JP2012513866A - 組織マーカの配置のためのマーカ伝送装置 - Google Patents
組織マーカの配置のためのマーカ伝送装置 Download PDFInfo
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Abstract
【選択図】図1
Description
Claims (45)
- 組織マーカを配置するように構成されているマーカ伝送装置であって、
チャンバを有するハンドルと、
配置のための組織マーカを保持するように構成されているカニューレであって、このカニューレの長手方向に沿って延びている内孔を囲んでいる側壁と、カニューレの前記側壁を通って前記内孔に延びている複数の周辺スロットから成るスロット配列によって形成されている可撓性の部分とを有しており、前記複数の周辺のスロットは、このカニューレの前記可撓性の部分のところでたわみを促すように、カニューレの長手方向に沿って互いにほぼ平行となるように離間されている、カニューレと、
前記カニューレの内孔中で移動可能に設けられており、前記カニューレの前記可撓性の部分に対応している可撓性の部分を有しているマーカ導入ロッドと、
前記ハンドルに設けられており、駆動されると、組織マーカを配置するために前記マーカ導入ロッドを移動させるように構成されている、配置メカニズムと、
前記ハンドルに設けられており、駆動されると、前記カニューレと前記マーカ導入ロッドとの両方をハンドルのハウジングの前記チャンバ中に完全に引込ませることを促すように構成されている、引込ませメカニズムと、を具備する、
マーカ伝送装置。 - 前記複数の周辺スロットは、カニューレの前記可撓性の部分のところで、単一の所定の平面に沿って、たわみを促すように構成されている、請求項1に記載のマーカ伝送装置。
- 前記配置メカニズムは、前記マーカ伝送装置を、マーカの配置の1回の使用に制限するように構成されている、請求項1に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、前記カニューレと前記マーカ導入ロッドとの、前記チャンバ中への完全な引込ませの後に、これらカニューレとマーカ導入ロッドとが前記チャンバの外側に延びるのを防ぐように構成されている、請求項1に記載のマーカ伝送装置。
- 組織マーカを配置するように構成されているマーカ伝送装置であって、
ユーザによって把持されるように構成されているハンドルと、
基端部と先端部とを有しているカニューレであって、ほぼ硬性であり且つカニューレの長手方向に沿って延びている内孔を囲んでいる側壁と、カニューレの前記側壁を通ってこの内孔に延びている複数の周辺スロットを有しているスロット配列によって形成されている可撓性の部分とを有しており、前記複数の周辺のスロットは、このカニューレの前記可撓性の部分のところでたわみを促すように、このカニューレの長手方向に沿って互いにほぼ平行となるように離間されている、カニューレと、
前記カニューレの前記先端部から組織マーカの配置を与えるように、カニューレの前記内孔中で移動可能に配置されており、駆動端部と、マーカ配置端部と、カニューレの前記可撓性の部分に対応する可撓性の領域とを有しているマーカ導入ロッドと、を具備する、
マーカ伝送装置。 - カニューレの前記可撓性の部分は、カニューレの前記基端部より、カニューレの前記先端部の近くに配置されている、請求項5に記載のマーカ伝送装置。
- 前記複数の周辺スロッドは、カニューレの前記可撓性の部分のところで、単一の所定の平面に沿って、たわみを促すように構成されている、請求項5に記載のマーカ伝送装置。
- 前記複数の周辺スロッドは、第1の円弧を有している第1の組の周辺スロットと、第2の円弧を有している第2の組の周辺スロットとを含む、請求項5に記載のマーカ伝送装置。
- 前記第1の円弧は、前記第2の円弧に対して周方向にずらして配置されている、請求項8に記載のマーカ伝送装置。
- 前記スロット配列は、前記複数の周辺スロットの一部を少なくとも連結している軸方向のスロットを含む、請求項5に記載のマーカ伝送装置。
- 前記カニューレは、金属材料によって形成されている、請求項5に記載のマーカ伝送装置。
- 前記金属材料は、ステンレス鋼と、ニチノールと、ニッケルクロミウム合金と、チタニウムとのうちの1つである、請求項11に記載のマーカ伝送装置。
