JP2017504411A - インターベンショナル副鼻腔内視鏡 - Google Patents
インターベンショナル副鼻腔内視鏡 Download PDFInfo
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- A—HUMAN NECESSITIES
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- 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
- A61B1/00131—Accessories for endoscopes
- A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
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- A—HUMAN NECESSITIES
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- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
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- 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
- A61B1/233—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 for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes
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- A—HUMAN NECESSITIES
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- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
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- A—HUMAN NECESSITIES
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- 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
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- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
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- Health & Medical Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
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Abstract
Description
本出願は、2014年1月15日に出願された米国特許出願第14/155506号の優先権を主張し、その内容全体は参照することにより本明細書に組み込まれる。
21 内視鏡の遠位端
22 しぼんだカテーテル/カテーテル
23 膨張されたカテーテル
24 取付部
25 視野角
26 ゲル、ヒドロゲル、またはキトサン系ヒドロゲルを含み、また液体、染料、または造影剤を含む別の種類の流体であってもよい治療薬
27 内視鏡の近位端
29 膨張可能なカテーテルの遠位領域における穴または細孔
30 副鼻腔内視鏡の傾斜先端
33 剛性スパイン
34 マルチルーメンカテーテル
35 ライトポスト
36 吸引口
37a バルブシリンジ
37b シリンジ
38 ルアーロックコネクタ
39 光ファイバーケーブル
40 内視鏡の接眼レンズ
41 ワーキングチャネル
42 副鼻腔
43 内視鏡シャフト
44 カテーテルの近位端
45 カテーテルの遠位端
46 内視鏡シャフトの近位端
47 内視鏡シャフトの遠位端
48 カテーテルの遠位部分
49 内視鏡の遠位部分
50 カテーテルの第1のルーメン
51 カテーテルの第2のルーメン
52 カテーテルの第3のルーメン
Claims (15)
- 近位端(44)および遠位端(45)を有するカテーテル(22)と、
近位端(27)および遠位端(21)を有する内視鏡(20)ならびに近位端(46)および遠位端(47)を有する内視鏡シャフト(43)と
を備えた治療薬送達デバイスを備えている装置であって、
1つ以上の取付部(24)は、前記内視鏡が前記カテーテル内で摺動可能に受容されうるように、前記カテーテル(48)の少なくとも遠位部分を前記内視鏡(49)の遠位部分に取り付けるために設けられ、
前記カテーテルは前記遠位端に膨張可能なルーメン(23)を有し、
前記膨張可能なルーメンは、前記カテーテルの前記近位端で治療薬(26)が注入されると膨張する、装置。 - 前記1つ以上の取付部は、前記内視鏡シャフトの外部表面の円周の少なくとも一部に取り付けられる前記カテーテルの長さに沿う一連のプロング、クリップ、リング、または接着剤からなる、請求項1に記載の装置。
- 前記膨張可能なルーメンが前記内視鏡シャフトの外方にのみ膨張する、請求項1に記載の装置。
- 前記治療薬は前記カテーテルの前記膨張可能なルーメンの外側表面を通って送達可能である、請求項3に記載の装置。
- 前記治療薬はゲル、ヒドロゲル、流体、液体、染料、および造影剤のうち少なくとも1つを含む、請求項4に記載の装置。
- 前記治療薬はキトサン系ヒドロゲルである、請求項5に記載の装置。
- 前記膨張可能なルーメンは前記膨張可能なルーメンの外側表面を通して前記治療薬の放出が可能であるように多孔質(29)である、請求項5に記載の装置。
- 前記治療薬は前記カテーテルの遠位先端を通って送達可能である、請求項1に記載の装置。
- 前記治療薬が遠位先端および前記カテーテルの前記膨張可能なルーメンの前記外側表面の両方を通って送達可能である、請求項4に記載の装置。
- 少なくとも第1のルーメン(50)および第2のルーメン(51)を備えるマルチルーメンカテーテル(34)と、
内視鏡(20)および内視鏡シャフト(43)と、
を備えた治療薬送達デバイス
を備えている装置であって、
前記内視鏡シャフトの遠位端は前記マルチルーメンカテーテルの前記第2のルーメンを通って挿入可能であり、
前記マルチルーメンカテーテルの前記第1のルーメンが遠位端において膨張可能なルーメンである、装置。 - 前記治療薬はゲル、ヒドロゲル、流体、液体、染料、および造影剤のうち少なくとも1つを含む、請求項10に記載の装置。
- 前記治療薬はキトサン系ヒドロゲルである、請求項11に記載の装置。
