JP2006314802A - 医療器具用の改良型軌道 - Google Patents
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/00073—Insertion part of the endoscope body with externally grooved shaft
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Abstract
【解決手段】1つまたは2つ以上の部材を消化管内に位置決めするのに有用な医療装置および方法を提供する。医療装置10は、内視鏡を受け入れるよう寸法決めされたシース200で支持された軌道300と、前記軌道に対して摺動可能であるキャリヤと、を有するのがよい。キャリヤに摺動自在に係合するように構成されたアクセサリとしての供給管が開示される。
【選択図】図1
Description
本願は、次の特許出願、即ち、各々2003年5月16日に出願された米国特許出願第10/440,957号(米国特許出願公開第2004/0230095号として公開された)、同第10/440,660号(米国特許出願公開第2004/0230096号として公開された)および同第10/440,956号(米国特許出願公開第2004/0230097号として公開された)の優先権主張出願であり、これら米国特許出願を参照により引用し、これらの明細書の内容を本明細書の一部とする。
本発明は、一般に医療器具に関し、特に内視鏡手技において有用な器具および方法に関する。
最小侵襲手技は、かかる手技が疼痛を減少させるとともに従来型の開放医療手技と比較して比較的迅速な回復時間をもたらすことができるので望ましい。多くの最小侵襲手技は、内視鏡(腹腔鏡を含むが、これには限定されない)を用いて行われる。かかる手技により、外科医は、医療器械およびアクセサリを患者の体に設けた小さな接近開口部を通って位置決めし、操作し、そして視認することができる。腹腔鏡は、内視鏡(多くの場合、剛性腹腔鏡)を用いるかかる「体内手術(endosurgical)」方式を説明するために用いられる用語である。この種の手技では、アクセサリ器具は、体壁を貫通して配置されたトロカールを通って患者の体内に挿入される場合が多い。
本発明は、種々の医療手技で有用な方法および器具を提供し、かかる方法および器具としては、内視鏡に有用な方法および器具、生まれつき備わっている体のオリフィス(開口)を通って用いられる方法および器具、供給管の配置に関連した方法および器具が挙げられるが、これらには限定されない。例えば、一実施形態では、本発明は、アクセサリ、例えば供給管を所望の場所、例えば胃または空腸内に迅速かつ首尾一貫して配置し、器具が内視鏡の取り出し中に所望の位置に位置したままであるようにするよう利用できる。或る特定の実施形態では、本発明は、或る特定の手技に必要な挿管の数、例えば供給管を配置するのに必要な挿管の数を減らすために使用できる。或る特定の実施形態では、本発明は又、例えば供給管の取り付けの際の口から鼻への移送ステップを減少させ、体内でツールまたは器具を切り換えまたは配備する回数を減らし、手技を実施するのに必要な手の数を減らすとともに(あるいは)医療専門家が手技中に手の位置を変えなければならない回数を減らすことにより或る特定の医療手技に必要なステップの数を減らすために利用できる。
図1および図2は、本発明の一実施形態の医療装置10を示している。一実施形態では、装置10は、取っ手100、取っ手100から延びる可撓性カテーテルまたはシース200、シース200に設けられた可撓性軌道300およびシース200の遠位端部に設けられたエンドキャップ400を有するのがよい。取っ手100および可撓性シース200はそれぞれ、内視鏡を挿通状態で受け入れるよう寸法決めされたものであるのがよい。
ットの形態をしているのがよい。雌ねじ付き部材3360は、並進部分3300に対して固定されている。
本発明の具体的な実施態様は、次の通りである。
(1)医療装置において、
内視鏡を受け入れるよう寸法決めされたシースと、
前記シースの長さに沿って設けられた軌道であって、前記軌道の少なくとも一部は、前記軌道の別の部分よりも高い可撓性を有するよう形成されている、前記軌道と、
を有する、医療装置。
(2)実施態様(1)記載の医療装置において、
前記軌道の比較的高い可撓性の部分は、前記軌道の比較的低い可撓性の部分の遠位側に位置決めされている、医療装置。
(3)実施態様(1)記載の医療装置において、
前記軌道は、少なくとも3つの領域を有し、各領域は、隣の領域とは異なる可撓性を有する、医療装置。
(4)実施態様(1)記載の医療装置において、
前記軌道の少なくとも一部は、曲げ剛性を減少させるよう所々途切れている、医療装置。