- 前記マーカ導入ロッドの前記可撓性の領域は、可撓性の金属部材として形成されている、請求項5に記載のマーカ伝送装置。
- 前記マーカ導入ロッドの前記可撓性の領域は、可撓性のプラスチック部材として形成されており、前記マーカ導入ロッドの残りの領域は、金属とプラスチックとの少なくとも一方によって形成されている、請求項5に記載のマーカ伝送装置。
- 前記ハンドルは、間にチャンバが設けられている前端部と後端部と、前記カニューレを収容するためのこのチャンバに延びている孔とを有しているハウジングを含み、このハウジングは、
前記ハウジングに設けられており、ユーザによって駆動されると、組織マーカを配置するように、マーカ導入ロッドを移動させるように構成されている配置メカニズムと、
前記ハウジングに設けられており、ユーザによって駆動されると、前記カニューレ及び前記マーカ導入ロッドの、前記ハンドルのハウジングのチャンバ中への完全な引込ませを促すように構成されている、引込ませメカニズムと、を具備する、
請求項5に記載のマーカ伝送装置。 - 前記ハンドルは、間をチャンバが長手方向に延びている前端部と後端部と、前記カニューレを収容するためのこのチャンバに延びている孔とを有しているハウジングを含み、このハウジングは、更に、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
第1の剪断部材と、
前記ハウジングの外側で操作可能であり、前記第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーであって、このマーカ配置用トリガーの駆動によって、カニューレの前記内孔から組織マーカを配置するために、前記カニューレの長手方向に沿って前記マーカ導入ロッドを移動させるように、前記第1の剪断部材が前記マーカ導入ロッドを移動させる、マーカ配置用トリガーと、
前記ハウジングの外側で操作可能な引込ませトリガーと、
第2の剪断部材と、
カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックであって、前記引込ませトリガーは、このカニューレガイドブロックを、前記ハンドルのハウジングに対して静止した状態に保持するように、このカニューレガイドブロックに前記第2の剪断部材によって連結されている、カニューレガイドブロックと、
ハウジングの前記前端部と前記カニューレガイドブロックとの間に配置されており、前記カニューレガイドブロックに予め付勢を与えるように、前記引込ませトリガーの駆動前に圧縮された状態であるばねと、を具備する、
請求項5に記載のマーカ伝送装置。 - 前記引込ませトリガーの駆動によって、前記カニューレと前記マーカ導入ロッドと両方が、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、請求項16に記載のマーカ伝送装置。
- 前記引込ませトリガーの駆動によって、前記第2の剪断部材が剪断されて、この結果、前記ばねが圧縮された状態から解放され、前記カニューレガイドブロックが前記ハウジングの後端部に移動し、前記カニューレの最初の引込ませが開始され、前記ばねの連続した圧縮の解除によって、前記カニューレガイドブロックが、前記第1の剪断部材を剪断させるように前記導入ロッドガイドブロックに衝突し、かくして、前記カニューレ及び前記マーカ導入ロッドの、前記ハンドルのハウジングのチャンバ中への同期した引込ませが、開始される、請求項16に記載のマーカ伝送装置。
- 前記カニューレと前記マーカ導入ロッドとの両方の、前記ハンドル中への同期した引込ませは、前記カニューレと前記マーカ導入ロッドとの両方が前記ハンドルのハウジングのチャンバ中に完全に収容された後に、終了する、請求項18に記載のマーカ伝送装置。
- 離間装置が、前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に配置されており、またこの離間装置は、長手方向に沿った全長を有しており、この結果、前記カニューレガイドブロックがマーカの配置位置に配置されると、前記カニューレガイドブロックは、前記導入ロッドガイドブロックと動作可能に接触し、また、前記引込ませトリガーが駆動されると、前記第1の剪断部材と前記第2の剪断部材とは、ほぼ同期して剪断されて、前記カニューレ及び前記マーカ導入ロッドの、前記ハウジングのチャンバ中への完全な同期した引込ませが生じる、請求項16に記載のマーカ伝送装置。
