除かれる。そして、必要があれば、トロカール３６が挿入 されている部位が最小限の範囲で拡大される。その代わりに、レセプタクルを体 腔内において再び開口させて、検体３２をレセプタクル１２内で細分してもよい 。そして、必要がある場合には、レセプタクル１２を患者３０の体内から取り出 す前に、細分された検体の一部または全部をレセプタクル１２から吸い出しても よい。The guide tube 18 and receptacle 12 are then pulled outwardly toward the proximal end. The specimen 32 is removed from the patient 30 through the access port 40. . Specimen 32 is too large to be removed from patient 30 through access port 40 In this case, before removing the receptacle 12 containing the sample 32, Root 4o is removed first. Then, if necessary, a trocar 36 is inserted. The area that is displayed will be enlarged to the minimum extent possible. Instead, connect the receptacle to The specimen 32 may be subdivided within the receptacle 12 by re-opening the cavity. . Then, if necessary, the receptacle 12 is removed from the patient's body. Even if some or all of the subdivided specimen is sucked out from the receptacle 12 before good.
本発明の重要な特徴は、ベルト１６が例えば６ナイロン、６．６ナイロン、６． １２ナイロン、１２．１２ナイロン等のナイロンから作られていて、比較的柔軟 で図３に示されているようにレセプタクル１２の開口端部１４の周囲に沿って容 易に曲げることができるが、長さ方向には相当の剛性を有する細長いベルトであ るということである。ベル目６が長さ方向に相当の剛性を有するため、ハンドル ２４を末端方向に押せば、レセプタクル１２の開口端部１４におけるベルト長さ を長くすることができる。ベル目６は比較的柔軟で、レセプタクル１２の開口端 部１４周りに容易に曲げることができるので、レセプタクル１２の縁縫部１９内 で容易に摺動することができる。An important feature of the invention is that the belt 16 is made of, for example, 6.6 nylon, 6.6 nylon, 6. It is made from nylon such as 12 nylon and 12.12 nylon, and is relatively flexible. 3 along the perimeter of the open end 14 of the receptacle 12. It is a long, thin belt that can be easily bent but has considerable rigidity in the longitudinal direction. This means that Since the bell eye 6 has considerable rigidity in the length direction, the handle 24 distally, the belt length at the open end 14 of the receptacle 12 can be made longer. The bell eye 6 is relatively flexible, and the open end of the receptacle 12 Since it can be easily bent around the part 14, it can be easily bent around the hem 19 of the receptacle 12. can be easily slid.
ベルト１６は、レセプタクル１２の開口端部１４により定まる平面が湾曲するこ とを実質的に防止し得る形状とされている。好ましい実施例においては、このよ うな湾曲に対する抵抗性は、ベルトの断面形状を長軸っまり長い方の径寸法Ａと 短軸つまり短い方の径寸法Ｂとを有する楕円形にすること（図４参照）、および 、長軸Ａがレセプタクル１２の開口端部１４を含む平面を横断する方向を向（よ うにベルト１６をレセプタクル１２の開口端部１４において縁縫部１９内に配置 することにより達成される。寸法Ａは、寸法Ｂよりも少な（ともほぼ５０％大き いことが好ましく、さらに好ましくは、寸法Ｂよりも約７５％〜約１５０％大き いことが好ましい。例えば、好ましい実施例においては、寸法Ａはほぼ０．０８ ０±０．００５インチであり、寸法Ｂはほぼ０．０４０±０００５インチである 。レセプタクル１２の開口端部１４内におけるベルト１６が上記の方向および相 対寸法を有することにより、ベルト１６は、開口端部１４を含む平面に平行な方 向には比較的容易に曲げられてレセプタクル１２を開いたり閉じたりすることが できる一方、同平面に垂直な方向における曲げに対しては相当の抵抗力を有する ことができる。The belt 16 has a curved plane defined by the open end 14 of the receptacle 12. The shape is such that it can substantially prevent this. In the preferred embodiment, this The resistance to curvature is determined by measuring the cross-sectional shape of the belt with the long axis diameter A. an elliptical shape with a minor axis or shorter diameter dimension B (see Figure 4), and , the long axis A is oriented in a direction that intersects the plane containing the open end 14 of the receptacle 12. The sea urchin belt 16 is placed within the hem seam 19 at the open end 14 of the receptacle 12. This is achieved by Dimension A is less than dimension B (both are approximately 50% larger) preferably about 75% to about 150% larger than dimension B. It is preferable that the For example, in the preferred embodiment, dimension A is approximately 0.08 0±0.005 inches and dimension B is approximately 0.040±0005 inches. . The belt 16 within the open end 14 of the receptacle 12 is By having the opposite dimension, the belt 16 is aligned in a direction parallel to the plane containing the open end 14. The receptacle 12 can be bent relatively easily in the direction to open or close the receptacle 12. However, it has considerable resistance to bending in the direction perpendicular to the same plane. be able to.
