JP2007503870A - 連接式縫合装置および方法 - Google Patents
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Abstract
Description
Claims (22)
- 縫合装置であって、
近位部分および遠位部分を有するシャフトと、
シャフトに可動状態で取付けられた細長い脚部と、
シャフトに沿って遠位方向に脚部まで延在するアクチュエータとを備え、該アクチュエータの動作が、脚部を遠位方向に摺動させ、かつ脚部をシャフトに沿って整列された低プロファイル構造から、シャフトから側方に延出する展開構造まで枢動させ、前記縫合装置がさらに、
シャフトの近位部分から展開された脚部まで前進可能な1対の針を備え、少なくとも一方の針が、取り外し可能な先端部を担持する遠位端を有し、該取り外し可能な先端部が、ある長さの縫合糸の第1の端部に接続され、該縫合糸が、第2の端部と、第1の端部と第2の端部との間の中間部とを有し、該中間部が、第1の端部が中間部を通過するとき、事前に結ばれたノットを画定するように装置の外側表面に予め配置される装置。 - 両方の針が、取り外し可能な先端部を有し、縫合糸の第2の端部も、それぞれの取り外し可能な先端部に接続され、針が後退した後、脚部が低プロファイル構造に変わることができるように、取り外し可能な先端部が、脚部に配置され、かつ針から取り外され、中間部が、縫合糸の第1および第2の端部が中間部を通過するように、シャフトを下方に脚部を越えて摺動されることができる、請求項1に記載の装置。
- 針が後退した後、脚部が低プロファイル構造に変わることができるように、取り外し可能な先端部が、脚部に配置され、かつ前記針から取り外され、中間部が、縫合糸の第1の端部が中間部を通過するように、シャフトを下方に脚部を越えて摺動されることができる、請求項1に記載の装置。
- 脚部に解放可能に取付けられた接続フィラメントをさらに備え、該接続フィラメントが、針の一方が有する取り外し可能な先端部に接続可能であり、かつ他方の針に接続可能であり、他方の針が後退されるときに、他方の針が、接続フィラメント、取り外し可能な先端部、および縫合糸の第1の端部を、中間部を通して引く、請求項1に記載の装置。
- 縫合装置であって、
近位部分および遠位部分を有するシャフトと、
シャフトに可動状態で取付けられた細長い脚部と、
シャフトに沿って遠位方向に脚部まで延在するアクチュエータとを備え、該アクチュエータの動作が、脚部を遠位方向に摺動させ、かつ脚部を、シャフトに沿って整列された低プロファイル構造から、シャフトから側方に延出する展開構造まで枢動させ、前記縫合装置がさらに、
シャフトの近位部分から展開された脚部まで前進可能な1対の針と、
第1の端部、第2の端部、および第1の端部と第2の端部との間の中間部を有するある長さの縫合糸とを備え、第1および第2の端部が、針が脚部まで前進すると、針が縫合糸の第1および第2の端部のそれぞれに接続されるように、脚部に解放可能に取付けられ、中間部が、針が後退される際に、縫合糸の第1および第2の端部が事前に結ばれたノットを画定するために中間部を通過するように、シャフトの近位部分の外側表面に予め配置される縫合装置。 - 針が後退した後、脚部が、低プロファイル構造に変わることができ、かつ中間部が、シャフトを下方に脚部を越えて摺動されることができる、請求項5に記載の装置。
- 縫合装置であって、
近位端および遠位端を有する細長い筐体と、
前記細長い本体に対して移動するように取付けられた第1のアームとを備え、前記第1のアームが、針受け部分を含み、かつ第1の位置と第2の位置との間で作動可能であり、前記第1の位置において、前記針受け部分が実質的に前記筐体にあり、かつ前記第2の位置において、前記針受け部分が前記筐体から外側に離れて配置され、前記縫合装置がさらに、
遠位端を有する第1の針を備え、前記第1の針が、前記第1のアームが前記第2の位置にあるとき、遠位方向に対して近位に前記細長い本体の延在部分の少なくとも一部に沿って長手方向に、前記針受け部分内まで移動するように取付けられ、前記縫合装置がさらに、
第1の端部、第2の端部、および第1の端部と第2の端部との間の中間部を有するある長さの縫合糸を備え、中間部が、第1および第2の端部の少なくとも一方が中間部を通過すると、事前に結ばれたノットを画定するように、細長い筐体周囲に予め配置される縫合装置。 - 中間部が、筐体の外側表面上に予め配置される、請求項7に記載の装置。
- 第1の針が、針受け部分内に移動した後、縫合糸の一端をつかまえ、針が後退する際、縫合糸の端部は、事前に結ばれたノットを形成するように中間部を通過される、請求項7に記載の装置。
- 第2の針と、針受け部分を有しかつ第1の位置と第2の位置との間で作動可能である第2のアームとをさらに備え、第1の位置において、前記針受け部分が実質的に前記筐体内にあり、かつ第2の位置において、前記針受け部分が前記筐体から外側に配置され、第1および第2の針が、それぞれ取り外し可能な先端部を有し、縫合糸の第1および第2の端部が、それぞれの取り外し可能な先端部にそれぞれ接続され、針が後退した後、アームが第1の位置に移動することができるように、取り外し可能な先端部が、前記針受け部分に配置され、かつ針から取り外され、中間部は、縫合糸の第1および第2の端部が中間部を貫通するように、シャフトを下方にアームを越えて摺動されることができる、請求項7に記載の装置。
- 第1の針が、ある長さの縫合糸の第1の端部に接続される取り外し可能な先端部を担持する遠位端を有する、請求項7に記載の装置。
