JP2009501045A - 創傷レトラクタ - Google Patents
創傷レトラクタ Download PDFInfo
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- JP2009501045A JP2009501045A JP2008521031A JP2008521031A JP2009501045A JP 2009501045 A JP2009501045 A JP 2009501045A JP 2008521031 A JP2008521031 A JP 2008521031A JP 2008521031 A JP2008521031 A JP 2008521031A JP 2009501045 A JP2009501045 A JP 2009501045A
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- proximal
- wound
- distal
- release
- retractor
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- 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
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- 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
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
Abstract
Description
創傷開口の外側に配置するための近位部材と、
少なくとも前記遠位部材と前記近位部材との間を延長して、創傷開口の側部を横方向に開創する結合部材と、
遠位部材を創傷開口から取り除くために前記遠位部材を開創形態から解放するための解放部材とを備え、
前記解放部材が、創傷開口の中を二層で延長するように構成した創傷レトラクタが提供される。
創傷開口の外側に配置するための近位部材と、
少なくとも前記遠位部材と前記近位部材との間を延長して、創傷開口の側部を横方向に開創する結合部材と、
遠位部材を創傷開口から取り除くために前記遠位部材を開創形態から解放するための解放部材とを備え、
前記解放部材が、該解放部材の近位端部が前記近位部材付近まで至る装着形態を有する創傷レトラクタが提供される。
創傷開口の中に創傷レトラクタの遠位部材を挿入する過程と、
前記創傷レトラクタの近位部材を創傷開口の外側に配置し、前記創傷レトラクタの解放部材を、該解放部材の近位端部が近位部材付近まで至る装着形態にする過程と、
前記創傷レトラクタの結合部材を用いて、創傷開口の側部を横方向に開創する過程と、
前記遠位部材を開創形態から解放する過程と、
前記遠位部材を創傷開口から取り除く過程とからなる方法が提供される。
創傷開口の外側に配置するための近位部材と、
少なくとも遠位部材と近位部材との間を延長して、創傷開口の側部を横方向に開創する結合部材と、
遠位部材を創傷開口から取り除くために前記遠位部材を開創形態から解放するための解放部材とを備える創傷レトラクタが提供される。
別の場合には、前記解放部材が遠位部材に関して動かすことができる。前記解放部材は、前記遠位部材に関して滑らせて動くようにすることができる。
別の実施例では、解放部材が前記二層の結合部材の周りを延長する。前記解放部材が、前記二層の結合部材の周りを巻くようにすることができる。
ある実施例では、前記つかみ部の少なくとも一部分が実質的に柔軟である。前記つかみ部はループで構成することができる。
前記近位部材は、遠位部材と近位部材間にある結合部材の前記軸方向長さを所望の長さで固定するように構成した固定構造の一部を形成することができる。前記結合部材は、近位部材から遠位部材の周りを延長し、かつ前記近位部材の外側に戻り部分を有し、前記戻り部分により前記近位つかみ部が提供される。
前記近位部材は、近位リングで構成することができる。前記近位リングはOリングとすることができる。前記近位リングは、遠位リングに関して相対的に硬質にすることができる。
創傷開口の中に創傷レトラクタの遠位部材を挿入する過程と、
前記創傷レトラクタの近位部材を創傷開口の外側に配置する過程と、
前記創傷レトラクタの結合部材を用いて、創傷開口の側部を横方向に開創する過程と、
前記遠位部材を開創形態から解放する過程と、