好ましい実施例においては、ベルト１６は、比較的摩擦係数の小さいナイロンま たは他の高分子材料を、断面形状が図４に示されるような楕円となるように押し 出し成形することにより得られる。ベルト１６の楕円形の外表面は、縁縫部１９ の内表面と接する鋭い角部を有さないことが好ましい。これにより、レセプタク ル１２を開いたり閉じたりする場合に、ベルト１６が縁縫部１９内で摺動すると きの摩擦が小さくなる。In a preferred embodiment, belt 16 is made of nylon or other material having a relatively low coefficient of friction. or other polymeric material so that the cross-sectional shape becomes an ellipse as shown in Figure 4. Obtained by extrusion molding. The oval outer surface of the belt 16 has a hem seam 19 Preferably, it does not have sharp corners in contact with the inner surface of the material. This allows the receptor to When the belt 16 slides within the hem 19 when opening or closing the door 12, friction is reduced.
図１１に示されている本発明の他の実施例においては、ベルト５０の断面形状は 、長袖つまり長い径寸法Ａおよび短軸つまり短い径寸法Ｂを有する楕円形である 。In another embodiment of the invention, shown in FIG. 11, the cross-sectional shape of belt 50 is , is oval in shape with a long sleeve or long diameter dimension A and a short axis or short diameter dimension B .
ベルト５０は、図４で説明したのと同様の寸法であることが好ましく、ナイロン コア５４とその周囲のポリウレタン材料５２とを共有押出し成形することにより 成形される。内部のナイロンコア５４は円形の断面形状を有しており、剛性を付 与する。Belt 50 is preferably of similar dimensions as described in FIG. 4 and is made of nylon. By co-extruding the core 54 and the surrounding polyurethane material 52. molded. The internal nylon core 54 has a circular cross-section and provides rigidity. give
一方、ポリウレタン材料５２は、ベルト５０に柔軟性を付与するとともにベルト ５０の外表面の摩擦係数を低くする。寸法Ｃつまりコア５４の直径は、寸法Ｂに 対して約１／２であることが好ましく、具体的には、約０．０２０〜約０．０２ ５インチである。寸法ＡおよびＢの相対寸法は、図４で説明した前記の値と同一 である。On the other hand, the polyurethane material 52 provides flexibility to the belt 50 and 50 to lower the coefficient of friction on the outer surface. Dimension C, that is, the diameter of the core 54, is equal to dimension B. It is preferably about 1/2, specifically about 0.020 to about 0.02 It is 5 inches. The relative dimensions of dimensions A and B are the same as the above values explained in Figure 4. It is.
図２に示されているように、ハンドル２４は組み合わせられた２つの部材からな るものとして製造される。１つは末端部６０であり、他の１つは基端部６２であ る。As shown in FIG. 2, the handle 24 is made of two assembled parts. Manufactured as a product. One is the distal end 60 and the other is the proximal end 62. Ru.
