JP2011529745A - 交換式カートリッジを持つアンカー送出システム - Google Patents
交換式カートリッジを持つアンカー送出システム Download PDFInfo
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- JP2011529745A JP2011529745A JP2011521328A JP2011521328A JP2011529745A JP 2011529745 A JP2011529745 A JP 2011529745A JP 2011521328 A JP2011521328 A JP 2011521328A JP 2011521328 A JP2011521328 A JP 2011521328A JP 2011529745 A JP2011529745 A JP 2011529745A
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- assembly
- needle
- anchor
- actuator
- delivery device
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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Abstract
【解決手段】一つの特徴では、システムは、こうした目的のためにアンカーデバイスを展開し埋め込むように形成された送出デバイスを含む。
【選択図】図1
Description
前立腺肥大(BPH)
尿失禁
美容整形手術又は再建手術での組織の持ち上げ及び整復
102 ハンドルアッセンブリ
104 組織アクセスアッセンブリ
106 ハンドルケースアッセンブリ
108 ニードルアクチュエータ
110 ニードル引っ込めレバーアッセンブリ
112 近位アンカーアクチュエータアッセンブリ
114 左上ケース
116 左下ケース
118 右ケース
120 ニードル引っ込めスプールアッセンブリ
122 ニードルスプールアッセンブリ
124 シャフトアッセンブリ
126 トリガーアッセンブリ
Claims (46)
- 体組織を治療するためのシステムにおいて、
アンカー構成要素及びコネクタ構成要素を含むアンカーアッセンブリと、
ニードルアッセンブリ及びカートリッジアッセンブリを含み、前記カートリッジアッセンブリは、前記アンカーアッセンブリの前記アンカー構成要素及び前記コネクタ構成要素を収容している送出デバイスとを含み、
前記カートリッジアッセンブリは、前記アンカーアッセンブリの一つの構成要素を前記ニードルアッセンブリ内に供給し、前記カートリッジアッセンブリは交換可能である、システム。 - 請求項1に記載のシステムにおいて、
様々なばね剛性の複数のカートリッジアッセンブリを前記送出デバイスに取り付けることができる、システム。 - 請求項1に記載のシステムにおいて、
前記アンカーアッセンブリの一部が前記カートリッジアッセンブリ内にあり、前記アンカーアッセンブリの別の部分が前記カートリッジアッセンブリの外の前記送出デバイス内にある、システム。 - 請求項1に記載のシステムにおいて、
前記カートリッジアッセンブリはばねを含む、システム。 - 請求項4に記載のシステムにおいて、
前記システムは、前記アンカーアッセンブリの前進時に、前記アンカーアッセンブリの送出後の第2張力と異なる第1張力を提供する、システム。 - 請求項4に記載のシステムにおいて、
前記送出デバイスはアクチュエータを含み、このアクチュエータの作動により、前記ばねアッセンブリで前記アンカーアッセンブリの前記第1及び第2の構成要素のうちの少なくとも一方に所定の張力を加えることができる、システム。 - 請求項1に記載のシステムにおいて、
前記送出デバイスはニードルスプールアッセンブリを含む、システム。 - 請求項7に記載のシステムにおいて、
前記ニードルスプールアッセンブリはクラッチを含む、システム。 - 請求項7に記載のシステムにおいて、
前記送出デバイスは、更に、ニードルアッセンブリを含み、これによって、前記ニードルスプールアッセンブリは、引っ込めレバーとの作動的関連により前記ニードルアッセンブリの前進又は引っ込めを制御する、システム。 - 請求項9に記載のシステムにおいて、
前記ニードルスプールアッセンブリは、前記ニードルアッセンブリと作動的に関連したばねを含む、システム。 - 請求項10に記載のシステムにおいて、