前記遠位部材を創傷開口から取り除く過程とからなる方法が提供される。
ある場合には、開創された創傷開口がシールされる。前記方法は、開創した創傷開口をシールした状態に維持しつつ、開創した創傷開口の中に目的物を挿入する過程を有することができる。
前記レトラクタ部材の遠位部分に関連する遠位部材と、
前記レトラクタ部材の近位部分に関連する近位部分とを備え、
前記レトラクタ部材が、近位部材と遠位部材とを互いに引き寄せるべく近位部材に関して軸方向に動かすことができ、それによって近位部材と遠位部材間の前記レトラクタ部材の軸方向長さを短くするようにした医療用器具が提供される。
ある構成では、前記スリーブは近位部材から、遠位部材を周って延長し、かつ前記近位部材の外側に戻り部を有する。
前記レトラクタ部材は、ガイド部材と近位部材との間を延長することができる。
前記ガイド部材は、ガイドリング受入れ部材で構成することができる。
前記スリーブ戻り部は、ガイド部材によって画定される開口内に延長させることができる。
前記解放部材は、遠位部材から延長させることができる。
遠位部分及び近位部分を有するレトラクタ部材と、遠位部分に関連する遠位部材と、近位部分に関連する近位部材とを備える器具を提供する過程と、
患者に作られた切開創の中に遠位部材とレトラクタ部材の遠位部分とを挿入する過程と、
前記レトラクタ部材を近位部材に関して軸方向に引張って、位部材及び遠位部材を互いに引き寄せ、それにより近位部材及び遠位部材間の前記レトラクタ部材の軸方向長さを短くし、かつ切開創を開創する過程とを含む方法が提供される。
制御された径方向の拡張
1.より小さい切開創を用いてより広いアクセスが得られる。
2.必要に応じて切開創の大きさを変えることができる(例えば、胆嚢摘出の際の試料の取り出し)。
1.開創創の縁からのガス漏れが生じない。
2.切開創から誤って脱落することがない。
3.あらゆる切開創をシールでき、二次的なシール方法(縫合、ハッサンポート(Hassan port)等)が不要となる。
1.腹腔内により広い作業スペース(骨盤手術において重要)が回復する。
2.前立腺全摘出術等の手術のための会陰アクセス。
1.「組合せ煙突」の影響が無い気密なシール。
2.取り外し時に汚染される可能性のある全ての領域が切開創から離される。
1.手術器具の有効作業長が長くなる。
2.腹部の外部でのより大きな作業領域。
Claims (101)
- 創傷開口の中に挿入するための遠位部材と、
前記創傷開口の外側に配置するための近位部材と、
少なくとも前記遠位部材と前記近位部材との間を延長して前記創傷開口の側部を横方向に開創する結合部材と、
前記遠位部材を前記創傷開口から取り除くために前記遠位部材を開創形態から解放するための解放部材とを備え、
前記解放部材が、前記創傷開口の中を二層で延長するように構成されている創傷レトラクタ。 - 前記解放部材が前記遠位部材と前記近位部材との間を二層で延長する請求項1に記載の創傷レトラクタ。
- バルブを備える請求項1又は2に記載の創傷レトラクタ。
- 前記バルブが前記近位部材に取り付けられている請求項3に記載の創傷レトラクタ。
- 前記バルブが少なくとも部分的にゼラチンエラストマ材料からなる請求項3又は4に記載の創傷レトラクタ。
- 前記バルブがゼラチンエラストマ材料部分とハウジング部分とを有する請求項5に記載の創傷レトラクタ。
- 前記ハウジング部分が前記近位部材に取り付けられている請求項6に記載の創傷レトラクタ。
- 前記バルブがその中を延長する開口を有する請求項3乃至7のいずれかに記載の創傷レトラクタ。
- 前記開口が閉じ形態に向けて付勢されている請求項8に記載の創傷レトラクタ。
- 前記開口がピンホールからなる請求項9に記載の創傷レトラクタ。
- 前記バルブが器具用シールである請求項3乃至10のいずれかに記載の創傷レトラクタ。
- 前記解放部材が前記遠位部材の周りを巻いている請求項1乃至11のいずれかに記載の創傷レトラクタ。
- 前記解放部材の第1端部が前記近位部材及び/又は前記バルブに取り付けられている請求項3乃至12のいずれかに記載の創傷レトラクタ。
- 前記解放部材の前記第1端部が前記バルブの前記ハウジング部分に取り付けられている請求項13に記載の創傷レトラクタ。
- 前記解放部材の前記第1端部が前記近位部材及び/又は前記バルブに固着されている請求項13又は14に記載の創傷レトラクタ。
- 前記解放部材の第2端部が前記近位部材に関して動かすことができる請求項1乃至15のいずれかに記載の創傷レトラクタ。