２つの部材は、装置１０の製造工程において、案内チューブ１８上で組み合わせ られる。製造工程において、ベルト１６の末端部６３はカラー２０の下側で案内 チューブ１８に取り付けられる。また、ベルト１６は、レセプタクル１２に対し て、開口端部１４において縁縫部１９内で摺動し得るように固定される。ベルト １６の自由端は、案内チューブ１８内をハンドル２４に向かって基端部方向に通 されている。ハンドルの末端部６０は、案内チューブ１８を完全に覆うように入 れ千成に受け止められており、ベルトの自由端２６は、ハンドルの基端部６２の 内端部に、例えばセットねじ６４を使用して固定されている。ハンドルの基端部 ６２は、案内チューブ１８を覆うように入れ千成に受け止められており、２つの 部材６０および６２が互いに組み合わせられている。The two parts are assembled on the guide tube 18 during the manufacturing process of the device 10. It will be done. During the manufacturing process, the distal end 63 of the belt 16 is guided under the collar 20. Attached to tube 18. Further, the belt 16 is connected to the receptacle 12. The opening end 14 is slidably fixed within the hem 19. belt The free end of 16 passes proximally within guide tube 18 toward handle 24 . has been done. The distal end 60 of the handle is inserted completely over the guide tube 18. The free end 26 of the belt is attached to the proximal end 62 of the handle. It is fixed to the inner end using, for example, a set screw 64. Proximal end of handle 62 is inserted so as to cover the guide tube 18 and is received by Sennari, and the two Members 60 and 62 are assembled together.
この組み合わせは、例えば、基端部６２の小径端部６６を末端部６０内に手で圧 入することにより行なわれる。This combination can be achieved by, for example, manually compressing the small diameter end 66 of the proximal end 62 into the distal end 60. This is done by entering the
上記の記載から、本発明の多数の修正実施例および変更実施例が当業者には明白 であろう。従って、上記の記載は単に説明を目的としてものであって、本発明を 実施する上での最良の態様を当業者に教示するものである。構造上の細部は、実 質的に本発明の技術的範囲から逸脱することなく変更することが可能である。From the above description, numerous modifications and variations of the present invention will be apparent to those skilled in the art. Will. Accordingly, the above description is for illustrative purposes only and is intended to illustrate the present invention. It will tell those skilled in the art the best mode of implementation. Structural details are Qualitative changes may be made without departing from the scope of the invention.
添付の請求の範囲に包含されることとなる全ての変更例の独占的な使用が保護さ れるべきである。Exclusive use of all modifications that come within the scope of the appended claims is protected. Should be.
フロントページの続き （７２）発明者 ポロイコ、アレクサンダーアメリカ合衆国イリノイ州６００５ ３、モートン・グローブ、ノース・オリオール９０３旙（７２）発明者 ゴール ドバーブ、ニドワード・エムアメリカ合衆国イリノイ州６００２２、グレンコー 、メイプル・ヒル・ロード２２旙Continuation of front page (72) Inventor Poroyko, Alexander 6005, Illinois, USA 3. Morton Grove, North Oriole 903 A. (72) Inventor Goal Glencoe, Nidward M, USA 60022 , 22nd Maple Hill Road
Claims (20)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US07/850,655 US5352184A (en) | 1992-03-12 | 1992-03-12 | Reservoir for enclosing and retrieving body specimens |
| US850,655 | 1992-03-12 | ||
| PCT/US1993/001977 WO1993017630A1 (en) | 1992-03-12 | 1993-02-24 | Reservoir for enclosing and retrieving body specimens |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH07504581A true JPH07504581A (en) | 1995-05-25 |
Family
ID=25308766
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP5515894A Pending JPH07504581A (en) | 1992-03-12 | 1993-02-24 | Reservoir for capturing and collecting samples from the body |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US5352184A (en) |
| EP (1) | EP0630215B1 (en) |
| JP (1) | JPH07504581A (en) |
| AU (1) | AU665864B2 (en) |
| CA (1) | CA2117494A1 (en) |
| DE (1) | DE69329456T2 (en) |
| ES (1) | ES2151505T3 (en) |
| WO (1) | WO1993017630A1 (en) |
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| US10478166B2 (en) * | 2016-12-16 | 2019-11-19 | Oscar Polo | Laparoscopic morcellating receptacle and methods of use |
