JP2016510659A5 - - Google Patents

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JP2016510659A5
JP2016510659A5 JP2016500385A JP2016500385A JP2016510659A5 JP 2016510659 A5 JP2016510659 A5 JP 2016510659A5 JP 2016500385 A JP2016500385 A JP 2016500385A JP 2016500385 A JP2016500385 A JP 2016500385A JP 2016510659 A5 JP2016510659 A5 JP 2016510659A5
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一部のバリエーションにおいて、送達装置の遠位係合部は連結磁石を備えてよい。これらのバリエーションの一部において、連結磁石の牽引により、グラスパーを遠位係合部から分離させてよい。作動ロッドの牽引は連結磁石を牽引するように構成されてよい。一部のバリエーションにおいて、遠位係合部は、連結磁石を前進位置へと偏向させるために配置されたばね(例えば、トーションばね、片持ちばね等)を備えてよい。
本発明は、例えば、以下を提供する。
(項目1)
組織を把持するための装置であって、
貫通する内腔を有する胴部を備える本体と、
前記本体に回転可能に連結された第1の顎と、
第2の顎と、
前記第1の顎から延在する近位アームであって、前記近位アームの少なくとも一部が前記本体から露出する、近位アームと、
を備え、
前記近位アームの露出部分と前記本体とに印加される力が前記第1の顎を前記第2の顎に対して回転させるように前記装置が構成され、前記胴部の前記内腔を通じた作動ロッドの前進が前記第1の顎を前記第2の顎に対して回転させるように前記装置が構成された、装置。
(項目2)
前記内腔が近位セグメントと遠位セグメントとを備え、前記近位セグメントの直径が前記遠位セグメントの直径よりも大きい、項目1に記載の装置。
(項目3)
前記内腔が前記近位セグメントと前記遠位セグメントとの間に中間セグメントをさらに備え、前記中間セグメントの直径が前記近位セグメントの直径及び前記遠位セグメントの直径よりも大きい、項目2に記載の装置。
(項目4)
前記装置の少なくとも一部が少なくとも1種の磁性材料または強磁性材料から形成された、項目1に記載の装置。
(項目5)
前記第1の顎に取り付けられた偏心カム部材をさらに備え、前記偏心カム部材の回転が前記第1の顎を回転させるように構成された、項目1に記載の装置。
(項目6)
前記近位アームが湾曲セグメントを備える、項目1に記載の装置。
(項目7)
前記近位アームが、前記湾曲セグメントと前記第1の顎との間に位置する直線状セグメントをさらに備える、項目6に記載の装置。
(項目8)
前記第1の顎が前記第2の顎に向けて回転的に偏向する、項目1に記載の装置。
(項目9)
組織を把持するためのシステムであって、
貫通する内腔を有する胴部を備える本体と、前記本体に回転可能に連結された第1の顎と、第2の顎と、を備えるグラスパー、及び
把柄と、前記グラスパーに着脱可能に連結するように構成された遠位係合部と、前記把柄と前記遠位係合部とを接続するシャフトと、作動ロッドと、を備える送達装置、
を含み、
前記第1の顎を前記第2の顎に対して回転させるために前記作動ロッドが前記内腔を通じて前進可能である、
システム。
(項目10)
前記送達装置が拡張可能な遠位端を有するロッキングシースを備え、前記送達装置が前記胴部の前記内腔内で前記拡張可能な遠位部分を非拡張形態から拡張形態へと拡張させて前記ロッキングシースを前記グラスパーに連結させるように構成された、項目9に記載のシステム。
(項目11)
前記内腔が近位セグメントと遠位セグメントとを備え、前記近位セグメントの直径が前記遠位セグメントの直径よりも大きく、
前記ロッキングシースの前記拡張可能な遠位部分が非拡張形態において前記近位セグメントを通じて前進することができ、前記ロッキングシースの前記拡張可能な遠位部分が前記非拡張形態にある場合に前記近位セグメントを通じて前進するのを防ぐことができる、項目10に記載のシステム。
(項目12)
前記内腔が前記近位セグメントと前記遠位セグメントとの間に中間セグメントをさらに備え、前記中間セグメントの直径が前記近位セグメントの直径及び前記遠位セグメントの直径よりも大きく、
前記ロッキングシースの前記拡張可能な遠位部分が前記中間セクションにおいて拡張するように構成され、前記ロッキングシースの前記拡張可能な遠位部分が拡張した場合に前記近位セグメントを通じた前記ロッキングシースの前記拡張可能な遠位部分の引き込みが防がれる、項目11に記載のシステム。
(項目13)
前記作動ロッドが前記ロッキングシース内に配置され、前記作動ロッドの前記ロッキングシースに対する前進が前記ロッキングシースの前記拡張可能な遠位部分を拡張させるように構成された、項目10に記載のシステム。
(項目14)
前記ロッキングシースの前記拡張可能な遠位部分が前記作動ロッドの少なくとも1つの窪みに適合するように構成された少なくとも1つの内部突起部を備える、項目13に記載のシステム。
(項目15)
前記作動ロッドの前記ロッキングシースに対する前進が、前記少なくとも1つの内部突起部を前記少なくとも1つの窪みに対してスライドさせて前記ロッキングシースの前記拡張可能な遠位部分を拡張させる、項目14に記載のシステム。
(項目16)
前記遠位係合部が連結磁石を備える、項目9に記載のシステム。
(項目17)
前記連結磁石の牽引が前記グラスパーを前記遠位係合部から分離させる、項目16に記載のシステム。
(項目18)
前記作動ロッドの牽引が前記連結磁石を牽引するように構成された、項目17に記載のシステム。
(項目19)
前記遠位係合部が、前記連結磁石を前進位置へと偏向させるために配置されたばねを備える、項目16に記載のシステム。
(項目20)
前記本体に対する近位アームの回転が前記第1の顎を前記第2の顎から離れるように回転させるように、前記第1の顎に接続された近位アームを前記グラスパーが備える、項目9に記載のシステム。
(項目21)
前記グラスパーが、前記第1の顎に取り付けられた偏心カム部材を備え、前記偏心カム部材の回転が前記第1の顎を回転させるように構成された、項目20に記載のシステム。
(項目22)
前記近位アームが湾曲セグメントを備える、項目20に記載のシステム。
(項目23)
前記近位アームが、前記湾曲セグメントと前記第1の顎との間に位置する直線状セグメントをさらに備える、項目22に記載のシステム。

