WO2006050047A3 - Apparatus and methods for performing brain surgery - Google Patents

Apparatus and methods for performing brain surgery Download PDF

Info

Publication number
WO2006050047A3
WO2006050047A3 PCT/US2005/038828 US2005038828W WO2006050047A3 WO 2006050047 A3 WO2006050047 A3 WO 2006050047A3 US 2005038828 W US2005038828 W US 2005038828W WO 2006050047 A3 WO2006050047 A3 WO 2006050047A3
Authority
WO
WIPO (PCT)
Prior art keywords
obturator
cannula
surgery
cannula assembly
dilating
Prior art date
Application number
PCT/US2005/038828
Other languages
French (fr)
Other versions
WO2006050047A2 (en
Inventor
Jeffrey A Wilson
Original Assignee
Jeffrey A Wilson
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 Jeffrey A Wilson filed Critical Jeffrey A Wilson
Priority to US11/665,667 priority Critical patent/US9216015B2/en
Publication of WO2006050047A2 publication Critical patent/WO2006050047A2/en
Publication of WO2006050047A3 publication Critical patent/WO2006050047A3/en
Priority to US14/134,360 priority patent/US9386974B2/en
Priority to US15/083,940 priority patent/US9968415B2/en
Priority to US15/083,916 priority patent/US9968414B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00907—Material properties transparent or translucent for light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M2025/0024—Expandable catheters or sheaths

Abstract

Less invasive surgical techniques for performing brain surgery are disclosed in which a dilating obturator and cannula assembly is inserted into brain tissue until the obturator tip and cannula are adjacent to the target tissue. The obturator is removed and surgery is performed through the cannula. In preferred embodiments the obturator and cannula are placed using image guidance techniques and systems to coordinate placement with pre-operative surgical planning. A stylet with associated image guidance may be inserted prior to insertion of the obturator and cannula assembly to guide insertion of the obturator and cannula assembly. Surgery preferably is performed using an endoscope partially inserted into the cannula with an image of the target tissue projected onto a monitor. Dilating obturator structures having a rounded or semi-spherical tip and/or an optical window for visualizing brain tissue during expansion are contemplated.
PCT/US2005/038828 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery WO2006050047A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US11/665,667 US9216015B2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
US14/134,360 US9386974B2 (en) 2004-10-28 2013-12-19 Apparatus and methods for performing brain surgery
US15/083,940 US9968415B2 (en) 2004-10-28 2016-03-29 Apparatus and methods for performing brain surgery
US15/083,916 US9968414B2 (en) 2004-10-28 2016-03-29 Apparatus and methods for performing brain surgery

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US62299104P 2004-10-28 2004-10-28
US62309404P 2004-10-28 2004-10-28
US60/622,991 2004-10-28

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US11/665,667 A-371-Of-International US9216015B2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
US14/134,360 Continuation US9386974B2 (en) 2004-10-28 2013-12-19 Apparatus and methods for performing brain surgery

Publications (2)

Publication Number Publication Date
WO2006050047A2 WO2006050047A2 (en) 2006-05-11
WO2006050047A3 true WO2006050047A3 (en) 2006-08-24

Family

ID=39227003

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2005/038828 WO2006050047A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
PCT/US2005/039185 WO2006050225A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2005/039185 WO2006050225A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery

Country Status (1)

Country Link
WO (2) WO2006050047A2 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9307969B2 (en) 2005-06-17 2016-04-12 Vycor Medical, Inc. Tissue retractor apparatus and methods
CN105769268A (en) * 2015-11-16 2016-07-20 深圳市擎源医疗器械有限公司 Brain retractor