- 前記解放部材の前記第2端部が前記近位部材に関して軸方向に動かすことができる請求項16に記載の創傷レトラクタ。
- 前記解放部材の前記第2端部が前記近位部材に関して滑らせて動かすことができる請求項16又は17に記載の創傷レトラクタ。
- 前記解放部材が前記遠位部材に関して動かすことができる請求項1乃至18のいずれかに記載の創傷レトラクタ。
- 前記解放部材が前記遠位部材に関して滑らせて動かすことができる請求項18に記載の創傷レトラクタ。
- 創傷開口の中に挿入するための遠位部材と、
前記創傷開口の外側に配置するための近位部材と、
少なくとも前記遠位部材と前記近位部材との間を延長して前記創傷開口の側部を横方向に開創する結合部材と、
前記遠位部材を前記創傷開口から取り除くために前記遠位部材を開創形態から解放するための解放部材とを備え、
前記解放部材が、該解放部材の近位端部が前記近位部材付近まで至る装着形態を有する創傷レトラクタ。 - バルブを備える請求項21に記載の創傷レトラクタ。
- 前記バルブが前記近位部材に取り付けられている請求項22に記載の創傷レトラクタ。
- 前記バルブが少なくとも部分的にゼラチンエラストマ材料からなる請求項22又は23に記載の創傷レトラクタ。
- 前記バルブがゼラチンエラストマ材料部分とハウジング部分とを有する請求項24に記載の創傷レトラクタ。
- 前記ハウジング部分が前記近位部材に取り付けられている請求項25に記載の創傷レトラクタ。
- 前記バルブがその中を延長する開口を有する請求項22乃至26のいずれかに記載の創傷レトラクタ。
- 前記開口が閉じ形態に向けて付勢されている請求項27に記載の創傷レトラクタ。
- 前記開口がピンホールからなる請求項28に記載の創傷レトラクタ。
- 前記バルブが器具用シールである請求項22乃至29のいずれかに記載の創傷レトラクタ。
- 前記装着形態において、前記解放部材の前記近位端部が前記近位部材及び/又は前記バルブに取り付けられている請求項21乃至30のいずれかに記載の創傷レトラクタ。
- 前記装着形態において、前記解放部材の前記近位端部が前記近位部材及び/又は前記バルブに解放可能に取り付けられている請求項31に記載の創傷レトラクタ。
- 前記解放部材が前記装着形態から配置形態に動かすことができる請求項21乃至32のいずれかに記載の創傷レトラクタ。
- 前記装着形態において、前記解放部材の少なくとも一部分が折り畳まれる請求項21乃至33のいずれかに記載の創傷レトラクタ。
- 前記配置形態において、前記解放部材の前記近位端部が前記近位部材の近位側に延長する請求項33又は34に記載の創傷レトラクタ。
- 前記配置形態において、前記解放部材の前記近位端部が前記近位部材からかつ/又は前記バルブから取り外される請求項33乃至35のいずれかに記載の創傷レトラクタ。
- 前記開創形態において、前記遠位部材が創傷開口の長手方向軸に垂直な面内に配置される請求項1乃至36のいずれかに記載の創傷レトラクタ。
- 前記開創形態において、前記遠位部材が創傷開口付近の体組織の内壁に係合する請求項1乃至37のいずれかに記載の創傷レトラクタ。
- 前記解放部材が、前記遠位部材を前記開創形態から解放するように引っ張ることができる請求項1乃至38のいずれかに記載の創傷レトラクタ。
- 前記解放部材の遠位端部が前記遠位部材に取り付けられている請求項1乃至39のいずれかに記載の創傷レトラクタ。
- 前記結合部材が、前記遠位部材と前記近位部材との間を二層で延長する請求項1乃至40のいずれかに記載の創傷レトラクタ。
- 前記解放部材が前記結合部材の前記二層の間を延長する請求項41に記載の創傷レトラクタ。
- 前記解放部材が前記結合部材の前記二層の周りを延長する請求項41に記載の創傷レトラクタ。
- 前記解放部材が前記結合部材の前記二層の周りを巻いている請求項43に記載の創傷レトラクタ。
- 前記解放部材の少なくとも一部分が柔軟である請求項1乃至44のいずれかに記載の創傷レトラクタ。
- 前記解放部材が引き紐からなる請求項45に記載の創傷レトラクタ。
- 前記引き紐がリボンからなる請求項46に記載の創傷レトラクタ。
- 前記解放部材がつかみ部を有する請求項1乃至47のいずれかに記載の創傷レトラクタ。
- 前記つかみ部の少なくとも一部分が硬質である請求項48に記載の創傷レトラクタ。
- 前記つかみ部がビーズ玉からなる請求項49に記載の創傷レトラクタ。
- 前記つかみ部がリング部材からなる請求項49に記載の創傷レトラクタ。
- 前記つかみ部の少なくとも一部分が柔軟である請求項1乃至51のいずれかに記載の創傷レトラクタ。
