JP2008532637A - マルチ−クリップ装置 - Google Patents
マルチ−クリップ装置 Download PDFInfo
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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
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
-
- 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
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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
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
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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
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/088—Sliding fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
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Abstract
【選択図】 図3
Description
Claims (19)
- 内視鏡治療で使用するマルチ−クリップ装置であって、
a)導入チューブと、
b)該導入チューブ内に配置され、該導入チューブに対して前進可能であり、かつ、引き戻し可能である操作ワイヤと、
c)複数の取り外し可能なクリップであって、各クリップが係合部分と複数のアームと、該複数のアームの回りに配置される摺動可能なカラーとを有し、該摺動可能なカラーは該クリップが開いた位置である第一位置と、該クリップが閉じた位置である第二位置との間で可動であり、該摺動可能なカラーは該第二位置にあるとき該複数のアームの遠位端を対面方向に動かすようにされ、該摺動可能なカラーは該クリップが該導入チューブ内に位置しているときの圧縮位置と、該クリップが少なくとも部分的に該導入チューブの遠位端を越えて位置しているときの拡張した位置との間で可動である拡張可能部分を備え、該拡張可能部分は該拡張した位置にあるとき該導入チューブの遠位端によって係合されるようにされている、複数の取り外し可能なクリップと、
を備え、
該複数の取り外し可能なクリップは、該導入チューブ内に配置され、遠位クリップが近位クリップの遠位端方向にあるように連続して配列された少なくとも1個の遠位クリップと1個の近位クリップとから成り、
更に、該遠位クリップの係合部分は、該近位クリップの1個以上の該アームにより解放可能に係合されていて、該近位クリップの該係合部分は、該操作ワイヤに操作可能に接続されているマルチ−クリップ装置。 - 該拡張可能な部分は横方向外側向きに付勢された複数の可動アームを備え、該可動アームは該圧縮位置のとき該導入チューブの内径以下の直径を有し、該拡張した位置のとき該導入チューブの該内径より大きい直径を有する、請求項1に記載のマルチ−クリップ装置。
- 該取り外し可能なクリップは、それぞれ少なくとも3個のアームを有する、請求項1に記載のマルチ−クリップ装置。
- 該取り外し可能なクリップのそれぞれの該複数のアームは、目標組織細胞に係合するための内側に向けられた歯を備える、請求項1に記載のマルチ−クリップ装置。
- 該取り外し可能なクリップのそれぞれの該複数のアームは、横方向外側向きに付勢されている、請求項1に記載のマルチ−クリップ装置。
- 該遠位クリップの該係合部分は、該近位クリップの該複数のアームの少なくとも一つのアームの遠位端に配置されている内側に向けられた歯によって解放可能に係合されるようにされたループを備える、請求項1に記載のマルチ−クリップ装置。
- 該近位クリップの該係合部分は、該操作ワイヤに取り付けられている、請求項1に記載のマルチ−クリップ装置。
- 該近位クリップは、鉗子を有する、請求項7に記載のマルチ−クリップ装置。
- 該複数の取り外しクリップは、該導入チューブ内に連続して配列された第三のクリップを有し、該第三のクリップは、該遠位クリップの遠位端方向に配置され、更に該第三のクリップの該係合部分は、該遠位クリップの1個以上の該アームにより解放可能に係合されている、請求項1に記載のマルチ−クリップ装置。
- 該複数の取り外しクリップは、該導入チューブ内に連続して配列された第三のクリップを有し、該第三のクリップは、該近位クリップの近位端方向に配置され、更に該近位クリップの該係合部分は、該第三のクリップを介して該操作ワイヤに接続されている、請求項1に記載のマルチ−クリップ装置。
- 該摺動可能なカラーの該拡張可能部分は、該クリップが導入チューブ内に配置されているときの圧縮位置と、該クリップが少なくとも部分的に該導入チューブの遠位端を越えて配置されているときの拡張した位置との間で可動である1個以上の可撓性を有するアームを有している、請求項1に記載のマルチ−クリップ装置。
- 該摺動可能なカラーは、該クリップの該アームがそれを通して摺動可能に配置されるルーメンを有する、請求項1に記載のマルチ−クリップ装置。
- 該ルーメンは、該クリップが閉じた位置にあるとき該クリップの該アームの外側面に係合するようにされたカラーの内側面により画定される、請求項12に記載のマルチ−クリップ装置。
- 該カラーの該ルーメンは、該カラーが該クリップの該近位端から外れるのを防ぐために、該クリップの該係合部分の断面積よりも小さな断面積を有する、請求項12に記載のマルチ−クリップ装置。
- 第一ハンドル部分と該第一部分に対して可動の第二ハンドル部分とを有するハンドルを更に備え、該第一ハンドル部分は該導入チューブに接続され、該第二ハンドル部分は該操作ワイヤに接続されており、該第二ハンドル部分に対して該第一ハンドル部分を操作することで、該操作ワイヤが該導入チューブに対して前進させ又は引き戻させる、請求項1に記載のマルチ−クリップ装置。
- 該ハンドルは、それを通って流体が通過するようにされた開口を更に備える、請求項15に記載のマルチ−クリップ装置。
- 該開口は、該導入チューブの該遠位端と流体連通している、請求項16に記載のマルチ−クリップ装置。
- 該開口は、該導入チューブのルーメンと流体連通している、請求項17に記載のマルチ−クリップ装置。
