JP2013523370A - 医学的処置時に腹壁を持ち上げるための装置および方法 - Google Patents
医学的処置時に腹壁を持ち上げるための装置および方法 Download PDFInfo
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- JP2013523370A JP2013523370A JP2013504347A JP2013504347A JP2013523370A JP 2013523370 A JP2013523370 A JP 2013523370A JP 2013504347 A JP2013504347 A JP 2013504347A JP 2013504347 A JP2013504347 A JP 2013504347A JP 2013523370 A JP2013523370 A JP 2013523370A
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- 238000000034 method Methods 0.000 title claims abstract description 49
- 210000003815 abdominal wall Anatomy 0.000 title description 13
- 210000003205 muscle Anatomy 0.000 claims abstract description 31
- 206010033675 panniculitis Diseases 0.000 claims abstract description 31
- 210000003491 skin Anatomy 0.000 claims abstract description 31
- 210000004304 subcutaneous tissue Anatomy 0.000 claims abstract description 31
- 210000000056 organ Anatomy 0.000 claims abstract description 19
- 210000001015 abdomen Anatomy 0.000 claims abstract description 12
- 238000000926 separation method Methods 0.000 claims abstract description 7
- 208000005646 Pneumoperitoneum Diseases 0.000 claims description 10
- 238000003780 insertion Methods 0.000 claims description 7
- 230000037431 insertion Effects 0.000 claims description 7
- 239000011261 inert gas Substances 0.000 claims description 6
- 210000000746 body region Anatomy 0.000 claims description 5
- 239000007789 gas Substances 0.000 claims description 5
- 238000001356 surgical procedure Methods 0.000 claims description 5
- 238000002347 injection Methods 0.000 claims 1
- 239000007924 injection Substances 0.000 claims 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 206010019909 Hernia Diseases 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 230000003966 vascular damage Effects 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- 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
-
- 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
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
-
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/80—Suction pumps
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
- A61B2017/308—Surgical pincettes without pivotal connections holding by means of suction with suction cups
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Pathology (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
【選択図】図2
Description
Claims (12)
- 医学的処置時に、患者の皮膚、皮下組織および筋肉を持ち上げるための装置(100)であって、
少なくとも1つの開口部(102)と、
少なくとも1つの空気吸引口(104)と、
少なくとも1つのリングライナー(106)と、を備え、
前記開口部(102)は、前記装置の頂部に位置し、内在する器官または解剖学的要素である腔からの、皮膚、皮下組織および筋肉の分離によって形成した患者の体腔内に外科用器具を挿入するための手段を有し、
前記空気吸引口(104)は、外部真空システムと管を介して外部に接続され、負圧を患者の体腔に導入することを可能にするための手段を有し、かつ、
前記リングライナー(106)は、前記装置と皮膚の間の柔らかな接触のための手段を有し、かつ前記装置と皮膚の間に確実な密封を提供することを特徴とする装置。 - 固定手段なしで、患者の対象医療介在領域に設置される、請求項1記載の装置(100)。
- 前記開口部(102)が、複数の外科用器具の先端部が患者の体腔に突出することを可能にする、前記複数の外科用器具の挿入のための管路をさらに備える、請求項1記載の装置(100)。
- 前記開口部(102)が、少なくとも部分的に開口を密閉して、注入ガスの漏れを抑制する、シールをさらに備える、請求項1記載の装置(100)。
- 負圧と正圧不活性ガスとの交換における医学的処置において、患者の腹部から取り除くことが可能である、請求項1記載の装置(100)。
- ガス注入される腹部の形状に適合するように作製される、請求項1記載の装置(100)。
- 使い捨て装置である、請求項1記載の装置(100)。
- 前記リングライナー(106)が、大気圧に対して確実な密封を提供する、請求項1記載の装置(100)。