- 組織マーカが配置された後に、前記マーカ配置用トリガーをマーカの配置位置にロックするために、ロックメカニズムを更に具備する、請求項16に記載のマーカ伝送装置。
- 前記マーカ配置用トリガーは、第1のロック部材を含み、前記ハウジングは、第2のロック部材を含み、前記第1のロック部材は、前記マーカ配置用トリガーが前記マーカの配置位置に配置された時に、前記第2のロック部材に係合する、請求項16に記載のマーカ伝送装置。
- 前記第1のロック部材と前記第2のロック部材との一方は、ロックチャンネルであり、前記第1のロック部材と前記第2のロック部材とのもう一方は、ばね式挿入部材であり、このばね式挿入部材は、前記マーカ配置用トリガーがマーカの配置位置に配置された時に、前記ロックチャンネルに係合する、請求項22に記載のマーカ伝送装置。
- ユーザによって把持されるように構成されているハンドルであって、間にチャンバが設けられている前端部と後端部と、このチャンバから前記ハンドルの外側に延びている孔とを有しているハウジングを含む、ハンドルと、
基端部と、先端部と、これら基端部と先端部との間で前記カニューレの長手方向に沿って延びている内孔と、を有しているカニューレであって、このカニューレが前記孔から前記ハウジングの前端部を越えて引込ませ可能に延びるように前記ハンドル中に配置されている、カニューレと、
前記カニューレの先端部から組織マーカの配置を与えるようにカニューレの前記内孔中に移動可能に配置されており、駆動端部とマーカ配置端部とを有しているマーカ導入ロッドと、
前記ハウジングに設けられており、且つ前記マーカ導入ロッドの駆動端部に結合されており、駆動されると、組織マーカを配置するために前記マーカ導入ロッドを移動させるように構成されている、配置メカニズムと、
前記ハウジングに設けられており、且つ前記カニューレの基端部に結合されており、駆動されると、前記カニューレ及び前記マーカ導入ロッドの、前記ハンドルのハウジングのチャンバ中への完全な引込ませを促すように構成されている、引込ませメカニズムと、を具備する、
組織マーカの配置のように構成されているマーカ伝送装置。 - 前記配置メカニズムは、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
第1の剪断部材と、
前記ハウジングの外側で操作可能であり、前記第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーであって、このマーカ配置用トリガーの駆動によって、カニューレの前記内孔から組織マーカを配置させるために、前記カニューレの長手方向に沿って前記マーカ導入ロッドを移動させるように、このマーカ導入ロッドを移動させる、マーカ配置用トリガーと、を具備する、
請求項24に記載のマーカ伝送装置。 - 前記ハウジングは、このハウジングの側壁に沿って延びているトリガースロットを含み、
前記マーカ配置用トリガーは、最初の位置から、マーカの配置位置へと、前記トリガースロットに沿った側方の移動のために前記ハウジングに設けられており、
このマーカ配置用トリガーは、第1のロック部材を含み、また、前記ハウジングは、第2のロック部材を含み、
前記第1のロック部材は、前記マーカ配置用トリガーが前記マーカの配置位置に配置された時に、前記第2のロック部材に固く係合する、
請求項25に記載のマーカ伝送装置。 - 前記第1のロック部材と前記第2のロック部材との一方は、ロックチャンネルであり、前記第1のロック部材と前記第2のロック部材とのもう一方は、ばね式挿入部材であり、このばね式挿入部材は、前記マーカ配置用トリガーが前記マーカの配置位置に配置された時に、ロックチャンネルに係合する、請求項26に記載のマーカ装置。
- 前記引込ませメカニズムは、
前記ハウジングの外側で操作可能な引込ませトリガーと、
第2の剪断部材と、
カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックであって、前記引込ませトリガーは、このカニューレガイドブロックを前記ハンドルのハウジングに対して静止した状態に保持するように、前記カニューレガイドブロックに、前記第2の剪断部材によって連結されている、カニューレガイドブロックと、