- 前記つかみ部がループからなる請求項52に記載の創傷レトラクタ。
- 前記結合部材がスリーブからなる請求項1乃至53のいずれかに記載の創傷レトラクタ。
- 前記結合部材が、前記遠位部材と前記近位部材との間にある軸方向長さを短くするべく前記結合部材を上向きに引っ張るために近位つかみ部を有する請求項1乃至54のいずれかに記載の創傷レトラクタ。
- 前記つかみ部を解放したとき、前記遠位部材と前記近位部材間の短くした前記軸方向長さが、追加の固定器具を必要とすることなく維持される請求項55に記載の創傷レトラクタ。
- 前記近位つかみ部が前記結合部材の近位端部に設けられる請求項55又は56に記載の創傷レトラクタ。
- 前記結合部材が第1端部において前記近位部材に固定され、かつ第2端部において前記近位部材の上を動かすことができる請求項1乃至57のいずれかに記載の創傷レトラクタ。
- 前記結合部材が前記第2端部において前記近位部材の上を軸方向に滑らせることができる請求項58に記載の創傷レトラクタ。
- 前記遠位部材と前記近位部材間にある前記結合部材の軸方向長さを短くするべく前記結合部材と前記近位部材との相対移動を可能にするように、前記近位部材の一部分の上に前記結合部材の前記第2端部を滑らせるように受けることを特徴とする請求項58又は59に記載の創傷レトラクタ。
- 前記結合部材を滑らせるように受ける前記近位部材の前記部分が前記近位部材の外側部分を含む請求項60に記載の創傷レトラクタ。
- 前記結合部材の前記第2端部が前記近位部材に向けて付勢されている請求項61に記載の創傷レトラクタ。
- 前記近位部材が前記結合部材内に配置されている請求項1乃至62のいずれかに記載の創傷レトラクタ。
- 前記近位部材が、前記遠位部材と前記近位部材間にある前記結合部材の前記軸方向長さを所望の長さで固定するように構成した固定構造の一部を形成する請求項1乃至63のいずれかに記載の創傷レトラクタ。
- 前記結合部材が前記近位部材から前記遠位部材の周りを延長し、かつ前記近位部材の外側に戻り部分を有し、前記戻り部分により前記近位つかみ部が提供される請求項55乃至64のいずれかに記載の創傷レトラクタ。
- 前記遠位部材が遠位リングからなる請求項1乃至65のいずれかに記載の創傷レトラクタ。
- 前記遠位リングがOリングである請求項66に記載の創傷レトラクタ。
- 前記遠位リングがエラストマ材料で形成されている請求項66又は67に記載の創傷レトラクタ。
- 前記近位部材が近位リングからなる請求項1乃至68のいずれかに記載の創傷レトラクタ。
- 前記近位リングがOリングである請求項69に記載の創傷レトラクタ。
- 前記近位リングが前記遠位リングに関して硬質である請求項69又は70に記載の創傷レトラクタ。
- 前記結合部材が柔軟な材料からなる請求項1乃至71のいずれかに記載の創傷レトラクタ。
- 前記結合部材の近位部分のためのガイド部材を更に備える請求項1乃至72のいずれかに記載の創傷レトラクタ。
- 前記結合部材が前記ガイド部材と前記近位部材との間を延長する請求項73に記載の創傷レトラクタ。
- 前記解放部材が、前記ガイド部材と前記近位部材との間を少なくとも部分的に延長する請求項73又は74に記載の創傷レトラクタ。
- 前記解放部材が、前記ガイド部材と前記近位部材との間の空間内に長手方向に近位側へ延長する請求項75に記載の創傷レトラクタ。
- 前記解放部材が、前記ガイド部材と前記近位部材との間の空間から長手方向に近位側へ延長する請求項75又は76に記載の創傷レトラクタ。
- 前記解放部材が、前記ガイド部材と前記近位部材との間の空間から横断方向に近位側へ延長する請求項75又は76に記載の創傷レトラクタ。
- 前記解放部材が前記ガイド部材の壁部の開口の中を延長する請求項73乃至78のいずれかに記載の創傷レトラクタ。
- 前記ガイド部材が前記近位部材の受けを有する請求項73乃至79のいずれかに記載の創傷レトラクタ。
- 前記ガイド部材が、前記近位部材の受けを画定する内向きの凹みを有する請求項73乃至80のいずれかに記載の創傷レトラクタ。
- 前記近位部材が近位リングからなり、かつ前記凹みが前記近位リングのそれを補完する形状を有する請求項81に記載の創傷レトラクタ。
- 前記凹みの横断面がC字形状である請求項82に記載の創傷レトラクタ。
- 前記ガイド部材を前記近位部材に固定するためのロックを更に有する請求項73乃至83のいずれかに記載の創傷レトラクタ。
- 前記ガイド部材が前記ロックを提供するべく前記近位部材と係合可能である請求項84に記載の創傷レトラクタ。