(5)実施態様(4)記載の医療装置において、
前記軌道は、前記軌道の一部分に設けられた途切れ部を有し、該途切れ部は、前記軌道の別の部分に設けられた途切れ部に対して互いにずらされて配列されている、医療装置。
前記軌道の少なくとも一部は、複数本のスリットを有する、医療装置。
(7)実施態様(1)記載の医療装置において、
前記軌道の少なくとも一部は、複数本の互いにずらされて配列されたスリットを有する、医療装置。
(8)実施態様(1)記載の医療装置において、
前記軌道の少なくとも一部は、前記軌道の幅全体ではなくその一部にわたって延びる複数本のスリットを有する、医療装置。
(9)実施態様(1)記載の医療装置において、
前記スリットのうち少なくとも幾つかは、前記軌道の中心線を横切って延びている、医療装置。
(10)実施態様(1)記載の医療装置において、
前記軌道は、前記軌道の前記長さに沿って差し向けられた軸方向荷重の結果として、前記軌道の互いに間隔を置いた部分の曲げが生じるように形成されている、医療装置。
前記軌道は、前記シースの長手方向軸線に全体として平行な方向に弾性伸長可能である、医療装置。
(12)実施態様(1)記載の医療装置において、
前記軌道は、前記軌道を前記シース内に設けられた内視鏡に対する所望の向きを維持するための複数個の側方に延びる部分を有する、医療装置。
(13)医療装置において、
内視鏡を受け入れるよう寸法決めされていて、ねじり剛性が実質的に無いシースと、
前記シースの長さに沿って設けられた軌道とを有し、前記軌道は、前記シース内に設けられた内視鏡に対する前記軌道の半径方向の向きを維持するよう形成されている、医療装置。
(14)実施態様(13)記載の装置において、
前記軌道の前記曲げ可撓性は、前記軌道の前記長さに沿って変化している、医療装置。
(15)実施態様(13)記載の医療装置において、
前記軌道の前記軸方向可撓性は、前記軌道の前記長さに沿って変化している、医療装置。
内視鏡を受け入れるよう寸法決めされていて、ねじり剛性が実質的に無いシースと、
前記シースの遠位端部のところに設けられたエンドキャップと、
前記シースの長さに沿って設けられた軌道と、
を有する、医療装置。
(17)実施態様(16)記載の医療装置において、
前記軌道の少なくとも一部は、前記軌道の別の部分よりも高い可撓性を有するよう形成されている、医療装置。
(18)実施態様(16)記載の医療装置において、
前記軌道の少なくとも一部は、直接的な軸方向荷重経路をもたらさないよう形作られている、医療装置。
(19)実施態様(16)記載の医療装置において、
前記軌道の少なくとも一部は、複数本のスリットを有する、医療装置。
(20)実施態様(16)記載の医療装置において、
前記軌道の少なくとも一部は、前記軌道を前記シース上に支持するための複数個の側方に延びるタブを有する、医療装置。
内視鏡の外部に沿って設けられるように構成された軌道を有し、前記軌道の少なくとも一部は、前記軌道の別の部分よりも高い可撓性を有するよう形成されている、医療装置。
(22)実施態様(21)記載の医療装置において、
前記軌道は、エンドキャップと関連した遠位端部を有する、医療装置。
(23)実施態様(21)記載の医療装置において、
前記軌道は、取っ手と関連した近位端部を有する、医療装置。
(24)実施態様(21)記載の医療装置において、
前記軌道の少なくとも一部は、互いに間隔を置いた場所で途切れている、医療装置。
(25)実施態様(21)記載の医療装置において、
前記軌道の少なくとも一部は、複数本の互いに間隔を置いたスリットを有する、医療装置。
(26)実施態様(21)記載の医療装置において、
前記軌道の少なくとも一部は、複数本の互いに間隔を置いたスリットを有し、前記スリットのうち少なくとも幾つかは、前記軌道の厚さ全体にわたって延びている、医療装置。
(27)実施態様(22)記載の医療装置において、
前記軌道の少なくとも一部は、複数本の互いに間隔を置いたスリットを有し、前記スリットのうち少なくとも幾つかは、前記軌道の幅全体のうち少なくとも半ばにわたって延びている、医療装置。
24 カニューレ
32 ガイドワイヤ
100 取っ手
200 可撓性カテーテルまたはシース
300 可撓性軌道
400 エンドキャップ
500 キャリヤ
600,800,900 供給管
622 出口ポート
660 特徴部
662 近位端部
700 位置決め部材
1000 内視鏡
2100 ノーズコーン
Claims (13)
- 医療装置において、
内視鏡を受け入れるよう寸法決めされたシースと、
前記シースの長さに沿って設けられた軌道であって、前記軌道の少なくとも一部は、前記軌道の別の部分よりも高い可撓性を有するよう形成されている、前記軌道と、
を有する、医療装置。 - 請求項1記載の医療装置において、
