JP2011072795A - 平行でない管腔を有するシールアンカー - Google Patents
平行でない管腔を有するシールアンカー Download PDFInfo
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- 238000000034 method Methods 0.000 description 8
- 238000002324 minimally invasive surgery Methods 0.000 description 5
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- 238000013022 venting Methods 0.000 description 3
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M13/00—Insufflators for therapeutic or disinfectant purposes, i.e. devices for blowing a gas, powder or vapour into the body
- A61M13/003—Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
-
- 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
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
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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
- A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
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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
- A61B17/3417—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
- A61B2017/3429—Access ports, e.g. toroid shape introducers for instruments or hands having a unitary compressible body, e.g. made of silicone or foam
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
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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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
- A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
Abstract
【解決手段】シールアンカー部材であって、筺体であって、該筺体は先頭端および後続端を含み、該筺体は長手軸を画定する、筺体と、該先頭端および後続端を通って延びる1つ以上の管腔であって、該1つ以上の管腔は、各々、その中に器具を実質的にシールした状態で受容するように適合され、該1つ以上の管腔は、該筺体に適用される力がない場合に、該筺体の長手軸に対して平行でない軸を画定する、1つ以上の管腔とを含む、シールアンカー部材である。
【選択図】図1
Description
本願は、米国仮特許出願第61/247,654号(2009年10月1日出願)の優先権および利益を主張し、この出願の開示は、その全体が本明細書に参考として援用される。
本開示は、外科処置における使用のためのシールに関する。さらに具体的には、本開示は、組織内の切開内への挿入に適合されたシールアンカー部材に関し、このシールアンカー部材は、1つ以上の外科用物体のシールされた受容に適合された複数の平行でない管腔を含み、それにより、実質的に流体密なシールが組織と単数または複数の外科用物体とによって形成される。
今日、患者への外傷および回復時間の両方を低減しようとの努力において、多くの外科処置は、従来の処置に一般的に必要とされるより大きな切開との比較において、皮膚の小さい切開を通して実行される。概して、そのような処置は、患者の腹部において実行されなければ、「内視鏡的」と呼ばれ、処置が患者の腹部において実行されれば、「腹腔鏡的」と呼ばれる。本開示全体にわたって、用語「最小侵襲性」とは、内視鏡処置および腹腔鏡処置の両方を含むと理解されるべきである。
(項目1)
シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含み、該筺体は長手軸を画定する、筺体と、
該先頭端および後続端を通って延びる1つ以上の管腔であって、該1つ以上の管腔は、各々、その中に器具を実質的にシールした状態で受容するように適合され、該1つ以上の管腔は、該筺体に適用される力がない場合に、該筺体の長手軸に対して平行でない軸を画定する、1つ以上の管腔と
を含む、シールアンカー部材。
(項目2)
シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含む、筺体と、
該先頭端および該後続端を通って延びる複数の管腔であって、各管腔は、その中に器具を実質的にシールした状態で受容するように適合され、軸を画定する、複数の管腔と
を含み、
該筺体に適用される力がない場合に、該筺体が側面断面図においてみられたときに、少なくとも2つの該管腔は、互いに対して交差する軸を画定する、シールアンカー部材。
(項目3)
シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含み、該筺体は長手軸を画定する、筺体と、
該先頭端および後続端を通って延びる複数の管腔であって、各管腔は、その中に器具を実質的にシールした状態で受容するように適合される、複数の管腔と
を含み、
少なくとも2つの該管腔は、真っ直ぐで、互いに対して平行でない、シールアンカー部材。
(項目4)
上記管腔は、横方向に距離をあけて離されている、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目5)
上記筺体は、圧縮可能材料から形成され、上記管腔内に挿入される上記器具は、該筺体の長手軸に対してある角度を画定し、該角度は調整可能である、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目6)
上記管腔は、該管腔内に受容された器具に及ぼされる半径方向の力がない場合に、互いに対して平行ではない、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目7)
上記先頭端は、上記管腔のうちの少なくとも1つの近位端に隣接するグルーブを含み、該グルーブは該管腔のうちの少なくとも1つの中に挿入される器具を安定化させるように適合される、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目8)
上記グルーブは、概して円弧状である、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目9)
上記グルーブは、上記管腔のうちの少なくとも1つの近位端から半径方向外側に延びる、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目10)
上記筺体は、組織路内への上記シールアンカー部材の少なくとも部分的な挿入を容易にする第一の圧縮状態と、該組織路内に、該組織路を画定する組織表面と実質的に関連して、該シールアンカー部材を固定することを容易にする第二の状態との間で遷移するように適合される、上記項目のうちのいずれか一項に記載のシールアンカー部材。
(項目11)
上記筺体は、実質的に砂時計の形状を画定する、上記項目のうちのいずれか一項に記載のシールアンカー。
(項目12)
上記先頭端および後続端は、各々、円弧状の外形を有する、上記項目のうちのいずれか一項に記載のシールアンカー。
(項目13)