- 医学的処置時に、患者の皮膚、皮下組織および筋肉を持ち上げるための、請求項1記載の装置(100)の使用。
- 医学的処置時に、患者の皮膚、皮下組織および筋肉を持ち上げるための方法(200)であって、
患者の身体に内在する器官から、患者の対象医療介在領域を持ち上げるために、前記患者の対象医療介在領域に装置を設置するステップ(202)と、
吸引口(104)を介して、前記患者の対象身体領域に負圧をかけて、気腹を形成するステップ(204)と、
前記装置の頂部の開口部を介して、医学的処置において、患者の腹部に外科用器具を挿入するステップ(206)と、を含む、方法。 - 吸引口を介して、患者の対象身体領域に負圧をかけて、気腹を形成するステップ(204)が、
患者の体腔内に内在する器官から、患者の皮膚、皮下組織および筋肉を持ち上げるのに十分な負圧が存在することを制御および確保するために、前記吸引口に接続される、外部真空システムから負圧のレベルを調節するステップ(302)と、
前記装置の頂部の開口部を通じた、器具の挿入によって、患者の体腔に不活性ガスを注入して、負圧が十分なレベルに達したとき、患者の体腔内に内在する器官と、患者の皮膚、皮下組織および筋肉との分離を増大させるステップ(304)と、をさらに含む、請求項10記載の方法。 - 医学的処置において、患者の腹部に外科用器具を挿入するステップ(206)が、前記装置の頂部に位置する開口部を開口部および前記開口部の管路を介して、または、少なくとも1つの外科用器具の先端部が、患者の体腔に突出することを可能にするように、患者の腹部に直接、前記少なくとも1つの外科用器具を挿入することをさらに含む、請求項10記載の方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/IB2010/000797 WO2011128713A1 (en) | 2010-04-12 | 2010-04-12 | A device and method for lifting abdominal wall during medical procedure |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2013523370A true JP2013523370A (ja) | 2013-06-17 |
Family
ID=44798303
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013504347A Pending JP2013523370A (ja) | 2010-04-12 | 2010-04-12 | 医学的処置時に腹壁を持ち上げるための装置および方法 |
Country Status (6)
Country | Link |
---|---|
US (1) | US20130197315A1 (ja) |
EP (1) | EP2558006A4 (ja) |
JP (1) | JP2013523370A (ja) |
KR (1) | KR20130076816A (ja) |
AU (1) | AU2010351314A1 (ja) |
WO (1) | WO2011128713A1 (ja) |
Families Citing this family (20)
Publication number | Priority date | Publication date | Assignee | Title |
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US10548659B2 (en) | 2006-01-17 | 2020-02-04 | Ulthera, Inc. | High pressure pre-burst for improved fluid delivery |
US8518069B2 (en) | 2005-09-07 | 2013-08-27 | Cabochon Aesthetics, Inc. | Dissection handpiece and method for reducing the appearance of cellulite |
US9011473B2 (en) | 2005-09-07 | 2015-04-21 | Ulthera, Inc. | Dissection handpiece and method for reducing the appearance of cellulite |
US9486274B2 (en) | 2005-09-07 | 2016-11-08 | Ulthera, Inc. | Dissection handpiece and method for reducing the appearance of cellulite |
US9358033B2 (en) | 2005-09-07 | 2016-06-07 | Ulthera, Inc. | Fluid-jet dissection system and method for reducing the appearance of cellulite |
US7885793B2 (en) | 2007-05-22 | 2011-02-08 | International Business Machines Corporation | Method and system for developing a conceptual model to facilitate generating a business-aligned information technology solution |
US9248317B2 (en) | 2005-12-02 | 2016-02-02 | Ulthera, Inc. | Devices and methods for selectively lysing cells |
US8439940B2 (en) | 2010-12-22 | 2013-05-14 | Cabochon Aesthetics, Inc. | Dissection handpiece with aspiration means for reducing the appearance of cellulite |
US11096708B2 (en) | 2009-08-07 | 2021-08-24 | Ulthera, Inc. | Devices and methods for performing subcutaneous surgery |
US9358064B2 (en) | 2009-08-07 | 2016-06-07 | Ulthera, Inc. | Handpiece and methods for performing subcutaneous surgery |
WO2014088894A1 (en) | 2012-12-06 | 2014-06-12 | Children's Hospital & Research Center Oakland | Variable pressure upper torso braces and methods related thereto |
