JP2009521991A - 身体の中空器官内に隔壁を配置するためのデバイス及び方法 - Google Patents
身体の中空器官内に隔壁を配置するためのデバイス及び方法 Download PDFInfo
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Abstract
【解決手段】一般的には、システムのデバイスは、最少の侵襲性で患者の体内を前進し、身体の中空器官内に一つ又はそれ以上の襞を形成する。細長い可撓性部分の先端には、カートリッジ部材及びこれと向き合ったアンビル部材を持つ組織治療デバイスが取り付けられている。カートリッジ部材及びアンビル部材は、互いに対して閉鎖位置と開放位置との間で移動自在である。同じ組織治療デバイスで器官内に多数の襞を形成するため、カートリッジ部材には、取り外し自在のステープルカートリッジを再装填できる。
Description
を使用して組織をクランプしてもよい。これらの機構は全て、当該技術分野で周知である。
12 チューブ状部材
14 基端
16 ハンドルアッセンブリ
18 アクセスアッセンブリ
20 先端
22 作用内腔
24 胃形成デバイス
26 カートリッジ部材
28 アンビル部材
30 連結部材
32 障壁
34 ハンドル
36 クランプ制御摘み
38 ファスナリングレバー
40 真空ポート
42 スコープシールハウジング
44 副ポート
Claims (25)
- キャビティ内に襞を配置するのに使用する胃形成デバイスにおいて、
基端及び先端を持ち、内腔が前記基端と前記先端との間を延びる細長い可撓性部材と、
前記基端に取り付けられたハンドルと、
前記細長い可撓性部材の前記先端に取り付けられた、カートリッジ部材及びこれと向き合ったアンビル部材を持つ組織治療デバイスとを含み、前記カートリッジ部材及び前記アンビル部材は、閉鎖位置と開放位置との間で互いに対して移動自在であり、前記カートリッジ部材には、取り外し自在のステープルカートリッジを再装填できる、デバイス。 - 請求項1に記載のデバイスにおいて、更に、
前記組織治療デバイスに沿って配置されており、前記キャビティの組織を移動するため、送出形体から引っ込め形体まで移動できるリトラクターを含む、デバイス。 - 請求項2に記載のデバイスにおいて、更に、
前記組織治療デバイスの前記カートリッジ部材と前記アンビル部材との間に配置された障壁を含む、デバイス。 - 請求項3に記載のデバイスにおいて、
前記障壁は前記リトラクターに連結されており、前記リトラクターが前記送出形体から前記引っ込め形体まで移動するとき、前記リトラクターは、前記障壁を、前記組織治療デバイスの前記カートリッジ部材と前記アンビル部材との間で、虚脱形体から延長形体まで延長する、デバイス。 - 請求項4に記載のデバイスにおいて、
前記リトラクターは、前記引っ込め形体から前記送出形体まで移動し、前記リトラクターは前記障壁を虚脱する、デバイス。 - 請求項3に記載のデバイスにおいて、
前記障壁は可撓性である、デバイス。 - 請求項2に記載のデバイスにおいて、
前記リトラクターはワイヤリトラクターである、デバイス。 - 請求項1に記載のデバイスにおいて、更に、
前記組織治療デバイスの前記先端に取り付けられた非外傷性チップを含む、デバイス。 - 請求項8に記載のデバイスにおいて、
前記非外傷性チップは、基端及び先端を持つ円筒形本体を含み、前記非外傷性チップの前記基端には隙間が配置されており、前記非外傷性チップの前記基端は、前記組織治療デバイスの前記カートリッジ部材及びアンビル部材に応じて開放位置と閉鎖位置との間で移動自在である、デバイス。 - 請求項1に記載のデバイスにおいて、
前記細長い可撓性部材は、互いに取り付けられた個々の円形リンクを含む、デバイス。 - 請求項10に記載のデバイスにおいて、
前記円形リンクは、内視鏡に対して通路を提供する内視鏡内腔を形成する、デバイス。 - 患者の胃腔に対して治療を施す方法において、
取り外し自在の第1ステープルカートリッジが装填されたカートリッジ部材及びこれと向き合ったアンビル部材を持つ組織治療デバイスを経口的に胃腔に挿入する工程と、
前記組織治療デバイスの前記カートリッジ部材及び前記アンビル部材で治療を行うため、ターゲット領域の胃の組織を捕捉する工程と、
前記取り外し自在の第1ステープルカートリッジからのステープルを使用して胃腔内に襞を形成する工程と、
前記取り外し自在の第1ステープルカートリッジを前記カートリッジ部材から取り外す工程と、
取り外し自在の第2ステープルカートリッジを前記カートリッジ部材に挿入する工程と、
前記取り外し自在の第2ステープルカートリッジからのステープルを使用して胃腔内に第2襞を形成する工程とを含む、方法。 - 請求項12に記載の方法において、更に、
前記組織治療デバイスに沿って配置され、送出形体から引っ込め形体まで移動可能なリトラクターを展開し、胃の組織の部分を前記組織治療デバイスに対して移動し、前記胃の組織の前記ターゲット領域を前記組織治療デバイスで治療できるようにする工程を含む、方法。 - 請求項13に記載の方法において、更に、
前記組織治療デバイスの前記カートリッジ部材と前記アンビル部材との間に配置され、虚脱形体から延長形体まで移動自在の障壁を延ばす工程を含む、方法。 - 請求項14に記載の方法において、
前記障壁は、前記リトラクターに連結されている、方法。 - 請求項15に記載の方法において、更に、
ターゲット組織に襞を形成する前に前記カートリッジ部材と前記アンビル部材との間から前記障壁を取り外す工程を含む、方法。 - 請求項12に記載の方法において、更に、
胃の前記ターゲット領域の少なくとも一部を内視鏡で見る工程を含む、方法。 - 患者の胃腔に対して治療を施す方法において、
