JP2010533510A - 身体管腔を閉塞するための装置 - Google Patents
身体管腔を閉塞するための装置 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
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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
- A61B2017/00867—Material properties shape memory effect
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22054—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
- A61B2017/22084—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance stone- or thrombus-dissolving
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2217—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions single wire changing shape to a gripping configuration
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Abstract
Description
本発明は、概して、医療装置に関する。より具体的には、本発明は、尿管および他の身体管腔を治療するための装置に関する。
身体管腔にカテーテルを導入するための薄くて引張型のポリテトラフルオロエチレンから構成される外転スリーブの使用について、特許文献1、特許文献2、特許文献3、特許文献4、特許文献5、特許文献6、および特許文献7に説明している。砕石術中に結石の破片の身体管腔における移動を防止するためのワイヤバスケットは、Boston Scientific CorporationのStone Cone(商品名)により入手可能である。特許文献8を参照されたい。2004年3月5日に出願された同時係属出願第10/794,337号は、本明細書で説明する方法のいくつかを実行する際に使用され得るシート送達システムについて説明しており、この出願の全開示は、参照により本明細書に組み込まれる。
Claims (37)
- 管腔閉塞機器であって、
近位端および遠位端を有する引張部材と、
該引張部材を収容するための少なくとも自身の遠位部分に沿うガイド構造を有する細長いシャフトであって、該シャフトに対して遠位に延出した位置と近位に後退した位置との間を該引張部材が移行することを可能にする、細長いシャフトと、
該引張部材の遠位部分を収容するための軸方向収容部を有する平坦フィルムであって、該フィルムの遠位端は、該引張部材上の遠位位置に取り付けられ、該フィルムの近位端は、該細長いシャフトの遠位端に取り付けられる、平坦フィルムと
を備え、
該引張部材を該シャフトに対して近位に平行移動させることは、該平坦フィルムを圧縮させ、該引張部材を該シャフトに対して遠位に平行移動させることは、該フィルムを伸張させる、機器。 - 前記平坦フィルムは、2mmから15mmまでの範囲の距離だけ離間した平行な軸方向縁を有する、請求項1に記載の機器。
- 前記平坦フィルムは、10mmから100mmまでの範囲の軸方向長さを有する、請求項2に記載の機器。
- 圧縮する前に、前記平坦フィルムは、全厚さが0.1mmから0.5mmまでの範囲のポリマーシート構造を備える、請求項3に記載の機器。
- 前記平坦フィルムは、自身の表面上に形成される少なくとも1つのX線不透過性マーカを備える、請求項1に記載の機器。
- 前記平坦フィルムは、少なくとも2つのX線不透過性マーカを備え、前記軸方向収容部の各側面に1つずつ配置される、請求項5に記載の機器。
- 前記平坦フィルムは、前記軸方向収容部の各側面に配置される複数の別個のマーカを備える、請求項5に記載の機器。
- 前記X線不透過性マーカは、金箔帯を備える、請求項7に記載の機器。
- 前記平坦フィルムは、前記軸方向収容部の一方の側面における第1の翼部分と、該軸方向収容部の他方の側面における第2の翼部分とを含み、第1の細長い要素が、該第1の翼部の外縁に沿って配置され、第2の細長い要素が、該第2の翼部の外縁に沿って配置される、請求項6に記載の機器。
- 前記第1および第2の細長い要素は、X線不透過性である、請求項6に記載の機器。
- 前記第1および第2の細長い要素は、前記軸方向収容部から半径方向外側に前記平坦フィルムを偏向させる、請求項6に記載の機器。
- 前記第1および第2の細長い要素は、前記引張部材が近位に平行移動させられるにつれて、螺旋状構成を帯びる、請求項11に記載の機器。
- 前記平坦フィルムは、前記第1の翼部分と整列しているが、それから近位に離間している第3の翼部分と、前記第2の翼部分に整列しているが、それから近位に離間している第4の翼部分とを含む、請求項9に記載の機器。
- 前記第1の細長い要素は、前記第1および第3の翼部分の前記外縁に沿って連続的に配置され、前記第2の細長い要素は、前記第2および第4の翼部分の前記外縁に沿って連続的に配置される、請求項13に記載の機器。
- 前記第1および第2の細長い部材は、前記引張部材が近位に平行移動させられるにつれて、2つの軸方向に離間した螺旋状構成を帯びる、請求項14に記載の機器。
- 前記引張部材の前記遠位端から遠位に延出する遠位先端部をさらに備える、請求項1に記載の機器。
- 前記遠位先端部は、前記遠位方向にテーパ状に小さくなるポリマー管を備える、請求項16に記載の機器。
- 前記ポリマー管は、デュロメータが25Dから55Dまでの範囲のポリウレタンを備える、請求項17に記載の機器。
- 前記引張部材は、中実コアワイヤを備える、請求項1に記載の機器。
- 前記ワイヤは、幅が0.2mmから0.6mmまでの範囲のステンレス鋼を備える、請求項19に記載の機器。
- 前記細長いシャフトは、外側幅が0.5mmから1.5mmまでの範囲であり、かつ長さが50cmから250cmまでの範囲であるポリマー管を備える、請求項1に記載の機器。
- 前記ポリマー管は、デュロメータが50Dから80Dまでの範囲であるポリエーテルブロックアミドを備える、請求項21に記載の機器。
- 前記ポリマー管の少なくとも一部分は、補強される、請求項22に記載の機器。
- ポリマー管の全体長さが鋼製組紐で補強される、請求項23に記載の機器。
- 前記細長いシャフトの前記近位端に、ハンドルアセンブリをさらに備える、請求項1に記載の機器。
- 前記引張部材の前記近位端に、把持部をさらに備える、請求項25に記載の機器。
- 前記ハンドルは、前記シャフトの前記近位端に着脱自在に取り付けられ、前記把持部は、該シャフトに対して十分に近位に配置される際に、該ハンドルによって被覆可能である、請求項26に記載の機器。
- 前記引張部材の前記近位端付近に移動止めをさらに備え、該移動止めは、前記フィルムの配置のために該引張部材を近位に収縮させる際に拡張し、該拡張した移動止めは、配置後に、該引張部材の故意でない遠位移動を阻止する、請求項1に記載の機器。