ITEN20130002A1 (it) | 2013-02-13 | 2014-08-14 | Franca Gianni | Accessorio ed assieme per l¿induzione dello pneumoperitoneo |
US10172640B2 (en) * | 2015-04-17 | 2019-01-08 | Life Care Medical Devices, Ltd. | Device for lifting abdominal wall during medical procedure |
US9855184B2 (en) | 2013-05-09 | 2018-01-02 | Children's Hospital & Research Center At Oakland | Non-surgical torso deformity correction devices and methods related thereto |
GB2526151A (en) * | 2014-05-16 | 2015-11-18 | Narvitas Medical Devices Ltd | A medical device for use in the creation of a temporary pneumoperitoneum |
US20200222039A1 (en) * | 2014-05-16 | 2020-07-16 | Dome Medical Technologies, Inc. | Medical device for use in the creation of a temporary pneumoperitoneum |
WO2017201545A1 (en) | 2016-05-20 | 2017-11-23 | Lapovations, LLC | Device and methods for lifting patient tissue during laparoscopic surgery |
US11344287B2 (en) | 2017-12-11 | 2022-05-31 | Lapovations, LLC | Laparoscopic surgical instrument |
IT202100008168A1 (it) | 2021-04-01 | 2022-10-01 | Gicastart S R L | Strumento per l’induzione dello pneumoperitoneo ed assieme comprendente lo strumento |
IT202100008843A1 (it) | 2021-04-09 | 2022-10-09 | Gicastart S R L | Strumento per l’introduzione diretta di un trocar |
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JPH07313516A (ja) * | 1994-03-15 | 1995-12-05 | Ethicon Endo Surgery Inc | 外科用の持上げ方法及び装置 |
JP2002539882A (ja) * | 1999-03-26 | 2002-11-26 | エシコン・エンド−サージェリィ・インコーポレイテッド | 真空作動式組織リフト装置および方法 |
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JP2009148542A (ja) * | 2007-09-25 | 2009-07-09 | Ethicon Endo Surgery Inc | 膨張可能な医療装置 |
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US20080058851A1 (en) * | 2006-09-01 | 2008-03-06 | Edelstein Peter Seth | Method and apparatus for assisting in the introduction of surgical implements into a body |
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-
2010
- 2010-04-12 AU AU2010351314A patent/AU2010351314A1/en not_active Abandoned
- 2010-04-12 US US13/640,015 patent/US20130197315A1/en not_active Abandoned
- 2010-04-12 EP EP20100849757 patent/EP2558006A4/en not_active Withdrawn
- 2010-04-12 WO PCT/IB2010/000797 patent/WO2011128713A1/en active Application Filing
- 2010-04-12 KR KR1020127029658A patent/KR20130076816A/ko not_active Application Discontinuation
- 2010-04-12 JP JP2013504347A patent/JP2013523370A/ja active Pending
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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JPH07313516A (ja) * | 1994-03-15 | 1995-12-05 | Ethicon Endo Surgery Inc | 外科用の持上げ方法及び装置 |
JP2002539882A (ja) * | 1999-03-26 | 2002-11-26 | エシコン・エンド−サージェリィ・インコーポレイテッド | 真空作動式組織リフト装置および方法 |
JP2009000340A (ja) * | 2007-06-22 | 2009-01-08 | Daiken Iki Kk | 気腹ガス循環装置及びこれを備えた気腹ガス循環システム |
JP2009148542A (ja) * | 2007-09-25 | 2009-07-09 | Ethicon Endo Surgery Inc | 膨張可能な医療装置 |
Also Published As
Publication number | Publication date |
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AU2010351314A1 (en) | 2012-11-29 |
KR20130076816A (ko) | 2013-07-08 |
US20130197315A1 (en) | 2013-08-01 |
EP2558006A4 (en) | 2013-09-04 |
WO2011128713A1 (en) | 2011-10-20 |
EP2558006A1 (en) | 2013-02-20 |
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