| US9901329B1 (en) * | 2016-12-16 | 2018-02-27 | Oscar Polo | Laparoscopic morcellating receptacle and methods of use |
| US10675058B2 (en) | 2017-01-19 | 2020-06-09 | Covidien Lp | Devices, systems, and methods for large tissue specimen removal |
| US10653400B2 (en) | 2017-08-07 | 2020-05-19 | Covidien Lp | Specimen retrieval device |
| US11065051B2 (en) | 2017-11-03 | 2021-07-20 | Covidien Lp | Specimen retrieval device |
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| US11730480B2 (en) | 2018-09-14 | 2023-08-22 | Covidien Lp | Method and apparatus for accessing matter disposed within an internal body vessel |
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| EP3880084B1 (en) | 2018-11-16 | 2024-02-14 | Applied Medical Resources Corporation | Tissue retrieval system with retention features |
| US11344300B2 (en) | 2019-03-26 | 2022-05-31 | Covidien Lp | Specimen capture stapler |
| US11172915B2 (en) | 2019-04-24 | 2021-11-16 | Covidien Lp | Specimen retrieval devices with selective bag release |
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| US11246578B2 (en) | 2019-05-15 | 2022-02-15 | Covidien Lp | Tissue collection bags with inner surface pouches |
| US11426151B2 (en) | 2019-06-04 | 2022-08-30 | Covidien Lp | Bag closure for specimen retrieval device |
| US11446015B2 (en) | 2019-10-30 | 2022-09-20 | Covidien Lp | Specimen retrieval bag |
| US11547428B2 (en) | 2019-11-15 | 2023-01-10 | Applied Medical Resources Corporation | Redeploy able tissue retrieval system |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0123175B1 (en) * | 1983-04-16 | 1986-09-17 | Knut Dr. Korth | Catheter for removing calculus from the kidneys or urethra |
| US5027379A (en) * | 1990-02-22 | 1991-06-25 | Bp America Inc. | Method for identifying drilling mud filtrate invasion of a core sample from a subterranean formation |
| US5037379A (en) * | 1990-06-22 | 1991-08-06 | Vance Products Incorporated | Surgical tissue bag and method for percutaneously debulking tissue |
| US5143082A (en) * | 1991-04-03 | 1992-09-01 | Ethicon, Inc. | Surgical device for enclosing an internal organ |
| US5147371A (en) * | 1991-06-28 | 1992-09-15 | Washington Charles N | Apparatus for removing gallstones and tissue during surgery |
| DE9109389U1 (en) * | 1991-07-30 | 1991-10-24 | Martini-Eggert, Karin, 2000 Hamburg | Endoscopic extraction instrument |
-
1992
- 1992-03-12 US US07/850,655 patent/US5352184A/en not_active Expired - Fee Related
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1993
- 1993-02-24 WO PCT/US1993/001977 patent/WO1993017630A1/en active IP Right Grant
- 1993-02-24 AU AU48077/93A patent/AU665864B2/en not_active Expired - Fee Related
- 1993-02-24 ES ES93907224T patent/ES2151505T3/en not_active Expired - Lifetime
- 1993-02-24 CA CA002117494A patent/CA2117494A1/en not_active Abandoned
- 1993-02-24 EP EP93907224A patent/EP0630215B1/en not_active Expired - Lifetime
- 1993-02-24 JP JP5515894A patent/JPH07504581A/en active Pending
- 1993-02-24 DE DE69329456T patent/DE69329456T2/en not_active Expired - Fee Related
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| ES2151505T3 (en) | 2001-01-01 |
| DE69329456D1 (en) | 2000-10-26 |
| CA2117494A1 (en) | 1993-09-16 |
| DE69329456T2 (en) | 2001-02-08 |
| AU4807793A (en) | 1993-10-05 |
| EP0630215A4 (en) | 1995-06-14 |
| EP0630215B1 (en) | 2000-09-20 |
| AU665864B2 (en) | 1996-01-18 |
| WO1993017630A1 (en) | 1993-09-16 |
| US5352184A (en) | 1994-10-04 |
| EP0630215A1 (en) | 1994-12-28 |
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