カートリッジ部材及びこれと向き合ったアンビル部材を持つ組織治療デバイスを経口的に胃腔に挿入する工程であって、前記カートリッジ部材及び前記アンビル部材は、クランプ位置と開放位置との間で移動できる、工程と、
前記組織治療デバイスで治療するため、ターゲット領域の胃の組織を捕捉する工程と、
前記カートリッジ部材及び前記アンビル部材を互いにクランプし、捕捉したターゲット組織を掴む工程と、
捕捉したターゲット組織を検査し、所望の組織が捕捉されたことを確認する工程と、
前記カートリッジ部材及び前記アンビル部材をクランプ解除して開放形体にする工程と、
前記カートリッジ部材及び前記アンビル部材を互いに再クランプし、捕捉されたターゲット組織を掴む工程と、
前記ターゲット組織を互いに襞寄せし、前記胃腔内にスリーブを形成する工程とを含む、方法。 - 請求項12に記載の方法において、更に、
胃腔を通気する工程と、前記組織治療デバイスに沿って配置され、送出形体から引っ込め形体まで移動自在のリトラクターを展開し、前記胃の組織の部分を前記組織治療デバイスに対して移動し、前記胃の組織の前記ターゲット領域を前記組織治療デバイスで治療する工程を含む、方法。 - 請求項19に記載の方法において、
前記組織治療デバイスで前記胃の組織を捕捉する前記工程では、前記リトラクターが前記引っ込め形体にあるときに前記胃腔を萎ませる、方法。 - 請求項18に記載の方法において、
前記捕捉した組織を検査し、所望の組織が捕捉されたことを確かめる前記工程で、胃腔を通気する、方法。 - 請求項21に記載の方法において、
前記カートリッジ部材及び前記アンビル部材をクランプ解除して開放形体にする前記工程で、胃腔を萎ませる、方法。 - 請求項22に記載の方法において、更に、
前記カートリッジ部材及び前記アンビル部材を互いに再クランプし、捕捉したターゲット組織を掴んだ後、胃腔を通気する工程を含み、捕捉したターゲット組織を再検査するために胃腔を通気し、次いで、ターゲット組織に襞を形成して胃腔内にスリーブを形成する前に胃腔を萎ませる、方法。 - 請求項18に記載の方法において、
所望の組織が捕捉されたことを確かめるため、前記捕捉したターゲット組織を検査する工程では、内視鏡を使用して捕捉したターゲット組織を見る、方法。 - 請求項18に記載の方法において、
前記カートリッジ部材及び前記アンビル部材内に配置した真空ポッド内に発生した真空を使用し、ターゲット領域の胃の組織を捕捉する、方法。
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US11/324,135 US8252009B2 (en) | 2004-03-09 | 2005-12-29 | Devices and methods for placement of partitions within a hollow body organ |
PCT/US2006/048779 WO2007078988A2 (en) | 2005-12-29 | 2006-12-22 | Devices and methods for placement of partitions within a hollow body organ |
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EP (3) | EP1968457B1 (ja) |
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JP2010514505A (ja) * | 2006-12-29 | 2010-05-06 | サタイアティー、インコーポレーテッド | 中空な身体器官の内部に隔壁を配置するための装置および方法 |
JP2016123858A (ja) * | 2015-01-06 | 2016-07-11 | コヴィディエン リミテッド パートナーシップ | クラムシェル外科手術ステープル留めローディングユニット |
JP2021183154A (ja) * | 2014-09-15 | 2021-12-02 | アプライド メディカル リソーシーズ コーポレイション | 自己調整ステープル高さの外科用ステープラ |
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CN101810521B (zh) | 2001-08-27 | 2015-05-13 | 辛尼科有限责任公司 | 饱满装置和方法 |
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WO2007078988A3 (en) | 2007-08-30 |
EP2382926A1 (en) | 2011-11-02 |
AU2006332943A1 (en) | 2007-07-12 |
AU2006332943B2 (en) | 2012-06-07 |
WO2007078988A2 (en) | 2007-07-12 |
US8252009B2 (en) | 2012-08-28 |
US20070233161A1 (en) | 2007-10-04 |
EP1968457A2 (en) | 2008-09-17 |
EP1968457B1 (en) | 2013-04-24 |
BRPI0621629A2 (pt) | 2011-12-13 |
US20060151568A1 (en) | 2006-07-13 |
EP2382927A1 (en) | 2011-11-02 |
CA2634720A1 (en) | 2007-07-12 |
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