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9186175B2 (en) * 2004-10-28 2015-11-17 Nico Corporation Surgical access assembly and method of using same
JP5496677B2 (en) * 2006-11-27 2014-05-21 ヴァイコール メディカル エルエルシー Surgical access device for sensitive tissue
US20080183074A1 (en) * 2007-01-25 2008-07-31 Warsaw Orthopedic, Inc. Method and apparatus for coordinated display of anatomical and neuromonitoring information
MY149480A (en) 2009-03-26 2013-08-30 Univ Malaya An apparatus for surgery
DE102009029904A1 (en) * 2009-06-19 2010-12-23 Olympus Winter & Ibe Gmbh Laparoscopic port with tube piece
DE102011107615A1 (en) * 2011-06-30 2013-01-03 Siegfried Riek trocar
DE102012203908B3 (en) 2012-03-13 2013-06-06 Siegfried Riek Instrument system for minimally invasive surgery in the single-port technique
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
WO2015020953A1 (en) * 2013-08-05 2015-02-12 Darin Schaeffer Medical devices having a releasable tubular member and methods of using the same
CN106659375A (en) 2014-05-13 2017-05-10 Vycor医学有限责任公司 Guidance system mounts for surgical introducers
GB201411486D0 (en) * 2014-06-27 2014-08-13 Isis Innovation Apparatus for providing and maintaining access to a surgical site
WO2016014819A1 (en) * 2014-07-23 2016-01-28 Joseph Hutchison Modifications to access ports for minimally invasive neuro surgery
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
CN104771222B (en) * 2015-03-17 2017-08-25 绍兴第二医院 A kind of preparation method of nerve endoscope sheath and the nerve endoscope sheath
US11413066B2 (en) 2016-03-15 2022-08-16 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10765450B2 (en) 2016-03-15 2020-09-08 Nico Corporation Selectively lockable holding arrangement for a surgical access system
EP3457921B1 (en) * 2016-05-17 2022-09-07 Rebound Therapeutics Corporation Devices for color detection to localize the blood mass of an intracerebral hematoma
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
DE102018216760A1 (en) 2018-09-28 2020-04-02 Carl Zeiss Meditec Ag Applicator for intraoperative radiation therapy

Citations (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3690323A (en) * 1970-12-01 1972-09-12 Us Army Device for draining ventricular fluid in cases of hydrocephalus
US4638798A (en) * 1980-09-10 1987-01-27 Shelden C Hunter Stereotactic method and apparatus for locating and treating or removing lesions
US5183464A (en) * 1991-05-17 1993-02-02 Interventional Thermodynamics, Inc. Radially expandable dilator
US5320611A (en) * 1993-02-04 1994-06-14 Peter M. Bonutti Expandable cannula having longitudinal wire and method of use
US5431676A (en) * 1993-03-05 1995-07-11 Innerdyne Medical, Inc. Trocar system having expandable port
US5860996A (en) * 1994-05-26 1999-01-19 United States Surgical Corporation Optical trocar
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US6129685A (en) * 1994-02-09 2000-10-10 The University Of Iowa Research Foundation Stereotactic hypothalamic obesity probe
US6293952B1 (en) * 1997-07-31 2001-09-25 Circon Corporation Medical instrument system for piercing through tissue
US6331180B1 (en) * 1988-05-03 2001-12-18 Sherwood Services Ag Target-centered stereotaxtic surgical arc system with reorientatable arc axis
US6374135B1 (en) * 1990-10-19 2002-04-16 Saint Louis University System for indicating the position of a surgical probe within a head on an image of the head
US6416520B1 (en) * 1999-04-23 2002-07-09 Sherwood Services Ag Microdrive for probes
US20030073934A1 (en) * 2001-10-17 2003-04-17 David A. Putz Double slotted-cannula device and method of use
US6669685B1 (en) * 1997-11-06 2003-12-30 Biolase Technology, Inc. Tissue remover and method
US20040024291A1 (en) * 2002-08-01 2004-02-05 Zinkel John L. Method and apparatus for spinal surgery
US20040059375A1 (en) * 2000-10-06 2004-03-25 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US20040068172A1 (en) * 1996-02-27 2004-04-08 Kent Ridge Digital Labs Curved surgical instruments and method of mapping a curved path for stereotactic surgery
US20040102804A1 (en) * 1999-08-10 2004-05-27 Chin Albert K. Apparatus and methods for endoscopic surgical procedures
US6942634B2 (en) * 2002-03-22 2005-09-13 Twin Star Medical, Inc. System for treating tissue swelling