- 第1の針が遠位方向に移動されると、針が後退した後、アームが第1の位置に移動されることができるように、取り外し可能な先端部が、前記針受け部分に配置され、かつ針から取り外され、中間部は、縫合糸の第1の端部が中間部を貫通するように、シャフトを下方にアームを越えて摺動されることができる、請求項11に記載の装置。
- 第2の針と、針受け部分を有する第2のアームと、針受け部間に及ぶように解放可能に取付けられた接続フィラメントとをさらに備え、接続フィラメントが、取り外し可能な先端部に接続可能であり、かつ第2の針に接続可能であり、第2の針が後退する際に、第2の針が、接続フィラメント、取り外し可能な先端部、および縫合糸の第1の端部を、中間部を通して引く、請求項11に記載の装置。
- 縫合装置であって、
近位端、遠位端、中心軸、および遠位端に接触表面を有するガイド本体と、
ガイド本体の遠位端に接続され、かつ遠位端から離間された針ガイド部とを備え、前記針ガイド部および前記ガイド本体が、前記針ガイド部と前記ガイド本体との間に組織受け領域を画定し、前記針ガイド部または前記ガイド本体の少なくとも1本の針チャネルが、針を組織受け領域内へと貫通して向けられるように方向付けられ、前記縫合装置がさらに、
ガイド本体および針ガイド部内で往復自在に取付けられたシャフトと、
シャフトに担持され、かつガイドチャネル内に配置された少なくとも1本の針とを備え、針の鋭利な近位先端部が、針ガイド部から組織受け領域を通過してガイド本体内へと引き込まれることができ、前記縫合装置がさらに、
第1の端部、第2の端部、および第1の端部と第2の端部との間の中間部を有するある長さの縫合糸を備え、中間部が、第1および第2の端部の少なくとも一方が中間部を通ると、事前に結ばれたノットを画定するように、ガイド本体に予め配置される縫合装置。 - 中間部が、ガイド本体の外側表面上に予め配置される、請求項14に記載の装置。
- 第1および第2の針をさらに含み、第1および第2の針がガイド本体内へ引入れられると、ある長さの縫合糸の第1および第2の端部が、それぞれ第1および第2の針によりガイド本体内および中間部を通して運ばれる、請求項15に記載の装置。
- 中間部が、組織受け領域内に予め配置される第1の部分と、ガイド本体に予め配置される第2の部分とを含み、前記第1および第2の針が、ある長さの縫合糸のそれぞれ第1および第2の端部を、中間部の第1の部分を越えてガイド本体内へと運ぶ、請求項16に記載の装置。
- 解剖学的構造内の穿刺部分をシールするための装置であって、
近位部分を通って第1の針開口部まで延びる第1の針ルーメンを有する近位部分と、
組織受けギャップを挟んで第1の針開口部と面し、かつ第2の針ルーメンに開口する第2の針開口部を含む遠位部分と、
近位部分と遠位部分との間で連結され、近位部分および遠位部分からオフセットされ、組織受けギャップを形成する接続部分とを備え、接続部分が、解剖学的構造の穿刺部分内に収容されると、組織受けギャップに受けられた解剖学的構造の一部が、穿刺部分の中心軸を含む面の片側に位置し、前記装置がさらに、
第1の端部、第2の端部、および第1の端部と第2の端部との間の中間部を有するある長さの縫合糸を備え、中間部が、第1の端部および第2の端部の少なくとも一方が、中間部を通ると、事前に結ばれたノットを画定するように装置に予め配置される装置。 - 中間部が、第2の針開口部の周囲に予め配置される、請求項18に記載の装置。
- ある長さの縫合糸の反対側の端部にそれぞれ配置される1対の針をさらに備え、針が、第1の針開口部から外へ、組織受けギャップを横断して第2の針開口部へと連続して前進され、ある長さの縫合糸の各端部が、中間部を貫通する、請求項19に記載の装置。
- 中間部が、接続部分の周囲に予め配置される、請求項18に記載の装置。
- ある長さの縫合糸の反対側の端部にそれぞれ配置される1対の針をさらに備え、針が、第1の針開口部から外へ、組織受けギャップを横断して第2の針開口部内へと連続して前進され、中間部が、接続部分および遠位端部分を越えて下方へ摺動されると、事前に結ばれたノットが形成される、請求項18に記載の装置。
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Also Published As
Publication number | Publication date |
---|---|
JP2010172748A (ja) | 2010-08-12 |
US7846170B2 (en) | 2010-12-07 |
JP4545750B2 (ja) | 2010-09-15 |
DE602004014386D1 (de) | 2008-07-24 |
AU2004270149A1 (en) | 2005-03-17 |
US20040097978A1 (en) | 2004-05-20 |
AU2004270149B2 (en) | 2010-05-27 |
US8048092B2 (en) | 2011-11-01 |
CA2515106A1 (en) | 2005-03-17 |
EP1658010A1 (en) | 2006-05-24 |
WO2005023119A1 (en) | 2005-03-17 |
US20070167959A1 (en) | 2007-07-19 |
US7235087B2 (en) | 2007-06-26 |
ATE397893T1 (de) | 2008-07-15 |
EP1658010B1 (en) | 2008-06-11 |
US20110077670A1 (en) | 2011-03-31 |
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