前記送出デバイスは第1アクチュエータを含み、この第1アクチュエータの作動により、前記ばねで前記ニードルアッセンブリを自動的に前進できる、システム。 - 請求項11に記載のシステムにおいて、
前記送出デバイスは第2アクチュエータを含み、この第2アクチュエータの作動により、前記ニードルアッセンブリが手動で引っ込められる、システム。 - 請求項12に記載のシステムにおいて、
前記送出デバイスはクラッチを含み、これによって、前記第2アクチュエータの作動により、前記クラッチで前記スプールアッセンブリの一部を前記ニードル展開ばねと関連した状態から外す、システム。 - 請求項1に記載のシステムにおいて、
前記カートリッジアッセンブリは、前記ニードルアッセンブリを通して前記アンカーアッセンブリ構成要素を供給する、システム。 - 請求項1に記載のシステムにおいて、
前記ニードルアッセンブリは、スプールアッセンブリに巻き付けることができる、システム。 - 請求項15に記載のシステムにおいて、
前記アンカーアッセンブリの一部は、前記カートリッジスプールアッセンブリに巻き付けられる、システム。 - 請求項16に記載のシステムにおいて、
前記カートリッジアッセンブリは第3アクチュエータを含み、この第3アクチュエータの回転により前記アンカーアッセンブリを前記ニードルアッセンブリ内に供給する、システム。 - 請求項17に記載のシステムにおいて、
前記カートリッジアッセンブリの前記第3アクチュエータは自動停止ストップを含み、この自動停止ストップのため、前記第3アクチュエータが所定量回転することにより前記アンカーアッセンブリが前記ニードルアッセンブリ内の所望の位置に位置決めされ、この位置では、前記第3アクチュエータは前記アンカーアッセンブリを更に前進することも引っ込めることもできない 、システム。 - 請求項18に記載のシステムにおいて、
前記送出デバイスは、前記アンカーアッセンブリの組み立てを完了するように形成されたトリガーアッセンブリを含む、システム。 - 請求項19に記載のシステムにおいて、
前記送出デバイスは、前記送出工具を患者から随意に取り出すことができるようにするため、組み立て前に前記アンカーアッセンブリの一部を切断するように形成された脱出アッセンブリを含む、システム。 - 体組織を治療するためのシステムにおいて、
第1構成要素及び第2構成要素を含むアンカーアッセンブリと、
ニードルアッセンブリ、ニードル展開アクチュエータ、及び引っ込めレバーを含む送出デバイスとを含み、
前記アクチュエータは、前記ニードルアッセンブリの自動的展開を行い、前記レバーは前記ニードルアッセンブリの手動引っ込めを行う、システム。 - 請求項21に記載のシステムにおいて、
前記送出デバイスはニードル展開ばねを含み、前記アクチュエータを作動することにより、前記ニードル展開ばねが前記ニードルアッセンブリをターゲット組織を貫通するのに十分な力で自動的に前進する、システム。 - 請求項22に記載のシステムにおいて、
前記レバーを作動することにより前記ニードルアッセンブリを手動で引っ込める、システム。 - 請求項23に記載のシステムにおいて、
前記送出デバイスは、前記ニードルアッセンブリの位置を制御するスプールアッセンブリを含む、システム。 - 請求項24に記載のシステムにおいて、
前記スプールアッセンブリはニードル展開ばねを含む、システム。 - 請求項25に記載のシステムにおいて、
前記送出デバイスは、一つのアンカー構成要素を収容するカートリッジアッセンブリを含む、システム。 - 請求項26に記載のシステムにおいて、
前記カートリッジアッセンブリは交換式である、システム。 - 請求項27に記載のシステムにおいて、
前記カートリッジアッセンブリは前記スプールアッセンブリと解放自在に係合するように形成されている、システム。 - 請求項28に記載のシステムにおいて、
前記カートリッジアッセンブリは、一つのアンカー構成要素を前記ニードルアッセンブリ内に供給するように形成されている、システム。 - 請求項29に記載のシステムにおいて、
前記カートリッジアッセンブリはばねを含む、システム。 - 請求項30に記載のシステムにおいて、
前記カートリッジアッセンブリを前記スプールアッセンブリの少なくとも一部から分離するため、クラッチが設けられている、システム。 - 請求項31に記載のシステムにおいて、
前記ばねは、一つのアンカー構成要素に張力を加えるように形成されている、システム。 - 請求項32に記載のシステムにおいて、
