JP2016533225A - インプラントを配送するためのデバイス及び方法 - Google Patents
インプラントを配送するためのデバイス及び方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06028—Means for attaching suture to needle by means of a cylindrical longitudinal blind bore machined at the suture-receiving end of the needle, e.g. opposite to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/0608—J-shaped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
- A61F2002/0072—Delivery tools therefor
Abstract
Description
本出願は、「インプラントを配送するためのデバイス及び方法」という名称の2014年10月14日出願の米国非仮特許出願第14/514,052号に対する優先権を主張し、かつその継続出願であり、これは、次に、「インプラントを配送するためのデバイス及び方法」という名称の2013年10月17日出願の米国仮特許出願第61/892,057号に対する優先権を主張するものであり、これらの両方は、その全体が本明細書に引用によって組み込まれている。
Claims (20)
- 医療デバイス組立体であって、
支持部分及びアーム部分を有するインプラントと、
拡張器と、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第1の縫合糸と、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第2の縫合糸と、を含む医療デバイス組立体。 - 更に、前記拡張器に結合され、空洞を有するスリーブを含み、
前記インプラントのアーム部分の少なくとも一部分は、前記スリーブの空洞内に配置される、請求項1に記載の医療デバイス組立体。 - 更に、前記拡張器に結合され、空洞を形成するスリーブを含み、
前記インプラントのアーム部分の少なくとも一部分は、前記スリーブの空洞内に配置され、前記第1の縫合糸の少なくとも一部分は、前記スリーブの空洞内に配置され、前記第2の縫合糸の少なくとも一部分は、前記スリーブの空洞内に配置される、請求項1に記載の医療デバイス組立体。 - 更に、前記拡張器に結合され、前記医療デバイス組立体を配送デバイスに連結させるように構成された連結部材を含む、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸の第1の部分は、第1の位置で前記インプラントのアーム部分に結合され、前記第2の縫合糸の第1の部分は、前記第1の位置と異なる第2の位置で前記インプラントのアーム部分に結合される、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸の第1の部分は、第1の位置で前記インプラントのアーム部分に結合され、前記第2の縫合糸の第1の部分は、前記第1の位置と異なる第2の位置で前記インプラントのアーム部分に結合され、前記第1の位置は、前記第2の位置と前記インプラントの支持部分との間に配置される、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸は、前記インプラントのアーム部分の一部分の中を通して縫われ且つループを形成し、前記第2の縫合糸も、前記インプラントのアーム部分の一部分の中を通して縫われ且つループを形成する、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸は、ループを形成し、前記第2の縫合糸は、前記拡張器に結合された第1の端部と、前記拡張器から離れて配置された第2の端部とを有する、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸は、ループを形成し、前記第2の縫合糸は、前記拡張器に結合された第1の端部と、前記インプラントのアーム部分に結合された第2の端部とを有する、請求項1に記載の医療デバイス組立体。
- 前記第1の縫合糸は、ループを形成し、前記第1の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の一部分の中を通して縫われ、前記第2の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の長手方向軸線に沿って縫われる、請求項1に記載の医療デバイス組立体。
- 前記インプラントのアーム部分は、第1のアーム部分であり、前記拡張器は、第1の拡張器であり、前記インプラントは、第2のアーム部分を含み、
前記医療デバイス組立体は、更に、
第2の拡張器と、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第3の縫合糸と、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第4の縫合糸と、を含む請求項1に記載の医療デバイス組立体。 - 医療デバイス組立体であって、
支持部分及びアーム部分を有するインプラントと、
拡張器と、
前記拡張器に結合されたスリーブと、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第1の縫合糸と、
前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有し、前記スリーブの一部分及び前記インプラントのアーム部分の一部分を通して縫われる第2の縫合糸と、を含む医療デバイス組立体。 - 前記スリーブは、空洞を有し、前記インプラントのアーム部分の少なくとも一部分は、前記スリーブの空洞内に配置される、請求項12に記載の医療デバイス組立体。
- 前記スリーブは、空洞を有し、前記インプラントのアーム部分の少なくとも一部分は、前記スリーブの空洞内に配置され、前記第1の縫合糸の少なくとも一部分は、前記スリーブの空洞内に配置される、請求項12に記載の医療デバイス組立体。
- 前記第1の縫合糸の第1の端部分は、前記拡張器に結合され、前記第1の縫合糸の第2の端部分は、前記第1の縫合糸がループを形成するように前記拡張器に結合される、請求項12に記載の医療デバイス組立体。