ハウジングの前記前端部と前記カニューレガイドブロックとの間に配置されており、前記カニューレガイドブロックに予め付勢を与えるように、前記引込ませトリガーの駆動前に圧縮された状態であるばねと、を含む、請求項24に記載のマーカ伝送装置。 - 前記引込ませトリガーの駆動によって、前記カニューレ及び前記マーカ導入ロッドが、前記ハンドルのハウジングのチャンバ中に引っ込められる、請求項28に記載のマーカ伝送装置。
- 前記引込ませトリガーの駆動によって、前記第2の剪断部材が剪断されて、この結果、前記ばねが圧縮された状態から解放され、前記カニューレガイドブロックが前記ハウジングの後端部に移動し、前記カニューレの最初に引込ませが開始され、前記ばねの連続した圧縮の解除によって、前記カニューレガイドブロックが、前記第1の剪断部材を剪断させるように前記導入ロッドガイドブロックに衝突し、かくして、前記カニューレと前記マーカ導入ロッドとの両方の、前記ハンドルのハウジングのチャンバ中への同期した引込ませが、開始される、請求項28に記載のマーカ伝送装置。
- 前記カニューレと前記マーカ導入ロッドと両方の、前記ハンドル中への同期した引込ませは、前記カニューレと前記マーカ導入ロッドとの両方が前記ハンドルのハウジングのチャンバ中に完全に収容された後に、終了する、請求項30に記載のマーカ伝送装置。
- 離間装置が、前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に配置されており、またこの離間装置は、長手方向に沿った全長を有しており、この結果、前記カニューレガイドブロックがマーカの配置位置に配置されると、前記カニューレガイドブロックは、前記導入ロッドガイドブラックと動作可能に接触し、また、前記引込ませトリガーが駆動されると、前記第1の剪断部材と前記第2の剪断部材とは、ほぼ同期して剪断されて、前記カニューレと前記マーカ導入ロッドとの両方の、前記ハウジングのチャンバ中への完全な同期した引込ませが生じる、請求項28に記載のマーカ伝送装置。
- 前記カニューレは、カニューレの側壁を通って前記内孔に延びている複数の周辺スロットのから成るスロット配列によって形成された可撓性の部分を有しており、前記複数の周辺スロットは、前記カニューレの可撓性の部分のところでたわみを促すように、カニューレの長手方向に沿って互いにほぼ平行になるように、離間されており、
前記マーカ導入ロッドは、前記カニューレの可撓性の部分に対応する可撓性の領域を有している、請求項24に記載のマーカ伝送装置。 - 前記カニューレの可撓性の部分は、カニューレの前記基端部より、カニューレの前記先端部の近くに配置されている、請求項33に記載のマーカ伝送装置。
- 前記複数の周辺スロットは、カニューレの前記可撓性の部分のところで、単一の所定の平面に沿って、たわみを促すように構成されている、請求項33に記載のマーカ伝送装置。
- 前記複数の周辺スロットは、第1の円弧を有している第1の組の周辺スロットと、第2の円弧を有している第2の組の周辺スロットとを含む、請求項33に記載のマーカ伝送装置。
- 前記第1の円弧は、前記第2の円弧に対して周方向にずらして配置されている、請求項36のマーカ伝送装置。
- 前記スロット配列は、前記複数の周辺スロットの少なくとも1つの部分のところで連結している軸方向のスロットを含む、請求項33に記載のマーカ伝送装置。
- 前記カニューレは、金属材料によって形成されており、前記マーカ導入ロッドの少なくとも前記可撓性の領域は、可撓性の金属部材として形成されている、請求項33に記載のマーカ伝送装置。
- 前記カニューレは、金属材料によって形成されており、前記マーカ導入ロッドの少なくとも前記可撓性の領域は、可撓性のプラスチック部材として形成されている、請求項39に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、前記マーカ導入ロッドを引っ込ませるように構成されている第1の引込ませメカニズムと、前記カニューレを引っ込ませるように構成されている第2の引込ませメカニズムとを含み、前記導入ロッドの最初の引込ませは、前記カニューレの引込ませの前に生じる、請求項24に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、前記マーカ導入ロッドを引っ込ませるように構成されている第1の引込ませメカニズムと、前記カニューレを引っ込ませるように構成されている第2の引込ませメカニズムとを含み、前記導入ロッドの完全な引込ませは、前記カニューレの引込ませの前に行われる、請求項24に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