前記送出デバイスはトリガーアッセンブリを含む、システム。 - 請求項33に記載のシステムにおいて、
前記トリガーアッセンブリは前記アンカーアッセンブリの組み立てを行うように形成されている、システム。 - 請求項34に記載のシステムにおいて、
前記トリガーアッセンブリは、前記アンカーアッセンブリの第3構成要素の切断を制御する、システム。 - 請求項35に記載のシステムにおいて、
前記送出デバイスは、前記アンカーアッセンブリの前記第3構成要素を切断するように形成された脱出アッセンブリを含む、システム。 - 請求項36に記載のシステムにおいて、
前記送出デバイスは、前記ニードルスプールアッセンブリをリセットするように形成された第1リセットレバーを含む、システム。 - 請求項37に記載のシステムにおいて、
前記送出デバイスは、前記トリガーアッセンブリをリセットするように形成された第2リセットレバーを含む、システム。 - 体組織を治療するためのシステムにおいて、
アンカーアッセンブリと、
ニードルアッセンブリ、スプールアッセンブリ、トリガーアッセンブリ、第1アクチュエータ、第2アクチュエータ、及び第3アクチュエータを含む送出デバイスとを含み、
前記第1アクチュエータの作動により、前記ニードルアッセンブリ及び前記アンカーアッセンブリの一部を前進し、前記第2アクチュエータの作動により、前記ニードルアッセンブリを引っ込め、前記第3アクチュエータの作動により、前記アンカーアッセンブリの組み立てを行う、システム。 - 請求項39に記載のシステムにおいて、
前記送出デバイスは第1リセットレバー及び第2リセットレバーを含み、前記第1リセットレバーは前記スプールアッセンブリをリセットし、前記第2リセットレバーは前記トリガーアッセンブリをリセットする、システム。 - 請求項40に記載のシステムにおいて、
前記送出デバイスは脱出アッセンブリを含み、この脱出アッセンブリの作動により前記アンカーアッセンブリの構成要素の切断を行う、システム。 - 請求項39に記載のシステムにおいて、
前記送出デバイスは、前記第1アクチュエータが押される後まで前記レバーを係止する係止解除アッセンブリを含む、システム。 - 請求項39に記載のシステムにおいて、
前記送出デバイスは、前記レバーを押圧状態に係止する係止機構を含む、システム。 - 請求項39に記載のシステムにおいて、
前記送出デバイスは、ニードルが誤って展開しないようにする第1アクチュエータロックを含む、システム。 - 請求項39に記載のシステムにおいて、
前記送出デバイスは前記第2アクチュエータが一杯に押圧されるまで、前記第3アクチュエータの早期展開を阻止する構造を含む、システム。 - 請求項1に記載のシステムにおいて、
ニードルが前記ニードルアッセンブリ内の湾曲した軌道に沿って移動する、システム。
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Also Published As
Publication number | Publication date |
---|---|
EP2339970A2 (en) | 2011-07-06 |
EP2345373B1 (en) | 2020-04-29 |
WO2010014821A2 (en) | 2010-02-04 |
EP2339970B1 (en) | 2018-11-14 |
JP5871284B2 (ja) | 2016-03-01 |
EP2345374A1 (en) | 2011-07-20 |
WO2010014821A3 (en) | 2010-05-20 |
JP2014054556A (ja) | 2014-03-27 |
US8216254B2 (en) | 2012-07-10 |
EP2345374B1 (en) | 2020-05-20 |
CN102112064B (zh) | 2014-06-18 |
CN102112064A (zh) | 2011-06-29 |
EP2345373A1 (en) | 2011-07-20 |
JP5571079B2 (ja) | 2014-08-13 |
US20120245600A1 (en) | 2012-09-27 |
US20100030262A1 (en) | 2010-02-04 |
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