- 前記移動止めは、前記引張部材における1つ以上の湾曲部を備える、請求項28に記載の機器。
- 前記平坦フィルム上に少なくとも1つの補強要素をさらに備え、該補強要素は、該フィルムが圧縮させられるにつれて、該フィルムを高体積構成で崩壊させる、請求項1に記載の機器。
- 前記補強は、X線不透過性マーカを備える、請求項30に記載の機器。
- 前記平坦フィルムは、1つ以上のスリットを有する、請求項1に記載の機器。
- 前記スリットは、前記フィルムが圧縮させられるときに、半径方向の拡張を容易にするように軸方向に配向される、請求項32に記載の機器。
- 前記スリットは、前記引張部材が遠位に平行移動させられるにつれて、伸張することを容易にするように側方に配向される、請求項32に記載の機器。
- 前記平坦フィルムは、前記軸方向収容部の両方の側に対称的に配置される、請求項1に記載の機器。
- 前記平坦フィルムは、前記軸方向収容部の両方の側に非対称的に配置される、請求項1に記載の機器。
- 前記平坦フィルムは、テーパ状のプロファイルを有する、請求項1に記載の機器。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/777,522 | 2007-07-13 | ||
US11/777,522 US7879066B2 (en) | 2007-07-13 | 2007-07-13 | Apparatus for occluding body lumens |
US12/041,241 US8475489B2 (en) | 2007-07-13 | 2008-03-03 | Apparatus for occluding body lumens |
US12/041,241 | 2008-03-03 | ||
PCT/US2008/069482 WO2009012090A1 (en) | 2007-07-13 | 2008-07-09 | Apparatus for occluding body lumens |
Publications (3)
Publication Number | Publication Date |
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JP2010533510A true JP2010533510A (ja) | 2010-10-28 |
JP2010533510A5 JP2010533510A5 (ja) | 2012-07-26 |
JP5284356B2 JP5284356B2 (ja) | 2013-09-11 |
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Application Number | Title | Priority Date | Filing Date |
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JP2010516215A Expired - Fee Related JP5284356B2 (ja) | 2007-07-13 | 2008-07-09 | 身体管腔を閉塞するための装置 |
Country Status (5)
Country | Link |
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US (2) | US8475489B2 (ja) |
EP (1) | EP2166964B1 (ja) |
JP (1) | JP5284356B2 (ja) |
KR (1) | KR101555072B1 (ja) |
WO (1) | WO2009012090A1 (ja) |
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WO2010003135A2 (en) | 2008-07-03 | 2010-01-07 | Hotspur Technologies, Inc. | Apparatus and methods for treating obstructions within body lumens |
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WO2011042893A1 (en) * | 2009-10-09 | 2011-04-14 | Flip Technologies Limited | A device and a method for facilitating monitoring the cross-section of a gastric sleeve during formation thereof |
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WO2014116718A1 (en) * | 2013-01-22 | 2014-07-31 | Percutaneous Systems, Inc. | Ureteral stent and method and system for its deployment |
US9839539B2 (en) | 2015-03-05 | 2017-12-12 | Cook Medical Technologies Llc | Bow stent |
CN106880402A (zh) * | 2017-03-01 | 2017-06-23 | 北华大学 | 一种泌尿外科用结石清除装置 |
CN111150434A (zh) * | 2018-11-08 | 2020-05-15 | 先健科技(深圳)有限公司 | 封堵器 |
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- 2008-07-09 EP EP08772472.0A patent/EP2166964B1/en not_active Not-in-force
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Also Published As
Publication number | Publication date |
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KR101555072B1 (ko) | 2015-09-22 |
EP2166964A4 (en) | 2014-08-13 |
US8475489B2 (en) | 2013-07-02 |
EP2166964A1 (en) | 2010-03-31 |
WO2009012090A1 (en) | 2009-01-22 |
KR20100047864A (ko) | 2010-05-10 |
US20090018569A1 (en) | 2009-01-15 |
JP5284356B2 (ja) | 2013-09-11 |
EP2166964B1 (en) | 2016-03-09 |
US20130274791A1 (en) | 2013-10-17 |
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