JP2008068065A - 局限化閉鎖部材 - Google Patents
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
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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
- A61B2017/00831—Material properties
- A61B2017/00902—Material properties transparent or translucent
- A61B2017/00911—Material properties transparent or translucent for fields applied by a magnetic resonance imaging system
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
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- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
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- 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
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
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- 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
- A61B2090/392—Radioactive markers
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- 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
- A61B2090/3933—Liquid markers
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- 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
- A61B2090/395—Visible markers with marking agent for marking skin or other tissue
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- 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
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- 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
- A61B2090/3995—Multi-modality markers
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Abstract
【解決手段】一実施形態では、医療用標的確認デバイスは、先端及び基端によって画定された細長い本体部材29を含む。先端内を少なくとも一つの穴35が延びている。この穴は、その内部に造影剤を受け入れる。医療用標的確認デバイスを使用するための方法も開示される。
【選択図】図3C
Description
添付図面を参照すると、本発明の好ましい例示の実施形態が詳細に示してある。添付図面は本発明の幾つかの好ましい実施形態を示すけれども、本発明を良好に例示し且つ説明するため、必ずしも等縮尺ではなく、特定の特徴が誇張してある。更に、本明細書中に説明する実施形態は、網羅的であることを意図したものではなく、添付図面に示し且つ以下の詳細な説明に開示した精密な形態及び形態に本発明を限定しようとするものでもない。
22 導入器スタイレット
24 外側カニューレ
26 標的確認デバイス
27 閉鎖部材
28 ハンドル
29 本体
30 スタイレット
31 先端
32 先端
33 基端
34 基端
35 穴
36 基端
37 内部リザーバ
38 先端
39 把持凹み
40 内側内腔
42 流体導管
43 方向制御バルブ
44 接続端
46 先端
47 キャップ
48 標的バンド
Claims (23)
- 医療用標的デバイス(targeting device)であって、
先端及び基端によって形成された細長い本体部材を含み、
前記先端は、その内部を延びる少なくとも一つの穴を有し、前記穴は造影剤をその内部に受け入れる、医療用標的デバイス。 - 請求項1に記載の医療用標的デバイスにおいて、
前記先端には二つの穴が形成されている、医療用標的デバイス。 - 請求項2に記載の医療用標的デバイスにおいて、
前記穴は互いに交差する、医療用標的デバイス。 - 請求項3に記載の医療用標的デバイスにおいて、
前記穴は互いに約90°で交差する、医療用標的デバイス。 - 請求項4に記載の医療用標的デバイスにおいて、
前記穴は十字形状の通路を形成する、医療用標的デバイス。 - 請求項4に記載の医療用標的デバイスにおいて、
前記穴はt形状通路を形成する、医療用標的デバイス。 - 請求項1に記載の医療用標的デバイスにおいて、
一つの穴が、実質的に前記本体部材の長さに亘って延びる、医療用標的デバイス。 - 請求項7に記載の医療用標的デバイスにおいて、更に、
前記穴を選択的に塞ぐ栓部材を含む、医療用標的デバイス。 - 請求項1に記載の医療用標的デバイスにおいて、
前記基端は、把持部を含む、医療用標的デバイス。 - 請求項1に記載の医療用標的デバイスにおいて、更に、
前記先端に形成された内方に延びる凹みを含み、該凹みは、前記穴を少なくとも部分的に取り囲む、医療用標的デバイス。 - 請求項1に記載の医療用標的デバイスにおいて、
前記造影剤は、放射性同位体である、医療用標的デバイス。 - 請求項11に記載の医療用標的デバイスにおいて、
前記造影剤は、フルオロ−デオキシグルコースである、医療用標的デバイス。 - 請求項11に記載の医療用標的デバイスにおいて、
前記造影剤は、テクニシウム99である、医療用標的デバイス。 - 医療用標的デバイスであって、
先端及び基端によって画定された細長い本体部材を含み、
前記本体部材は、交差する複数の穴を有し、これらの複数の穴のうちの少なくとも一つが前記先端に形成されており、前記複数の穴は、造影剤をその内部に受け入れる、医療用標的デバイス。 - 請求項14に記載の医療用標的デバイスにおいて、
前記交差する複数の穴は、ほぼ横方向に配置された穴及びほぼ軸線方向に配置された穴を含む、医療用標的デバイス。 - 請求項15に記載の医療用標的デバイスにおいて、
前記ほぼ横方向に配置された穴は、少なくとも一つの閉鎖端を有する、医療用標的デバイス。 - 請求項15に記載の医療用標的デバイスにおいて、
前記ほぼ軸線方向に配置された穴は、実質的に前記本体部材の長さに亘って延びる、医療用標的デバイス。 - 請求項17に記載の医療用標的デバイスにおいて、
前記ほぼ横方向に配置された穴は、前記基端と隣接して位置決めされている、医療用標的デバイス。 - 標的確認方法であって、
先端に少なくとも一つの穴が形成された、局限化閉鎖部材を提供する工程と、
造影剤を、前記穴が形成するリザーバ内に前記造影剤の一部が保持されるように、前記穴に導入する工程と、
前記局限化閉鎖部材を患者の体内に挿入する工程と、
患者の体内の標的組織の位置を決定するように前記造影剤を画像化する工程とを含む、標的確認方法。 - 請求項19に記載の標的確認方法において、
前記導入する工程は、前記造影剤が前記穴内に毛管作用で吸い込まれるように、前記局限化閉鎖部材の前記先端を前記造影剤に浸漬することによって行われる、標的確認方法。 - 請求項20に記載の標的確認方法において、
前記導入する工程は、前記局限化閉鎖部材の前記穴の一つに造影剤を注入することによって行われる、標的確認方法。 - 請求項19に記載の標的確認方法において、
前記画像化する工程は、シンチマンモグラフィーを使用して行われる、標的確認方法。 - 請求項19に記載の標的確認方法において、
前記画像化する工程は、陽電子放射断層撮影法を使用して行われる、標的確認方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/516,277 US20070260267A1 (en) | 2002-10-07 | 2006-09-06 | Localizing obturator |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008068065A true JP2008068065A (ja) | 2008-03-27 |
JP2008068065A5 JP2008068065A5 (ja) | 2010-08-05 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007168351A Pending JP2008068065A (ja) | 2006-09-06 | 2007-06-27 | 局限化閉鎖部材 |
Country Status (7)
Country | Link |
---|---|
US (1) | US20070260267A1 (ja) |
EP (1) | EP1897507B1 (ja) |
JP (1) | JP2008068065A (ja) |
AT (1) | ATE475366T1 (ja) |
CA (1) | CA2589709A1 (ja) |
DE (1) | DE602007008019D1 (ja) |
MX (1) | MX2007010831A (ja) |
Cited By (1)
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JP2010221024A (ja) * | 2009-03-18 | 2010-10-07 | Ethicon Endo Surgery Inc | 生検装置 |
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Also Published As
Publication number | Publication date |
---|---|
EP1897507B1 (en) | 2010-07-28 |
EP1897507A1 (en) | 2008-03-12 |
DE602007008019D1 (de) | 2010-09-09 |
ATE475366T1 (de) | 2010-08-15 |
MX2007010831A (es) | 2009-02-10 |
CA2589709A1 (en) | 2008-03-06 |
US20070260267A1 (en) | 2007-11-08 |
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