JP2012505027A - 気体封止機構を備えた手術用トロカールにおけるガス再循環向上のためのシステム及び方法 - Google Patents
気体封止機構を備えた手術用トロカールにおけるガス再循環向上のためのシステム及び方法 Download PDFInfo
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Abstract
【選択図】 図28
Description
本願は、2008年10月10日に出願された米国仮特許出願第61/104,448号明細書に対する優先権の利益を主張する。本願はまた、2006年12月18日に出願された米国仮特許出願第60/875,436号明細書、2007年4月17日に出願された米国仮特許出願第60/923,917号明細書、及び2007年7月16日に出願された米国仮特許出願第60/959,826号明細書の各々に対する優先権の利益を主張する2007年12月18日に出願されたPCT出願:PCT/US07/88017号(国際公開第2008/077080号パンフレット)の継続出願である2007年12月20日に出願された米国特許出願第11/960,701号明細書(米国特許出願公開第2009/0137943号明細書)にも関連する。本願はまた、2007年4月13日に出願された米国特許出願第11/786,832号明細書(米国特許出願公開第2008/0086080号明細書)、2006年10月6日に出願された米国特許出願第11/544,856号明細書(米国特許出願公開第2008/0086167号明細書)、2006年9月8日に出願された米国特許出願第11/517,929号明細書(米国特許出願公開第2007/0088275号明細書)、並びに米国特許第7,338,473号明細書、米国特許第7,285,112号明細書及び米国特許第7,182,752号明細書にも関する。前述の出願及び特許の各々は、全体として参照により本明細書に援用される。
Claims (14)
- 吹送用及び手術作業環境からの吹送流体の再循環用のシステムであって、
制御ユニットであって、
a)前記システムを通じて吹送流体を循環させるように適合及び構成された流体ポンプと、
b)前記流体ポンプの出力と流体連通し、かつ前記制御ユニットの出力ポートに加圧された吹送流体を送り込むように構成及び適合された供給導管と、
c)前記流体ポンプに吹送流体を送り込むため前記流体ポンプの入力と流体連通し、且つ前記制御ユニットの入力ポートに吹送流体を戻すように構成及び適合された回収導管と、
d)吹送ガス供給部、前記供給導管及び前記回収導管と流体連通する圧力制御弁であって、
i)低圧制御信号に対して開放することにより応答し、それにより前記供給導管と前記回収導管との互いの流体連通が設けられ、前記周囲環境からの空気の取込みが減少し、及び前記吹送ガス供給部の前記回収導管との流体連通が設けられて、前記システム内の吹送ガスの濃度が上昇し、
ii)第1の高圧制御信号に対して開放することにより応答し、それにより前記供給導管と前記回収導管との互いの流体連通が設けられ、及び
iii)前記第1の高圧制御信号より高い圧力に対応する第2の高圧制御信号に対してダンプ弁をさらに開放することにより応答し、それにより前記システムから圧力が解放される、
ように適合及び構成された圧力制御弁と、
を有する制御ユニット、
を含むシステム。 - 制御信号がない場合、前記圧力制御弁が閉鎖された状態に保たれる、請求項1に記載のシステム。
- 前記圧力制御弁が、圧力検知導管であって、その遠位端における圧力値に対応する制御信号を前記圧力制御弁に伝達するように適合及び構成された圧力検知導管とさらに流体連通している、請求項1に記載のシステム。
- 前記圧力制御弁が機械式ダイヤフラム弁であり、かつ前記圧力検知導管が前記圧力制御弁の圧力検知チャンバと流体連通している、請求項3に記載のシステム。
- トロカールであって、
a)ルーメンを中に画定する細長本体と、
b)前記ルーメンに加圧流体を誘導するため前記本体と動作可能に連係するノズルと、
c)使用済み吹送流体を捕集するように適合及び構成された流体回収プレナムと、
d)前記ノズルに加圧された吹送流体の流れを送り込むための、前記ノズルと流体連通するノズル供給ポートであって、前記制御ユニットの出力ポートから加圧された吹送流体を受け取るように適合及び構成されたノズル供給ポートと、
e)前記流体回収プレナムと流体連通する流体回収ポートであって、吹送流体を前記トロカールから前記制御ユニットの入力ポートに戻すように適合及び構成された流体回収ポートと、
を有するトロカール、
をさらに含む、請求項1に記載のシステム。 - 前記トロカールが、
患者の腹腔と、及び前記制御ユニットの前記圧力制御弁と流体連通するように適合及び構成された圧力検知チャンバ、
