JP2013517107A - 組織修復用インプラントと送達装置と送達方法 - Google Patents
組織修復用インプラントと送達装置と送達方法 Download PDFInfo
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Abstract
Description
本出願は、2010年1月20日に出願された米国仮特許出願第61/296,868号の恩恵を主張する。この出願に言及することにより、その内容の全体が明示的にこの明細書に組み込まれている。
Claims (57)
- 遠位端と近位端を有する固定具であって、
遠位先端部を有する細長い本体と、
該細長い本体から、該細長い本体の近位方向に向かって径方向外側に延びる係留用フィラメントと、を具備し、該係留用フィラメントが、当該固定具が遠位方向に駆動されて組織の1つ以上の層の中に入るとき、前記細長い本体の近位方向への移動に抵抗するように構成された固定具。 - 前記係留用フィラメントよりも近位側に配置された近位ヘッドをさらに具備し、該近位ヘッドが前記細長い本体から径方向外側に延びていて、前記近位ヘッドが、当該固定具が遠位方向に駆動されて組織の1つ以上の層の中に入る深さを制限するように構成された請求項1に記載の固定具。
- 前記近位ヘッドが前記細長い本体に固定されている請求項1に記載の固定具。
- 前記近位ヘッドと前記細長い本体とが合わさって単一のモノリシック部材として形成されている請求項1に記載の固定具。
- 前記細長い本体の近位部と係合するように構成された近位ヘッドをさらに具備する請求項1に記載の固定具。
- 前記近位ヘッドがネジ山を有しており、前記近位ヘッドが前記細長い本体の近位部と係合するとき、前記ネジ山が前記細長い本体の近位部の対応するネジ山と係合し、前記細長い本体の近位部のネジ山に対して前記近位ヘッドを回転させることによって前記近位ヘッドを前記細長い本体の長手軸線に沿って移動させる請求項5に記載の固定具。
- 前記近位ヘッドが前記細長い本体の近位部と係合するときに前記近位ヘッドと前記細長い本体とが合わさってラチェットを形成し、前記近位ヘッドが前記細長い本体に沿って遠位方向に移動可能であり、前記細長い本体に沿った近位方向の移動が抑制される請求項5に記載の固定具。
- 生体吸収性材料からなる請求項1に記載の固定具。
- 全体が生体吸収性である請求項8に記載の固定具。
- 前記遠位先端部が丸くなっている請求項1に記載の固定具。
- 前記遠位先端部が徐々に細くなり尖った点になっている請求項1に記載の固定具。
- 前記遠位先端部がテーパ状である請求項1に記載の固定具。
- 前記遠位先端部が刃先である請求項12に記載の固定具。
- 前記遠位先端部が、少なくとも1つのテーパ状凹面刃先を有する請求項13に記載の固定具。
- 前記遠位先端部が、3つのテーパ状凹面刃先を有する請求項13に記載の固定具。
- 前記3つのテーパ状凹面刃先が、当該固定具の周囲に互いに等距離に配置されている請求項15に記載の固定具。
- 前記遠位先端部が逆刃先である請求項13に記載の固定具。
- 近位方向を向いた係留用フィラメントを有する固定具を埋め込むための外科用装置であって、
装置本体と、
該装置本体に連結していて第1の軟組織に侵入するように構成された固定具駆動装置と、を具備し、該固定具駆動装置が、支持されていない第2の軟組織と係合して前記固定具を前記第2の軟組織に係留することで、前記固定具が、前記第2の軟組織を前記第1の軟組織と密着させることができる外科用装置。 - 前記固定具駆動装置が、前記第1の軟組織と前記第2の軟組織との間の決められた距離に基づき、前記固定具を所定の速度で所定の距離移動させる請求項18に記載の外科用装置。
- 前記第1の軟組織と前記第2の軟組織との間の前記決められた距離に基づいて前記固定具駆動装置を調節し、前記固定具を様々な速度で様々な距離移動させることができる請求項19に記載の外科用装置。
- 前記固定具駆動装置が、前記固定具に前記第1の軟組織を通過させて前記第2の軟組織の中に入れるのに十分な運動量を前記固定具に与えるように構成された請求項18に記載の外科用装置。
- 前記固定具駆動装置が、水圧推進力を前記固定具に伝えることによって前記運動量を与える請求項21に記載の外科用装置。
- 前記水圧推進力として生理食塩水を利用する請求項22に記載の外科用装置。
- 固定具をさらに具備し、前記固定具が前記第1の軟組織を通過して前記第2の軟組織の中に入るとき、前記固定具の前記係留用フィラメントが、前記固定具の近位方向への移動に抵抗するように構成された請求項18に記載の外科用装置。
- 前記固定具が近位ヘッドを有し、前記固定具駆動装置が複数のフランジを有し、該フランジが前記近位ヘッドの遠位面と接触することで、前記固定具が前記固定具駆動装置によって駆動されて到達する深さを制限するように構成された請求項18に記載の外科用装置。