- 前記第1の縫合糸は、ループを形成する、請求項12に記載の医療デバイス組立体。
- 前記第1の縫合糸は、ループを形成し、前記第1の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の一部分の中を通して縫われる、請求項12に記載の医療デバイス組立体。
- 患者の身体内にインプラントを置く方法であって、
組立体の第1の部分が患者の身体内に配置され、前記組立体の第2の部分が患者の身体の外側に配置されるように、前記組立体を患者の身体の中に挿入する段階を含み、前記組立体は、支持部分及びアーム部分を有するインプラントと、拡張器と、前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第1の縫合糸と、前記インプラントのアーム部分に結合された第1の部分及び前記拡張器に結合された第2の部分を有する第2の縫合糸と、を含み、
更に、前記第1の縫合糸を切断する段階と、
前記第2の縫合糸を切断する段階と、
前記インプラントの少なくとも一部分が患者の身体内に残るように、前記拡張器を前記インプラントから分離する段階と、を含む方法。 - 前記第1の縫合糸は、ループを形成し、前記第1の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の一部分を通して縫われる、請求項18に記載の方法。
- 前記第1の縫合糸は、ループを形成し、前記第1の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の一部分を通して縫われ、前記第2の縫合糸の少なくとも一部分は、前記インプラントのアーム部分の一部分を通して縫われる、請求項18に記載の方法。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
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US201361892057P | 2013-10-17 | 2013-10-17 | |
US61/892,057 | 2013-10-17 | ||
US14/514,052 | 2014-10-14 | ||
US14/514,052 US9962251B2 (en) | 2013-10-17 | 2014-10-14 | Devices and methods for delivering implants |
PCT/US2014/060683 WO2015057833A1 (en) | 2013-10-17 | 2014-10-15 | Devices and methods for delivering implants |
Publications (2)
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JP2016533225A true JP2016533225A (ja) | 2016-10-27 |
JP6405375B2 JP6405375B2 (ja) | 2018-10-17 |
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JP2016523936A Active JP6405375B2 (ja) | 2013-10-17 | 2014-10-15 | インプラントを配送するためのデバイス |
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US (1) | US9962251B2 (ja) |
EP (1) | EP3057533B1 (ja) |
JP (1) | JP6405375B2 (ja) |
CN (1) | CN105636551B (ja) |
WO (1) | WO2015057833A1 (ja) |
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RU2645118C1 (ru) * | 2017-05-24 | 2018-02-15 | Игорь Иванович Комраков | Система для хирургической реконструкции переднего и апикального отделов тазового дна у женщин |
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Publication number | Priority date | Publication date | Assignee | Title |
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US9962251B2 (en) | 2013-10-17 | 2018-05-08 | Boston Scientific Scimed, Inc. | Devices and methods for delivering implants |
RU201304U1 (ru) * | 2020-08-26 | 2020-12-08 | Анатолий Иванович Ищенко | Фиксатор лигатуры в мягких тканях |
RU203395U1 (ru) * | 2020-11-16 | 2021-04-02 | Анатолий Иванович Ищенко | Фиксатор лигатуры в мягких тканях |
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RU2645118C1 (ru) * | 2017-05-24 | 2018-02-15 | Игорь Иванович Комраков | Система для хирургической реконструкции переднего и апикального отделов тазового дна у женщин |
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JP6405375B2 (ja) | 2018-10-17 |
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