- 該摺動可能なカラーは、該開口と該導入チューブの該遠位端との間で流体が通過できる通路を備える、請求項17に記載のマルチ−クリップ装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US66128805P | 2005-03-11 | 2005-03-11 | |
US60/661,288 | 2005-03-11 | ||
PCT/US2006/008301 WO2006098994A1 (en) | 2005-03-11 | 2006-03-08 | Multi-clip device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008532637A true JP2008532637A (ja) | 2008-08-21 |
JP5028556B2 JP5028556B2 (ja) | 2012-09-19 |
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Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008500884A Expired - Fee Related JP5028556B2 (ja) | 2005-03-11 | 2006-03-08 | マルチ−クリップ装置 |
Country Status (8)
Country | Link |
---|---|
US (1) | US20060224165A1 (ja) |
EP (1) | EP1861020B1 (ja) |
JP (1) | JP5028556B2 (ja) |
AT (1) | ATE421290T1 (ja) |
AU (1) | AU2006223494B2 (ja) |
CA (1) | CA2601234C (ja) |
DE (1) | DE602006004974D1 (ja) |
WO (1) | WO2006098994A1 (ja) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2010167185A (ja) * | 2009-01-26 | 2010-08-05 | Fujifilm Corp | 連発式クリップ処置具およびクリップパッケージ |
JP2017131696A (ja) * | 2010-10-11 | 2017-08-03 | クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニーCook Medical Technologies Llc | 取り外し可能かつ回動可能なジョーを備えた医療装置 |
JP2018537178A (ja) * | 2015-11-25 | 2018-12-20 | タロン メディカル エルエルシーTalon Medical, Llc | 組織係合装置、システム及び方法 |
WO2022209691A1 (ja) * | 2021-03-31 | 2022-10-06 | 日本ゼオン株式会社 | 内視鏡用処置具 |
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US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
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JP2010264001A (ja) * | 2009-05-13 | 2010-11-25 | Fujifilm Corp | 連発式クリップ処置具 |
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US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
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- 2006-03-08 WO PCT/US2006/008301 patent/WO2006098994A1/en active Application Filing
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JP2010167185A (ja) * | 2009-01-26 | 2010-08-05 | Fujifilm Corp | 連発式クリップ処置具およびクリップパッケージ |
JP2017131696A (ja) * | 2010-10-11 | 2017-08-03 | クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニーCook Medical Technologies Llc | 取り外し可能かつ回動可能なジョーを備えた医療装置 |
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JP7058218B2 (ja) | 2015-11-25 | 2022-04-21 | タロン メディカル エルエルシー | 組織係合装置、システム及び方法 |
WO2022209691A1 (ja) * | 2021-03-31 | 2022-10-06 | 日本ゼオン株式会社 | 内視鏡用処置具 |
Also Published As
Publication number | Publication date |
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DE602006004974D1 (de) | 2009-03-12 |
US20060224165A1 (en) | 2006-10-05 |
WO2006098994A1 (en) | 2006-09-21 |
CA2601234C (en) | 2010-07-27 |
CA2601234A1 (en) | 2006-09-21 |
AU2006223494A1 (en) | 2006-09-21 |
AU2006223494B2 (en) | 2011-09-01 |
ATE421290T1 (de) | 2009-02-15 |
EP1861020B1 (en) | 2009-01-21 |
JP5028556B2 (ja) | 2012-09-19 |
EP1861020A1 (en) | 2007-12-05 |
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