- 治療薬(26)を送達する方法であって、
カテーテル(22)を内視鏡シャフト(22)に隣接させて配置するステップであって、前記カテーテルには、前記内視鏡シャフトと摺動可能に係合するために1つ以上の取付部(24)が設けられている、ステップと、
前記カテーテルおよび前記内視鏡シャフトを副鼻腔通路に挿入するステップと、
前記カテーテル(44)の近位端で前記治療薬を注入するステップであって、それによって、前記カテーテルの遠位端(45)で膨張可能セクション(23)を強制的に膨張させ、前記治療薬を周囲の解剖学的構造内に溶出させるステップと、
を含み、
前記膨張可能セクションは、前記副鼻腔通路を通って簡単に除去できるように治療薬送達後にしぼむ、治療薬(26)を送達する方法。 - 前記1つ以上の取付部は、前記内視鏡シャフトの外部表面の円周の少なくとも一部に取り付けられる前記カテーテルの長さに沿う一連のプロング、クリップ、リング、または接着剤のうち少なくとも1つである、請求項13に記載の方法。
- 前記1つ以上の取付部は前記カテーテルの長さに沿って設けられた前記カテーテルの第2のルーメン(51)であり、中を通る内視鏡シャフトが適合するように十分に大きい、請求項13に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/155,506 US9827395B2 (en) | 2014-01-15 | 2014-01-15 | Interventional sinus endoscope |
US14/155,506 | 2014-01-15 | ||
PCT/US2014/056449 WO2015108575A1 (en) | 2014-01-15 | 2014-09-19 | Interventional sinus endoscope |
Publications (2)
Publication Number | Publication Date |
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JP2017504411A true JP2017504411A (ja) | 2017-02-09 |
JP6492093B2 JP6492093B2 (ja) | 2019-03-27 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2016546763A Expired - Fee Related JP6492093B2 (ja) | 2014-01-15 | 2014-09-19 | インターベンショナル副鼻腔内視鏡 |
Country Status (6)
Country | Link |
---|---|
US (1) | US9827395B2 (ja) |
EP (1) | EP3054830B1 (ja) |
JP (1) | JP6492093B2 (ja) |
CN (1) | CN106455904B (ja) |
ES (1) | ES2780880T3 (ja) |
WO (1) | WO2015108575A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20190067408A (ko) * | 2017-12-07 | 2019-06-17 | 서울대학교병원 | 내시경 장치용 카테터 삽입기 |
JP2021502163A (ja) * | 2017-11-09 | 2021-01-28 | タリス バイオメディカル エルエルシー | 尿道カテーテルと共に使用するための薬物送達装置及び方法 |
Families Citing this family (16)
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US9694163B2 (en) | 2013-12-17 | 2017-07-04 | Biovision Technologies, Llc | Surgical device for performing a sphenopalatine ganglion block procedure |
US9510743B2 (en) * | 2013-12-17 | 2016-12-06 | Biovision Technologies, Llc | Stabilized surgical device for performing a sphenopalatine ganglion block procedure |
US10016580B2 (en) * | 2013-12-17 | 2018-07-10 | Biovision Technologies, Llc | Methods for treating sinus diseases |
CN105326468A (zh) * | 2014-07-22 | 2016-02-17 | 芯发威达电子(上海)有限公司 | 具防水结构的咽喉镜及其防水结构 |
US10232082B2 (en) | 2015-06-29 | 2019-03-19 | 480 Biomedical, Inc. | Implantable scaffolds for treatment of sinusitis |
WO2017003514A1 (en) | 2015-06-29 | 2017-01-05 | Gyrus Acmi, Inc., D.B.A. Olympus Surgical Technologies America | Sheath for an endoscope |
US10219894B2 (en) | 2015-06-29 | 2019-03-05 | 480 Biomedical, Inc. | Implantable scaffolds for treatment of sinusitis |
WO2017004209A1 (en) | 2015-06-29 | 2017-01-05 | 480 Biomedical, Inc. | Scaffold loading and delivery systems |
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CN106455904B (zh) | 2018-10-02 |
US20150196735A1 (en) | 2015-07-16 |
ES2780880T3 (es) | 2020-08-27 |
EP3054830A1 (en) | 2016-08-17 |
EP3054830B1 (en) | 2020-01-08 |
JP6492093B2 (ja) | 2019-03-27 |
WO2015108575A1 (en) | 2015-07-23 |
CN106455904A (zh) | 2017-02-22 |
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