JP2005529710A5 - - Google Patents
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- JP2005529710A5 JP2005529710A5 JP2004515818A JP2004515818A JP2005529710A5 JP 2005529710 A5 JP2005529710 A5 JP 2005529710A5 JP 2004515818 A JP2004515818 A JP 2004515818A JP 2004515818 A JP2004515818 A JP 2004515818A JP 2005529710 A5 JP2005529710 A5 JP 2005529710A5
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- Prior art keywords
- tissue fastener
- tissue
- deflector
- proximal
- distal
- Prior art date
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- 210000001519 tissues Anatomy 0.000 claims 45
- 239000000789 fastener Substances 0.000 claims 36
- 238000001574 biopsy Methods 0.000 claims 3
- 210000001847 Jaw Anatomy 0.000 claims 2
- 230000004913 activation Effects 0.000 claims 2
- 238000004873 anchoring Methods 0.000 claims 2
- 239000000463 material Substances 0.000 claims 2
- 230000000149 penetrating Effects 0.000 claims 1
Claims (45)
- 多重組織層を締着するための管腔内手術用装置において、
組織締結具と、
上記組織締結具の一部を把持および解放するように構成された把持器を有する可撓ニードルと、
上記ニードルを多重組織層に向けて偏向させ且つ案内する偏向器と、
身体の外部から内部へと延びるように構成された可撓管とを具備し、
上記可撓管は、少なくとも一つの管腔を有すると共に、上記組織締結具の投入中に可撓ニードル及び偏向器を上記管腔内に収容するように構成される、手術用装置。 - 上記偏向器は長寸管を備える請求項1に記載の手術用装置。
- 上記偏向器を受容するように且つ該偏向器に対して軸線方向に移動するように構成されたA字形状フレームヘッドを更に具備する請求項1又は2に記載の手術用装置。
- 上記A字形状フレームヘッドは上記偏向器を案内するスロットを備える請求項3に記載の手術用装置。
- 上記A字形状フレームヘッドは開口を有する折畳み可能なアームを備える請求項3又は4に記載の手術用装置。
- 上記偏向器は上記ニードルを案内する管路を該偏向器内に画成し、上記管路は上記ニードルを上記多重組織層に向けて偏向させ且つ案内するように湾曲せしめられる請求項2〜5のいずれか1項に記載の手術用装置。
- 上記管路は基端部分および末端部分を備え、前記基端部分は上記偏向器内においてほぼ軸線方向に延び且つ上記末端部分は上記基端部分に対して角度が付けられる請求項6に記載の手術用装置。
- 上記末端部分は上記偏向器の上記基端部分に対してほぼ垂直である請求項7に記載の手術用装置。
- 上記末端部分は上記偏向器の側面により画成された開口と連通する請求項7又は8に記載の手術用装置。
- 上記偏向器は、主本体と、該本体に解放可能に接続された末端本体とを備え、
上記主本体は上記管路の基端部分を有し且つ上記末端本体は上記管路の末端部分を有する請求項7〜9のいずれか1項に記載の手術用装置。 - 上記ニードルは上記偏向器に対して移動するように構成される請求項1〜10のいずれか1項に記載の手術用装置。
- 上記ニードルは該ニードルの末端に上記多重組織層を貫通するための切断縁部を備える請求項1〜11のいずれか1項に記載の手術用装置。
- 上記偏向器の開口は上記組織締結具および上記ニードルを受容するように構成される請求項9に記載の手術用装置。
- 上記組織締結具は、
末端と基端とを有する可撓縫合糸と、
上記縫合糸の上記末端および基端を互いに接続して該縫合糸を閉鎖ループへと形成する繋止機構とを具備する請求項1〜13のいずれか1項に記載の手術用装置。 - 上記組織締結具は、上記偏向器の開口に該組織締結具を取付ける取付手段を更に備える請求項14に記載の手術用装置。
- 上記取付手段は上記繋止機構のスリットを備える請求項15に記載の手術用装置。
- 上記繋止機構は円錐形状を有する請求項14〜16のいずれか1項に記載の手術用装置。
- 上記偏向器は上記可撓管に対して上記管腔に沿って軸線方向に移動可能である請求項1〜17のいずれか1項に記載の手術用装置。
- 上記可撓管は、投入中に上記管腔内に上記組織締結具を収容するように構成される請求項1〜18のいずれか1項に記載の手術用装置。
- 上記可撓管の末端部分に連結されたA字形状フレームヘッドを更に具備し、該A字形状フレームヘッドは該A字形状フレームヘッドの一部に枢着されたアームを備えると共に該アームと該A字形状フレームヘッド自体の表面との間に多重組織層を受容するように構成される請求項1に記載の手術用装置。
- 少なくとも一つの組織層を把持する把持装置を更に具備する請求項1〜20のいずれか1項に記載の手術用装置。
- 上記把持器は、
上記可撓ニードルの末端の近傍の吸引孔と、
上記可撓ニードルの内部に形成された吸引管路とを具備し、
上記吸引孔は、操作中に該吸引孔から出入りするように上記組織締結具の部分を受容するように構成される請求項1に記載の手術用装置。 - 上記可撓ニードルは、末端部分と、起動ワイヤおよび複数本のバスケットワイヤにより上記末端部分に接続された基端部分とを備え、