上記管腔の近位端は、上記後続端付近で半径方向に距離をあけて離されている、上記項目のうちのいずれか一項に記載のシールアンカー。
(摘要)
長手軸を画定する筺体を画定するシールアンカー部材であって、筺体は先頭端および後続端を含み、該先頭端と該後続端との間を延びる複数の管腔を含み、各管腔は、その中に物体を実質的にシールした状態で受容するように適合され、長手軸を画定しており、少なくとも2つの該管腔は、平行でない長手軸を画定することにより、シールアンカー部材内における複数の器具の角度の付いた、静止した設置を容易にする、シールアンカー部材である。
構成要素を識別し、当該技術分野において慣例的であり、公知であるように、用語「近位の」は、使用中において臨床医に最も近い端を指し、用語「遠位の」は、臨床医から最も遠い端を指す。外科処置における使用のためのシールアンカーは、米国特許出願公開第2009/0093752号に示され、記載され、その全内容は本明細書に参照によって援用される。シールアンカー部材は、シールアンカーが切開内に挿入される最小侵襲性処置の間、使用され得る。代替的に、シールアンカーは、自然発生開口(例えば、肛門または膣)または患者の皮膚内の任意の切開を通して使用され得る。
102 後続端
104 先頭端
106 中間部分
108a、108b、108c 管腔
114、115 設置部材
Claims (13)
- シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含み、該筺体は長手軸を画定する、筺体と、
該先頭端および後続端を通って延びる1つ以上の管腔であって、該1つ以上の管腔は、各々、その中に器具を実質的にシールした状態で受容するように適合され、該1つ以上の管腔は、該筺体に適用される力がない場合に、該筺体の長手軸に対して平行でない軸を画定する、1つ以上の管腔と
を含む、シールアンカー部材。 - シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含む、筺体と、
該先頭端および該後続端を通って延びる複数の管腔であって、各管腔は、その中に器具を実質的にシールした状態で受容するように適合され、軸を画定する、複数の管腔と
を含み、
該筺体に適用される力がない場合に、該筺体が側面断面図においてみられたときに、少なくとも2つの該管腔は、互いに対して交差する軸を画定する、シールアンカー部材。 - シールアンカー部材であって、
筺体であって、該筺体は先頭端および後続端を含み、該筺体は長手軸を画定する、筺体と、
該先頭端および後続端を通って延びる複数の管腔であって、各管腔は、その中に器具を実質的にシールした状態で受容するように適合される、複数の管腔と
を含み、
少なくとも2つの該管腔は、真っ直ぐで、互いに対して平行でない、シールアンカー部材。 - 前記管腔は、横方向に距離をあけて離されている、請求項3に記載のシールアンカー部材。
- 前記筺体は、圧縮可能材料から形成され、前記管腔内に挿入される前記器具は、該筺体の長手軸に対してある角度を画定し、該角度は調整可能である、請求項3に記載のシールアンカー部材。
- 前記管腔は、該管腔内に受容された器具に及ぼされる半径方向の力がない場合に、互いに対して平行ではない、請求項3に記載のシールアンカー部材。
- 前記先頭端は、前記管腔のうちの少なくとも1つの近位端に隣接するグルーブを含み、該グルーブは該管腔のうちの少なくとも1つの中に挿入される器具を安定化させるように適合される、請求項3に記載のシールアンカー部材。
- 前記グルーブは、概して円弧状である、請求項7に記載のシールアンカー部材。
- 前記グルーブは、前記管腔のうちの少なくとも1つの近位端から半径方向外側に延びる、請求項7に記載のシールアンカー部材。
- 前記筺体は、組織路内への前記シールアンカー部材の少なくとも部分的な挿入を容易にする第一の圧縮状態と、該組織路内に、該組織路を画定する組織表面と実質的に関連して、該シールアンカー部材を固定することを容易にする第二の状態との間で遷移するように適合される、請求項3に記載のシールアンカー部材。
- 前記筺体は、実質的に砂時計の形状を画定する、請求項3に記載のシールアンカー。
- 前記先頭端および後続端は、各々、円弧状の外形を有する、請求項3に記載のシールアンカー。
- 前記管腔の近位端は、前記後続端付近で半径方向に距離をあけて離されている、請求項3に記載のシールアンカー。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US24765409P | 2009-10-01 | 2009-10-01 | |
US61/247,654 | 2009-10-01 | ||
US12/887,847 US8932212B2 (en) | 2009-10-01 | 2010-09-22 | Seal anchor with non-parallel lumens |
US12/887,847 | 2010-09-22 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014245654A Division JP2015057124A (ja) | 2009-10-01 | 2014-12-04 | 平行でない管腔を有するシールアンカー |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011072795A true JP2011072795A (ja) | 2011-04-14 |
JP5662097B2 JP5662097B2 (ja) | 2015-01-28 |
Family
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2010223272A Active JP5662097B2 (ja) | 2009-10-01 | 2010-09-30 | 平行でない管腔を有するシールアンカー |
JP2014245654A Pending JP2015057124A (ja) | 2009-10-01 | 2014-12-04 | 平行でない管腔を有するシールアンカー |
Family Applications After (1)
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JP2014245654A Pending JP2015057124A (ja) | 2009-10-01 | 2014-12-04 | 平行でない管腔を有するシールアンカー |
Country Status (7)
Country | Link |
---|---|
US (6) | US8932212B2 (ja) |
EP (2) | EP2420193B1 (ja) |
JP (2) | JP5662097B2 (ja) |
CN (1) | CN102028508B (ja) |
AU (1) | AU2010226928B2 (ja) |
CA (1) | CA2716060C (ja) |
ES (1) | ES2649945T3 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2013169276A (ja) * | 2012-02-20 | 2013-09-02 | Fujifilm Corp | 硬性内視鏡装置の連結固定具及び硬性内視鏡装置 |
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US20150105628A1 (en) | 2015-04-16 |
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ES2649945T3 (es) | 2018-01-16 |
US8932213B2 (en) | 2015-01-13 |
JP5662097B2 (ja) | 2015-01-28 |
CA2716060A1 (en) | 2011-04-01 |
EP2420193A1 (en) | 2012-02-22 |
US20170340842A1 (en) | 2017-11-30 |
US20140221757A1 (en) | 2014-08-07 |
CA2716060C (en) | 2017-10-17 |
AU2010226928B2 (en) | 2014-11-06 |
CN102028508A (zh) | 2011-04-27 |
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