- 前記フランジが、前記固定具の前記近位ヘッドを解放するため互いに径方向に伸長可能である請求項25に記載の外科用装置。
- 前記固定具が縫合糸に取り付けられている請求項18に記載の外科用装置。
- 近位端及び遠位先端部を備える細長い本体を有する固定具と、
該固定具に固定され且つ前記細長い本体の近位端から延びるフィラメントと、を具備する外科用装置。 - 前記フィラメントが編まれたフィラメントである請求項28に記載の外科用装置。
- 前記固定具を前記フィラメントの上に同時押し出しすることによって形成される請求項28に記載の外科用装置。
- 前記固定具が、前記細長い本体から近位方向に延びる係留用フィラメントをさらに有し、前記固定具が遠位方向に駆動されて組織の1つ以上の層の中に入るとき、前記係留用フィラメントが、前記細長い本体の近位方向への移動に抵抗するように構成された請求項28に記載の外科用装置。
- 前記固定具及び前記フィラメントが生体吸収性材料からなる請求項28に記載の外科用装置。
- 前記固定具の遠位先端部が丸くなっている請求項28に記載の外科用装置。
- 前記固定具の遠位先端部が徐々に細くなり尖った点になっている請求項28に記載の外科用装置。
- 前記遠位先端部がテーパ状である請求項28に記載の外科用装置。
- 前記遠位先端部が刃先である請求項35に記載の外科用装置。
- 前記遠位先端部が、少なくとも1つのテーパ状凹面刃先を有する請求項36に記載の外科用装置。
- 前記遠位先端部が、3つのテーパ状凹面刃先を有する請求項36に記載の外科用装置。
- 前記3つのテーパ状凹面刃先が、前記固定具の周囲に互いに等距離に配置されている請求項38に記載の外科用装置。
- 前記遠位先端部が逆刃先である請求項35に記載の外科用装置。
- 近位端と遠位先端部とを有し、遠位方向に駆動されて組織の中に入るときに該組織の中に係留するように構成された固定具と、
該固定具に固定され、細長い本体の近位端から延びるフィラメントと、
前記細長い本体に連結し、前記固定具を遠位方向に駆動して前記組織の中に入れるように構成された固定具駆動装置と、を具備する外科用装置。 - 前記フィラメントが編まれたフィラメントである請求項41に記載の外科用装置。
- 前記固定具を駆動する距離が、駆動前の前記フィラメントのたるみの所定量によって制限され、前記距離が、前記フィラメントがぴんと張ることによって制限される請求項41に記載の外科用装置。
- 前記固定具が、該固定具を組織の中に入れて係留するように構成された近位方向に延びる係留用フィラメントを有する請求項41に記載の外科用装置。
- 前記固定具駆動装置が、前記固定具を駆動して第1の組織を通過させて第2の組織の中に入れ、前記固定具をその第2の組織の中に係留する請求項41に記載の外科用装置。
- 前記第1と第2の組織が軟組織であり、前記固定具駆動装置が、前記第2の軟組織が支持されていないときに前記固定具に前記第1の軟組織を通過させてその第2の軟組織の中に入れるのに十分な運動量を与えるように構成された請求項45に記載の外科用装置。
- 前記固定具駆動装置が、前記第1の組織と前記第2の組織との間の決められた距離に基づき、前記固定具を所定の速度で所定の距離移動させる請求項45に記載の外科用装置。
- 前記第1の組織と前記第2の組織の間の決められた距離に基づいて前記固定具駆動装置を調節し、前記固定具を様々な速度で様々な距離移動させることができる請求項47に記載の外科用装置。
- 前記固定具駆動装置が、水圧推進力を利用して前記固定具を駆動する請求項41に記載の外科用装置。
- 前記水圧推進力として生理食塩水を利用する請求項49に記載の外科用装置。
- 前記固定具が前記固定具駆動装置によって駆動された後、前記フィラメントを近位方向に巻き取るように構成されたキャプスタンをさらに具備する請求項41に記載の外科用装置。
- 前記固定具が組織の中に係留されているとき、前記フィラメントの近位方向への巻き取りによって、対応する近位方向へ組織を移動させる請求項41に記載の外科用装置。
- 前記固定具が前記フィラメント上に成形される請求項41に記載の外科用装置。
- 前記固定具が前記フィラメントと同時に押し出される請求項53に記載の外科用装置。
- 前記フィラメントが編まれたフィラメントである請求項54に記載の外科用装置。
- 前記固定具が、成形されて径方向を向けて配置された複数の係留用フィラメントを有する請求項45に記載の外科用装置。
- 細長い固定具本体と、
該固定具本体の遠位部に配置された翼部と、を具備し、前記固定具本体が外側に波形部を有し、前記翼部が外側に波形部を持つ外科用装置。
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