Patent Citations (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3690323A (en) * 1970-12-01 1972-09-12 Us Army Device for draining ventricular fluid in cases of hydrocephalus
US4638798A (en) * 1980-09-10 1987-01-27 Shelden C Hunter Stereotactic method and apparatus for locating and treating or removing lesions
US6331180B1 (en) * 1988-05-03 2001-12-18 Sherwood Services Ag Target-centered stereotaxtic surgical arc system with reorientatable arc axis
US6374135B1 (en) * 1990-10-19 2002-04-16 Saint Louis University System for indicating the position of a surgical probe within a head on an image of the head
US5183464A (en) * 1991-05-17 1993-02-02 Interventional Thermodynamics, Inc. Radially expandable dilator
US5320611A (en) * 1993-02-04 1994-06-14 Peter M. Bonutti Expandable cannula having longitudinal wire and method of use
US5431676A (en) * 1993-03-05 1995-07-11 Innerdyne Medical, Inc. Trocar system having expandable port
US6129685A (en) * 1994-02-09 2000-10-10 The University Of Iowa Research Foundation Stereotactic hypothalamic obesity probe
US5860996A (en) * 1994-05-26 1999-01-19 United States Surgical Corporation Optical trocar
US20040068172A1 (en) * 1996-02-27 2004-04-08 Kent Ridge Digital Labs Curved surgical instruments and method of mapping a curved path for stereotactic surgery
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US6293952B1 (en) * 1997-07-31 2001-09-25 Circon Corporation Medical instrument system for piercing through tissue
US6669685B1 (en) * 1997-11-06 2003-12-30 Biolase Technology, Inc. Tissue remover and method
US6416520B1 (en) * 1999-04-23 2002-07-09 Sherwood Services Ag Microdrive for probes
US20040102804A1 (en) * 1999-08-10 2004-05-27 Chin Albert K. Apparatus and methods for endoscopic surgical procedures
US20040059375A1 (en) * 2000-10-06 2004-03-25 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US20030073934A1 (en) * 2001-10-17 2003-04-17 David A. Putz Double slotted-cannula device and method of use
US6942634B2 (en) * 2002-03-22 2005-09-13 Twin Star Medical, Inc. System for treating tissue swelling
US20040024291A1 (en) * 2002-08-01 2004-02-05 Zinkel John L. Method and apparatus for spinal surgery

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9386974B2 (en) 2004-10-28 2016-07-12 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9307969B2 (en) 2005-06-17 2016-04-12 Vycor Medical, Inc. Tissue retractor apparatus and methods
US9566052B2 (en) 2005-06-17 2017-02-14 Vycor Medical, Inc. Tissue retractor apparatus and methods
CN105769268A (en) * 2015-11-16 2016-07-20 深圳市擎源医疗器械有限公司 Brain retractor

Also Published As

Publication number Publication date
WO2006050047A2 (en) 2006-05-11
WO2006050225A2 (en) 2006-05-11
WO2006050225A3 (en) 2006-09-08

Similar Documents

Publication Publication Date Title
WO2006050047A3 (en) Apparatus and methods for performing brain surgery
US9968414B2 (en) Apparatus and methods for performing brain surgery
US9055936B2 (en) Over dilation
US6929606B2 (en) Retractor and method for spinal pedicle screw placement
US8834507B2 (en) Dilation instruments and methods
US20080109026A1 (en) Apparatus and Methods for Performing Brain Surgery
US6951538B2 (en) Retractor and method for spinal pedicle screw placement
WO2004082738A3 (en) Optically guided penetration catheters and their methods of use
US20110144687A1 (en) Lateral Based Retractor System
WO2009151926A3 (en) Method and devices for treating spinal stenosis
KR20100080529A (en) Dilation system and method of using the same
DE60334716D1 (en) INTRODUCTION SYSTEM FOR MINIMALLY INVASIVE OPERATING INSTRUMENTS
WO2008070262A3 (en) Apparatus and method for targeting a body tissue
CA2649892A1 (en) Device and method for treatment of sinusitis
EP1275348A3 (en) Apparatus for use in endoscopic minimally invasive orthopaedic plating procedures
WO2006063073A3 (en) Tool insertion device for use in minimally invasive surgery
EP1602336A3 (en) System and method for accessing a body cavity
US20230041770A1 (en) Determining penetration plane of a surgical device
US20160007982A1 (en) Endoscopic portal protective shield assembly
US20160331207A1 (en) Access visualization systems
WO2009151970A3 (en) Devices, system and methods for minimally invasive abdominal surgical procedures
WO2005117710A3 (en) Image guided interventions with interstitial or transmission ultrasound
CN201642308U (en) Natural orifice transluminal endoscopic surgical apparatus assembly structure

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KM KN KP KR KZ LC LK LR LS LT LU LV LY MA MD MG MK MN MW MX MZ NA NG NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SM SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LT LU LV MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

WWE Wipo information: entry into national phase

Ref document number: 11665667

Country of ref document: US

NENP Non-entry into the national phase

Ref country code: DE

121 Ep: the epo has been informed by wipo that ep was designated in this application
122 Ep: pct application non-entry in european phase

Ref document number: 05824162

Country of ref document: EP

Kind code of ref document: A2