JP2005532114A - 膨張可能な経皮的シース - Google Patents
膨張可能な経皮的シース Download PDFInfo
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- JP2005532114A JP2005532114A JP2004519695A JP2004519695A JP2005532114A JP 2005532114 A JP2005532114 A JP 2005532114A JP 2004519695 A JP2004519695 A JP 2004519695A JP 2004519695 A JP2004519695 A JP 2004519695A JP 2005532114 A JP2005532114 A JP 2005532114A
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- percutaneous access
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
-
- 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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
-
- 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
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
Abstract
【解決手段】第一の小さい断面積の形態にある間に体内に導入され、その後に第二の拡張した断面形態に膨張する、膨張可能な経皮的シース100が開示される。このシースは、取り外し可能な管状制止部200により第一の小さい断面形態に維持される。1用途において、例えば、脊柱固定法にて使用されるような、現所にて形成された整形外科用固定ロッドを導入するためにこのシースが利用される。
Description
Claims (14)
- 経皮的アクセスシースであって、細長い管状構造体の少なくとも一部分が第一の小さい断面輪郭外形から第二の大きい断面輪郭外形まで膨張可能である細長い管状構造体と、該細長い管状構造体の少なくとも一部分を前記第一の小さい断面輪郭外形に制止し得るようにアクセスシースにより担持された解放可能なシースとを含む、経皮的アクセスシース。
- 請求項1の経皮的アクセスシースであって、前記部分を前記第一の小さい断面輪郭外形から前記第二の大きい断面輪郭外形まで膨張させるよう拡張可能なバルーンと組み合わせた、経皮的アクセスシース。
- 請求項2の経皮的アクセスシースであって、前記バルーンが経皮的アクセスシース内で軸方向に可動に配置可能なバルーンカテーテルにより担持される、経皮的アクセスシース。
- 経皮的アクセスシースであって、第一の小さい断面輪郭外形から第二の大きい断面輪郭外形まで膨張可能な末端部分を有する細長い管状構造体と、該細長い管状構造体の末端部分を前記第一の小さい断面輪郭外形に制止し得るように解放可能な制止部とを含む、経皮的アクセスシース。
- 請求項4の経皮的アクセスシースであって、解放可能な制止部が引き剥ぎシースを備える、経皮的アクセスシース。
- 経皮的アクセスを可能にする方法であって、
第一の小さい断面輪郭外形を有する細長い管状構造体を経皮的に挿入するステップと、
管状制止部を細長い管状構造体から除去するステップと、
前記細長い管状構造体を前記第一の小さい断面輪郭外形から第二の大きい断面輪郭外形に膨張させるステップとを含む、経皮的アクセスシースを可能にする方法。 - 請求項6の方法であって、バルーンを拡張させ前記細長い管状構造体を前記第一の小さい断面輪郭外形から前記第二の大きい断面輪郭外形まで膨張させるステップを更に含む、方法。
- 請求項6の方法であって、経皮的に挿入するステップが細長い管状構造体を骨アンカーの開口を通じて経皮的に挿入するステップを含む方法。
- 請求項6の方法であって、経皮的に挿入するステップが細長い管状構造体を椎骨体に取り付けられたアンカーの開口を通じて経皮的に挿入するステップを含む方法。
- 請求項6の方法であって、管状構造体が第二の大きい断面輪郭外形であるときインプラントを管状構造体を通じて導入するステップを更に含む方法。
- 請求項10の方法であって、インプラントが現所にて形成された整形外科用インプラントを備える方法。
- 請求項6の方法であって、経皮的に挿入するステップが細長い管状構造体を第一の椎骨体に取り付けられた少なくとも第一の骨アンカー及び第二の椎骨体に取り付けられた第二の骨アンカーを通じて経皮的に挿入するステップを含む方法。
- 請求項7の方法であって、バルーンを拡張させるステップが管状本体内に配置されたバルーンカテーテルを使用して行われる方法。
- 請求項7の方法であって、膨張ステップの後バルーンを管状構造体から除去するステップを更に含む方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/188,732 US7329268B2 (en) | 2002-07-02 | 2002-07-02 | Expandable percutaneous sheath |
PCT/US2003/020550 WO2004004584A1 (en) | 2002-07-02 | 2003-07-01 | Expandable percutaneous sheath |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005532114A true JP2005532114A (ja) | 2005-10-27 |
JP4344317B2 JP4344317B2 (ja) | 2009-10-14 |
Family
ID=29999541
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004519695A Expired - Fee Related JP4344317B2 (ja) | 2002-07-02 | 2003-07-01 | 膨張可能な経皮的シース |
Country Status (8)
Country | Link |
---|---|
US (3) | US7329268B2 (ja) |
EP (2) | EP2305156B1 (ja) |
JP (1) | JP4344317B2 (ja) |
KR (1) | KR101028295B1 (ja) |
CN (1) | CN100518682C (ja) |
AU (1) | AU2003251745B2 (ja) |
CA (1) | CA2491493A1 (ja) |
WO (1) | WO2004004584A1 (ja) |
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- 2003-07-01 WO PCT/US2003/020550 patent/WO2004004584A1/en active Application Filing
- 2003-07-01 CA CA002491493A patent/CA2491493A1/en not_active Abandoned
- 2003-07-01 KR KR1020057000092A patent/KR101028295B1/ko not_active IP Right Cessation
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JP4344317B2 (ja) | 2009-10-14 |
US7329268B2 (en) | 2008-02-12 |
US8034072B2 (en) | 2011-10-11 |
US7914555B2 (en) | 2011-03-29 |
US20060142795A1 (en) | 2006-06-29 |
EP2305156B1 (en) | 2016-09-28 |
AU2003251745A1 (en) | 2004-01-23 |
KR20050123086A (ko) | 2005-12-29 |
CN1674834A (zh) | 2005-09-28 |
WO2004004584A1 (en) | 2004-01-15 |
CN100518682C (zh) | 2009-07-29 |
EP2305156A3 (en) | 2011-07-06 |
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