前記軌道の比較的高い可撓性の部分は、前記軌道の比較的低い可撓性の部分の遠位側に位置決めされている、医療装置。 - 請求項1記載の医療装置において、
前記軌道は、少なくとも3つの領域を有し、各領域は、隣の領域とは異なる可撓性を有する、医療装置。 - 請求項1記載の医療装置において、
前記軌道の少なくとも一部は、曲げ剛性を減少させるよう所々途切れている、医療装置。 - 請求項4記載の医療装置において、
前記軌道は、前記軌道の一部分に設けられた途切れ部を有し、該途切れ部は、前記軌道の別の部分に設けられた途切れ部に対してにずらされて配列されている、医療装置。 - 請求項1記載の医療装置において、
前記軌道の少なくとも一部は、複数本のスリットを有する、医療装置。 - 請求項1記載の医療装置において、前記軌道の少なくとも一部は、複数本の互いにずれて配列されたスリットを有する、医療装置。
- 請求項1記載の医療装置において、
前記軌道の少なくとも一部は、前記軌道の幅全体ではなくその一部にわたって延びる複数本のスリットを有する、医療装置。 - 請求項1記載の医療装置において、
前記スリットのうち少なくとも幾つかは、前記軌道の中心線を横切って延びている、医療装置。 - 請求項1記載の医療装置において、
前記軌道は、前記軌道の前記長さに沿って差し向けられた軸方向荷重の結果として、前記軌道の互いに間隔を置いた部分の曲げが生じるように形成されている、医療装置。 - 医療装置において、
内視鏡を受け入れるよう寸法決めされていて、ねじり剛性が実質的に無いシースと、
前記シースの長さに沿って設けられた軌道であって、前記軌道は、前記シース内に設けられた内視鏡に対する前記軌道の半径方向の向きを維持するよう形成されている、前記シースと、
を有する、医療装置。 - 医療装置において、
内視鏡を受け入れるよう寸法決めされていて、ねじり剛性が実質的に無いシースと、
前記シースの遠位端部のところに設けられたエンドキャップと、
前記シースの長さに沿って設けられた軌道と、
を有する、医療装置。 - 医療装置において、
内視鏡の外部に沿って設けられるようになった軌道を有し、前記軌道の少なくとも一部は、前記軌道の別の部分よりも高い可撓性を有するよう形成されている、医療装置。
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JP2011512958A (ja) * | 2008-02-27 | 2011-04-28 | ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア | 栄養チューブ・システム |
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- 2006-05-12 JP JP2006134066A patent/JP5116989B2/ja not_active Expired - Fee Related
- 2006-05-12 ES ES06252511T patent/ES2314846T3/es active Active
- 2006-05-12 DE DE602006003370T patent/DE602006003370D1/de active Active
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Also Published As
Publication number | Publication date |
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JP5116989B2 (ja) | 2013-01-09 |
DE602006003370D1 (de) | 2008-12-11 |
EP1721561A1 (en) | 2006-11-15 |
AR056351A1 (es) | 2007-10-03 |
CA2546879A1 (en) | 2006-11-13 |
ES2314846T3 (es) | 2009-03-16 |
BRPI0602621A (pt) | 2007-01-09 |
CN1861016A (zh) | 2006-11-15 |
EP1721561B1 (en) | 2008-10-29 |
US7615003B2 (en) | 2009-11-10 |
KR20060117280A (ko) | 2006-11-16 |
US20060258907A1 (en) | 2006-11-16 |
SG127825A1 (en) | 2006-12-29 |
AU2006202013A1 (en) | 2006-11-30 |
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