JP2018027490A5 - - Google Patents

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JP2018027490A5
JP2018027490A5 JP2017232401A JP2017232401A JP2018027490A5 JP 2018027490 A5 JP2018027490 A5 JP 2018027490A5 JP 2017232401 A JP2017232401 A JP 2017232401A JP 2017232401 A JP2017232401 A JP 2017232401A JP 2018027490 A5 JP2018027490 A5 JP 2018027490A5
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lumen
microsurgical instrument
electrophysiological
lumen wall
microfinger
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  1. 腔内における展開に際して管腔壁に対して前記管腔内の領域をバイアスするように構成される実質的に伸長された構造を有するマイクロフィンガーと、
    前記領域付近で電気的かつ機械的に前記マイクロフィンガーに連結され、前記管腔壁と干渉するために構成される検知チップであって、
    前記管腔付近内の電気生理学的活動を測定し、
    前記管腔付近内の測定された前記電気生理学的活動に関連する1又は複数の電気生理学的信号を体外システムに伝達するために構成される、前記検知チップと、
    前記マイクロフィンガーの前記管腔内における展開に際して、前記管腔内に位置するように、前記前記検知チップに電気的に連結し、前記検知チップに接して前記マイクロフィンガーに電気的に取り付けられた微小回路であって、
    前記体外システムに前記電気生理学的信号を伝達する前に、前記管腔内の前記検知チップで検知された前記電気生理学的信号の調整を行うように配置された前記微小回路と、
    を含む、前記管腔付近内の前記電気生理学的活動をモニタリングする顕微手術具であって、
    前記検知チップで検知された前記電気生理学的信号の調整が、前記電気生理学的信号をデジタル形式に変換すること、および、前記電気生理学的信号を増幅すること、の少なくとも一方を含む、顕微手術具。
  2. 前記電気生理学的信号が、水分濃度、緊張、誘発電位、神経活動の遠隔刺激、筋電図信号[EMG]、筋音図信号[MMG]、局所電場電位、電気音響学的事象、血管拡張、血管壁の硬化度、筋交感神経活動[MSNA]、中枢交感神経ドライブ、組織緊張、及び神経連絡の1又は複数に関連する、請求項1に記載の顕微手術具。
  3. 前記マイクロフィンガーが、前記管腔の長手方向に及び/又は前記管腔の円周方向に沿って掃過される間、前記管腔壁との接触を実質的に維持するように構成される、請求項1に記載の顕微手術具。
  4. 前記マイクロフィンガーが、前記マイクロフィンガーと前記管腔壁の間の相対運動の間、前記管腔壁に対して実質的に一定の荷重を維持するように構成される、請求項1に記載の顕微手術具。
  5. 複数の前記マイクロフィンガーを含み、展開に際して、前記マイクロフィンガーのそれぞれが前記管腔壁に対して実質的に独立してバイアスするように構成される、請求項1に記載の顕微手術具。
  6. 前記マイクロフィンガーが、制御信号の受容に際して、前記検知チップと前記管腔壁との間の接触力を変更するために構成される活性材料要素を含む、請求項1に記載の顕微手術具。
  7. 前記検知チップが1又は複数の電極を含み、
    前記1又は複数の電極の少なくとも1つが露出した電極領域を含み、前記露出した電極領域が前記検知チップを前記管腔壁中に実質的に埋め込むように構成され、
    前記露出した電極領域が、前記露出した電極領域と前記管腔壁の間の相対運動の間、前記管腔壁に対して実質的に一定の荷重を維持するように構成されるように、前記検知チップのコアフレクシャの中立軸の片側に対して配向される、請求項1に記載の顕微手術具。
  8. 前記マイクロフィンガーが、前記管腔を通る流体の流れを妨げることなく前記管腔壁との接触を維持するために構成された長手方向のワイヤーゲージを形成する複数のマイクロフィンガーの一部である、請求項1に記載の顕微手術具。
  9. 前記管腔内の標的部位へ前記長手方向のワイヤーゲージの誘導を補助するために構成されたガイドワイヤと、前記長手方向のワイヤーゲージを通る前記ガイドワイヤの通路を調整するために構成された遠位小環をさらに含む、請求項8に記載の顕微手術具。
  10. 前記マイクロフィンガーが、放射状にバイアスされた屈曲バネを含む、請求項1に記載の顕微手術具。
JP2017232401A 2012-01-26 2017-12-04 制御された交感神経切除並びに顕微焼灼システム及び方法 Pending JP2018027490A (ja)

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US201261590812P 2012-01-26 2012-01-26
US61/590,812 2012-01-26
US201261613097P 2012-03-20 2012-03-20
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US (2) US10470684B2 (ja)
EP (2) EP3915629A1 (ja)
JP (2) JP6552824B2 (ja)
CN (2) CN107468330B (ja)
AU (1) AU2013211951B2 (ja)
CA (3) CA2862862C (ja)
MX (1) MX347625B (ja)
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