Claims (15)

  1. 組織を把持するためのシステムであって、
    グラスパーを備え、前記グラスパーは、
    貫通する内腔を有する胴部を備える本体と、
    前記本体に回転可能に連結された第1の顎と、
    第2の顎と、
    前記第1の顎から延在する近位アームであって、前記近位アームの少なくとも一部が前記本体から露出する、近位アームと、
    を備え、
    前記近位アームの露出部分と前記本体とに印加される力が前記第1の顎を前記第2の顎に対して回転させるように前記装置が構成され、前記胴部の前記内腔を通じた作動ロッドの前進が前記第1の顎を前記第2の顎に対して回転させるように前記装置が構成された、システム
  2. 前記内腔が近位セグメントと遠位セグメントとを備え、前記近位セグメントの直径が前記遠位セグメントの直径よりも大きい、請求項1に記載のシステム
  3. 前記内腔が前記近位セグメントと前記遠位セグメントとの間に中間セグメントをさらに備え、前記中間セグメントの直径が前記近位セグメントの直径及び前記遠位セグメントの直径よりも大きい、請求項2に記載のシステム
  4. 前記装置の少なくとも一部が少なくとも1種の磁性材料または強磁性材料から形成された、請求項1に記載のシステム
  5. 前記第1の顎に取り付けられた偏心カム部材をさらに備え、前記偏心カム部材の回転が前記第1の顎を回転させるように構成された、請求項1に記載のシステム
  6. 前記近位アームが湾曲セグメントを備える、請求項1に記載のシステム
  7. 前記近位アームが、前記湾曲セグメントと前記第1の顎との間に位置する直線状セグメントをさらに備える、請求項6に記載のシステム
  8. 前記第1の顎が前記第2の顎に向けて回転的に偏向する、請求項1に記載のシステム
  9. 柄と、前記グラスパーに着脱可能に連結するように構成された遠位係合部と、前記把柄と前記遠位係合部とを接続するシャフトと、作動ロッドと、を備える送達装置、
    さらに含み、
    前記第1の顎を前記第2の顎に対して回転させるために前記作動ロッドが前記内腔を通じて前進可能である、
    請求項1に記載のシステム。
  10. 前記送達装置が拡張可能な遠位部分を有するロッキングシースを備え、前記送達装置が前記胴部の前記内腔内で前記拡張可能な遠位部分を非拡張形態から拡張形態へと拡張させて前記ロッキングシースを前記グラスパーに連結させるように構成された、請求項9に記載のシステム。
  11. 前記作動ロッドが前記ロッキングシース内に配置され、前記作動ロッドの前記ロッキングシースに対する前進が前記ロッキングシースの前記拡張可能な遠位部分を拡張させるように構成された、請求項10に記載のシステム。
  12. 前記遠位係合部が連結磁石を備える、請求項9に記載のシステム。
  13. 前記連結磁石の牽引が前記グラスパーを前記遠位係合部から分離させる、請求項12に記載のシステム。
  14. 前記作動ロッドの牽引が前記連結磁石を牽引するように構成された、請求項13に記載のシステム。
  15. 前記遠位係合部が、前記連結磁石を前進位置へと偏向させるために配置されたばねを備える、請求項12に記載のシステム。
JP2016500385A 2013-03-12 2014-02-25 位置調整が磁気により制御されるグラスパー Active JP6864473B2 (ja)

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US14/019,404 US9339285B2 (en) 2013-03-12 2013-09-05 Grasper with magnetically-controlled positioning
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