前記カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックと、
前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に係合した状態で配置されている第1のばねと、
前記ハウジングの外側で操作可能であり、第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーと、を含み、
前記マーカ配置用トリガーの第1の位置への駆動によって、前記第1の剪断部材は、カニューレの内孔から組織マーカを配置するために前記カニューレの長手方向に沿って前記マーカ導入ロッドを移動させ、且つ前記第1のばねを同期して圧縮し、
前記マーカ配置用トリガーの、前記第1の位置とは異なる第2の位置への更なる駆動によって、前記第1のばねの圧縮が解除されて、前記マーカ導入ロッドの前記ハンドルを前記ハウジングのチャンバ中に引っ込ませる、請求項24に記載のマーカ伝送装置。 - 前記第1のばねの圧縮の解除によって、前記第1の剪断部材が剪断されて、前記マーカ導入ロッドが、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、請求項43に記載のマーカ伝送装置。
- 前記ハウジングに設けられており、前記カニューレガイドブロックに結合されている引込ませトリガーと、
前記ハウジングの前端部と前記カニューレガイドブロックとの間に係合した状態で配置されており、前記カニューレガイドブロックに予め付勢を与えるために、前記引込ませトリガーの駆動の前に、圧縮された状態である第2のばねと、を更に含み、
前記引込ませトリガーの駆動によって、前記第2のばねの圧縮が解除され、前記カニューレが、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、
請求項43に記載のマーカ伝送装置。
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CN102256660A (zh) | 2011-11-23 |
BRPI0823399B8 (pt) | 2021-06-22 |
EP2370139A1 (en) | 2011-10-05 |
EP4215147A2 (en) | 2023-07-26 |
US20140194892A1 (en) | 2014-07-10 |
US20190183602A1 (en) | 2019-06-20 |
JP5453453B2 (ja) | 2014-03-26 |
US20110028836A1 (en) | 2011-02-03 |
EP3005971B1 (en) | 2023-04-26 |
EP3005971A3 (en) | 2016-07-20 |
BRPI0823399B1 (pt) | 2019-03-19 |
ES2560515T3 (es) | 2016-02-19 |
EP4215147A3 (en) | 2023-10-18 |
AU2008365906B2 (en) | 2015-01-22 |
EP2370139B1 (en) | 2015-12-02 |
US8670818B2 (en) | 2014-03-11 |
US11779431B2 (en) | 2023-10-10 |
EP2370139A4 (en) | 2013-09-04 |
EP3005971A2 (en) | 2016-04-13 |
WO2010077244A1 (en) | 2010-07-08 |
CN102256660B (zh) | 2013-07-03 |
CA2742765C (en) | 2016-04-12 |
AU2008365906A1 (en) | 2011-07-07 |
US10258428B2 (en) | 2019-04-16 |
CA2742765A1 (en) | 2010-07-08 |
BRPI0823399A2 (pt) | 2015-06-16 |
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