上記起動ワイヤは上記末端部分に固定的に取付けられ且つ上記基端部分に対して軸線方向に移動可能である請求項1に記載の手術用装置。 - 上記複数本のバスケットワイヤは上記末端部分および基端部分が互いに向けて移動されたときに外方に屈曲するように構成され、且つ、上記末端部分および基端部分が当該バスケットワイヤの丈まで離間されたときに互いに対してほぼ平行に整列されたほぼ直線状のワイヤを形成するように構成される請求項23に記載の手術用装置。
- 上記可撓ニードルは、管状部材の末端に接続された一対の生検用顎部を有する生検鉗子を備える請求項1に記載の手術用装置。
- 上記可撓ニードルは、上記組織締結具の一部を把持する生検用顎部アクチュエータを更に備える請求項25に記載の手術用装置。
- 上記管状部材の末端部分は該管状部材の主要本体部分に対して可動的である請求項25又は26に記載の手術用装置。
- 多重組織層を接合するために用いられる組織締結具において、
末端と基端とを有する可撓縫合糸と、
上記末端および基端を互いに接続して上記縫合糸を閉鎖ループへと形成するように構成された繋止機構とを具備し、該繋止機構は当該組織締結具の位置決め中に拡張するのに十分な可撓性を有する部分を有する、組織締結具。 - 上記縫合糸の基端は上記繋止機構に対して固定される請求項28に記載の組織締結具。
- 上記縫合糸は、上記繋止機構と繋止的に係合するように構成された少なくとも一つの繋止部材を備える請求項28に記載の組織締結具。
- 上記繋止機構は上記繋止部材を受容する開口を有する請求項30に記載の組織締結具。
- 上記繋止部材は、上記繋止機構の開口に繋止的に係合するように構成されたフランジを備える請求項30に記載の組織締結具。
- 上記フランジは円錐形状を有する請求項32に記載の組織締結具。
- 上記縫合糸は複数の繋止部材を備える請求項30に記載の組織締結具。
- 上記複数の繋止部材は均一に離間される請求項34に記載の組織締結具。
- 上記繋止機構と上記繋止部材との間の係合は上記組織締結具の張力を調節するように一方向にのみ解放可能である請求項30に記載の組織締結具。
- 上記組織締結具の少なくとも一部は生体吸収可能材料から成る請求項28に記載の組織締結具。
- 多重組織層を接合するために用いられる組織締結具において、
接続部材と、
上記接続部材の末端部分に固定的に連結された末端締着部材と、
上記接続部材の基端部分の近傍にて該接続部材に移動可能に連結された基端締着部材とを備え、
上記末端締着部材と基端締着部材との間に多重組織層が配置された後、上記基端締着部材は上記接続部材に対して移動されることで上記当該組織締結具の張力を調節する組織締結具。 - 上記末端締着部材および基端締着部材の少なくとも一方は収縮状態から拡張状態へと拡張可能である請求項38に記載の組織締結具。
- 上記末端締着部材および基端締着部材の少なくとも一方は上記接続部材に連結された長寸バーから形成され、収縮状態において該長寸バーは上記接続部材に対してほぼ平行に折畳まれ、且つ、前記拡張状態において上記長寸バーは上記接続部材に対して所定角度で延びる請求項39に記載の組織締結具。
- 上記接続部材は可撓縫合糸である請求項38に記載の組織締結具。
- 上記接続部材は上記基端締着部材に対して繋止的に係合するように構成された少なくとも一つの繋止部材を含む請求項38に記載の組織締結具。
- 上記繋止部材と上記基端締着部材との間の係合は当該組織締結具の張力を調節するように一方向にのみ解放可能である請求項42に記載の組織締結具。
- 上記接続部材は離間された複数の繋止部材を備える請求項43に記載の組織締結具。
- 当該組織締結具の少なくとも一部は生体吸収可能材料から成る請求項38に記載の組織締結具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/175,307 US7125413B2 (en) | 2002-06-20 | 2002-06-20 | Endoscopic fundoplication devices and methods for treatment of gastroesophageal reflux disease |
PCT/US2003/018935 WO2004000129A2 (en) | 2002-06-20 | 2003-06-17 | Endoscopic fundoplication devices for treatment of gastroesophageal reflux disease |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2005529710A JP2005529710A (ja) | 2005-10-06 |
JP2005529710A5 true JP2005529710A5 (ja) | 2006-07-20 |
JP4358105B2 JP4358105B2 (ja) | 2009-11-04 |
Family
ID=29733830
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004515818A Expired - Fee Related JP4358105B2 (ja) | 2002-06-20 | 2003-06-17 | 胃食道逆流疾患を治療する内視鏡式胃底皺襞形成装置および方法 |
Country Status (8)
Country | Link |
---|---|
US (5) | US7125413B2 (ja) |
EP (2) | EP1513457B1 (ja) |
JP (1) | JP4358105B2 (ja) |
AT (2) | ATE462358T1 (ja) |
AU (1) | AU2003251532B2 (ja) |
CA (1) | CA2460633A1 (ja) |
DE (2) | DE60315294T2 (ja) |
WO (1) | WO2004000129A2 (ja) |
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