をさらに含む、請求項5に記載のシステム。 - a)前記トロカールの前記ノズル供給ポートを前記制御ユニットの前記出力ポートに接続し、前記トロカールの前記流体回収ポートを前記制御ユニットの前記入力ポートに接続し、及び前記トロカールの前記圧力検知チャンバを前記制御ユニットの前記圧力制御弁に接続するように適合及び構成された複数の接続導管と、
b)前記接続導管のうちの少なくとも1つと流体連通するように提供されたフィルタ要素と、
c)前記接続導管の各端部に配置されたコネクタであって、前記接続キットを一方の端部で前記トロカールと、及びその反対側の端部で前記制御ユニットと互いに係合するように構成及び適合されたコネクタと、
を有する接続キットをさらに含む、請求項6に記載のシステム。 - 入力ポートを介して供給源からの吹送ガスの供給を受け取るように適合及び構成された手術用インサフレーターをさらに含む、請求項1に記載のシステムであって、前記インサフレーターの出力ポートが、前記圧力制御弁を動作させるための圧力センサと、及び患者の腹腔と流体連通し、前記インサフレーターが前記腹腔内の圧力を検知してそこに吹送流体を提供するように適合及び構成される、システム。
- 前記制御ユニットが、単一のハウジングに組み込まれる前記手術用インサフレーターを含む、請求項8に記載のシステム。
- a)第1のトロカールであって、
i)ルーメンを中に画定する細長本体と、
ii)前記ルーメンに加圧流体を誘導し、そこにわたって流体シールを形成するための、前記本体と動作可能に連係するノズルと、
iii)使用済み吹送流体を捕集するように適合及び構成された流体回収プレナムと、
iv)前記ノズルに加圧された吹送流体の流れを送り込むための、前記ノズルと流体連通するノズル供給ポートであって、前記制御ユニットの出力ポートから加圧された吹送流体を受け取るように適合及び構成されたノズル供給ポートと、
v)前記流体回収プレナムと流体連通する流体回収ポートであって、吹送流体を前記トロカールから前記制御ユニットの入力ポートに戻すように適合及び構成された流体回収ポートと、
を有する第1のトロカールと、
b)入力ポートを介して供給源からの吹送ガスの供給を受け取るように適合及び構成された手術用インサフレーターと流体連通する第2のトロカールであって、前記インサフレーターが、腹腔内の圧力を検知し、かつそこに前記第2のトロカールを介して加圧された吹送流体を送り込むように適合及び構成される、第2のトロカールと、
をさらに含む、請求項1に記載のシステム。 - 前記インサフレーター及び前記圧力制御弁が、各々独立して患者の腹腔と流体連通するとともに、各々が、そこにおける腹圧を検知するように適合及び構成される、請求項10に記載のシステム。
- 低圧制御信号を生じさせる低圧が、設定圧力を約4.0mmHg以上下回る腹圧として定義される、請求項1に記載のシステム。
- 第1の高圧制御信号を生じさせる第1の高圧が、設定圧力を4.0mmHg以上上回る腹圧として定義される、請求項1に記載のシステム。
- 第2の高圧制御信号を生じさせる、前記第1の高圧より高い第2の高圧が、設定圧力の160%以上の腹圧として定義される、請求項1に記載のシステム。
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KR101649505B1 (ko) | 2016-08-19 |
JP5733831B2 (ja) | 2015-06-10 |
EP2341849A4 (en) | 2015-04-29 |
KR20110079897A (ko) | 2011-07-11 |
CN102264310A (zh) | 2011-11-30 |
US10639071B2 (en) | 2020-05-05 |
US20140309583A1 (en) | 2014-10-16 |
WO2010042204A3 (en) | 2010-07-22 |
US20220117629A1 (en) | 2022-04-21 |
US10092319B2 (en) | 2018-10-09 |
EP2341849A2 (en) | 2011-07-13 |
WO2010042204A2 (en) | 2010-04-15 |
CN102264310B (zh) | 2014-01-22 |
US8715219B2 (en) | 2014-05-06 |
US20180296245A1 (en) | 2018-10-18 |
US9095372B2 (en) | 2015-08-04 |
EP2341849B1 (en) | 2019-12-18 |
ES2791702T3 (es) | 2020-11-05 |
US20140358070A1 (en) | 2014-12-04 |
US11202656B2 (en) | 2021-12-21 |
US20100185139A1 (en) | 2010-07-22 |
US20190167304A1 (en) | 2019-06-06 |
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