- 請求項1乃至85のいずれかに記載の創傷プロテクタ兼レトラクタ。
- 外科的処置を行う方法であって、
創傷開口の中に創傷レトラクタの遠位部材を挿入する過程と、
前記創傷レトラクタの近位部材を前記創傷開口の外側に配置し、前記創傷レトラクタの解放部材を、前記解放部材の近位端部が前記近位部材付近まで至る装着形態にする過程と、
前記創傷レトラクタの結合部材を用いて、前記創傷開口の側部を横方向に開創する過程と、
前記遠位部材を開創形態から解放する過程と、
前記遠位部材を創傷開口から取り除く過程とからなる方法。 - 開創した前記創傷開口を通して目的物を挿入して前記創傷開口の内部にアクセスする過程を更に有する請求項88に記載の方法。
- 前記目的物が器具からなる請求項89に記載の方法。
- 開創された前記創傷をシールする請求項88乃至90のいずれかに記載の方法。
- 開創した前記創傷開口をシールした状態に維持しつつ、開創した前記創傷開口の中に目的物を挿入する過程を有する請求項91に記載の方法。
- 解放部材を引っ張って前記遠位部材を前記開創形態から解放する請求項88乃至92のいずれかに記載の方法。
- 前記遠位部材を前記開創形態から解放する前に、前記解放部材を前記装着形態から配置形態へと動かす請求項88乃至93のいずれかに記載の方法。
- 前記解放部材の前記近位端部を前記近位部材に関して近位側に動かして、前記解放部材を前記装着形態から前記配置形態に動かす請求項94に記載の方法。
- 前記解放部材を前記近位部材からかつ/又はバルブから取り外す過程を有する請求項88乃至95のいずれかに記載の方法。
- 前記結合部材の一部分を摘み、かつ前記結合部材を上方へ引っ張って、前記遠位部材と前記近位部材間にある前記結合部材の軸方向長さを短くする過程を有する請求項88乃至96のいずれかに記載の方法。
- 掴んだ前記部分を解放する際に、前記遠位部材と前記近位部材との間の前記結合部材の短くした軸方向長さが維持される請求項97に記載の方法。
- 前記結合部材が第1端部で前記近位部材に固定されかつ第2端部で前記近位部材の上を延長し、かつ前記方法が、前記結合部材を上方に引いて、前記遠位部材と前記近位部材間にある前記結合部材の軸方向長さを短くしながら、前記結合部材を前記近位部材の上に動かす過程を有する請求項97又は98に記載の方法。
- 前記結合部材を前記近位部材に関して動かす前記過程が、前記結合部材の一部分を前記近位部材の半径方向外側部分に対して滑らせる過程を含む請求項99に記載の方法。
- 開創した前記創傷開口が器具を受け入れる寸法を有する請求項88乃至100のいずれかに記載の方法。
- 開創した前記創傷開口の側部を前記結合部材が保護する請求項88乃至101のいずれかに記載の方法。
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JP2015071084A (ja) * | 2008-10-13 | 2015-04-16 | アプライド メディカル リソーシーズ コーポレイション | シングルポートアクセスシステム |
JP2017221726A (ja) * | 2011-05-10 | 2017-12-21 | アプライド メディカル リソーシーズ コーポレイション | 開創器 |
WO2015146484A1 (ja) * | 2014-03-27 | 2015-10-01 | 秀司 北城 | 体腔アクセス器具 |
JPWO2015146484A1 (ja) * | 2014-03-27 | 2017-04-13 | 秀司 北城 | 体腔アクセス器具 |
Also Published As
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WO2007010511A1 (en) | 2007-01-25 |
US9307976B2 (en) | 2016-04-12 |
US20070093695A1 (en) | 2007-04-26 |
US8657741B2 (en) | 2014-02-25 |
US20140303443A1 (en) | 2014-10-09 |
EP1903958A1 (en) | 2008-04-02 |
US8021296B2 (en) | 2011-09-20 |
US20120123214A1 (en) | 2012-05-17 |
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