JP2018534079A - リードレス心臓装置の為の搬送装置及び方法 - Google Patents
リードレス心臓装置の為の搬送装置及び方法 Download PDFInfo
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Images
Classifications
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/059—Anchoring means
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/0097—Catheters; Hollow probes characterised by the hub
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
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- A—HUMAN NECESSITIES
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- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
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- A—HUMAN NECESSITIES
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- A61M25/00—Catheters; Hollow probes
- A61M2025/0004—Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system
- A61M2025/0006—Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system which can be secured against axial movement, e.g. by using a locking cuff
Abstract
Description
一例では、植込式リードレスペーシング装置を搬送する為の搬送装置は、その近位端から遠位端まで延びる管腔を備える外側管状部材と、その近位端から遠位端まで延びる管腔を備える中間管状部材と、中間管状部材が外側管状部材の管腔の内部に摺動可能に配置されることと、中間管状部材が、植込式リードレスペーシング装置を受承する為の腔所をその中に形成する遠位保持部を備えることと、その近位端から遠位端まで延びる管腔を備える内側管状部材と、内側管状部材が中間管状部材の管腔の内部に摺動可能に配置されることと、外側管状部材の近位端に隣接して取り付けられた第1ハブ部と中間管状部材の近位端に隣接して取り付けられた第2ハブ部と内側管状部材の近位端に隣接して取り付けられた第3ハブ部とを備えるハンドルアセンブリと、ハンドルアセンブリの内部に配置された多段配置機構とを備える。多段配置機構は、植込式リードレスペーシング装置を徐々に配置する。
上記例のいずれか1つに代替的にまたは追加的に、別例では、搬送装置は、第2ハブ部の外表面に配置された近位端と遠位端とを有する長軸方向に延びる溝をさらに備え、溝の遠位端は溝の近位端から周方向に偏倚されている。
上記例のいずれか1つに代替的にまたは追加的に、別例では、多段配置機構は、溝の内側に配置される内方に延びる係合要素を備える。
上記例のいずれか1つに代替的にまたは追加的に、別例では、ロック機構は、第2ハブ部と第1ハブ部とを離脱可能に連結する。
別例では、搬送装置の第1ハブ部に取り付けられた外側管状部材と、搬送装置の第2ハブ部に取り付けられた中間管状部材と、搬送装置の第3ハブ部に取り付けられた内側管状部材とを個別に駆動する方法は、第3ハブ部に配置された多段配置機構を駆動することと、多段配置機構が内方に延びる突出部を備えることと、内方に延びる突出部が第2ハブ部に配置されている急停止部に接するまで第3ハブ部を第1ハブ部と第2ハブ部に対して遠位方向に前進させることと、第3ハブ部を回転させることと、第1ハブ部と第2ハブ部とを第3ハブ部に対して近位方向に後退させることとからなる。
上記例のいずれか1つに代替的にまたは追加的に、別例では、溝の遠位端は、溝の近位端から周方向に偏倚している。
上記例のいずれか1つに代替的にまたは追加的に、別例では、方法は、第1ハブ部に配置されたロック機構を駆動することをさらに含む。
上記例のいずれか1つに代替的にまたは追加的に、別例では、方法は、第1ハブ部に対して第2ハブ部を遠位方向に前進させることをさらに含む。
上記例のいずれか1つに代替的にまたは追加的に、別例では、溝は、その近位端と遠位端の間に配置された急停止部をさらに備える。
上記例のいずれか1つに代替的にまたは追加的に、別例では、搬送装置は、その近位端から遠位端まで延びる管腔を含む外側管状部材と、外側管状部材の近位端に隣接して取り付けられた遠位ハブ部とをさらに備える。
上記例のいずれか1つに代替的にまたは追加的に、別例では、ロック機構は、中間ハブ部と遠位ハブ部とを離脱可能に連結する。
上記例のいずれか1つに代替的にまたは追加的に、別例では、搬送装置は、第2ハブ部の外表面に配置された近位端と遠位端とを有する長軸方向に延びる溝をさらに備え、溝の遠位端は、溝の近位端から周方向に偏倚されている。
上記例のいずれか1つに代替的にまたは追加的に、別例では、多段配置機構は、溝の内側に配置される内方に延びる係合要素を備える。
上記例のいずれか1つに代替的にまたは追加的に、別例では、ロック機構は、第2ハブ部と第1ハブ部とを離脱可能に連結する。
別例では、搬送装置の第1ハブ部に取り付けられた外側管状部材と、搬送装置の第2ハブ部に取り付けられた中間管状部材と、搬送装置の第3ハブ部に取り付けられた内側管状部材とを個別に駆動する方法は、第3ハブ部に配置された多段配置機構を動かすことと、多段配置機構が内方に延びる突出部を備えることと、内方に延びる突出部が第2ハブ部に配置されている急停止部に接するまで第3ハブ部を第1ハブ部と第2ハブ部に対して遠位方向に前進させることと、第3ハブ部を回転させることと、第1ハブ部と第2ハブ部とを第3ハブ部に対して後退させることとからなる。
上記例のいずれか1つに代替的にまたは追加的に、別例では、溝の遠位端は、溝の近位端から周方向に偏倚されている。
上記例のいずれか1つに代替的にまたは追加的に、別例では、方法は、第1ハブ部に配置されたロック機構を動かすことをさらに含む。
すべての数値は、明示の記載の有無にかかわらず、「約」という用語で修飾されると想定されている。「約」という用語は、一般的に当業者が、記載された数値に等しい、つまり、同じ機能または結果を奏する、と考える数値範囲を示す。多くの場合、「約」には、最も近い有効数字に四捨五入される複数の数値が含まれる。
本明細書および添付の請求の範囲で使用する単数形の「a」、「an」、「the」には、反対のことが明記されていない限り複数の指示対象が含まれる。本明細書および添付の請求の範囲で使用する「or(または)」は、反対のことが明記されていない限り「and/or(および/または)」を含む意味で使用する。
Claims (15)
- 植込式リードレスペーシング装置を搬送する為の搬送装置であって、搬送装置は、
その近位端から遠位端まで延びる管腔を備える外側管状部材と、
その近位端から遠位端まで延びる管腔を備える中間管状部材と、前記中間管状部材が前記外側管状部材の前記管腔の内部に摺動可能に配置されることと、前記中間管状部材が、植込式リードレスペーシング装置を受承する為に中に腔所を形成する遠位保持部を備えることと、
その近位端から遠位端まで延びる管腔を備える内側管状部材と、前記内側管状部材が前記中間管状部材の管腔の内側に摺動可能に配置されることと、
前記外側管状部材の近位端に隣接して取り付けられた第1ハブ部と前記中間管状部材の近位端に隣接して取り付けられた第2ハブ部と前記内側管状部材の近位端に隣接して取り付けられた第3ハブ部とを少なくとも備えるハンドルアセンブリと、
前記ハンドルアセンブリの内側に配置された多段配置機構と、前記多段配置機構が植込式リードレスペーシング装置を徐々に配置することと、
からなる搬送装置。 - 前記多段配置機構は、押下げ可能なボタンを備える、請求項1に記載の搬送装置。
- 前記第2ハブ部の外表面に配置された、近位端と遠位端とを備える長軸方向に延びる溝をさらに備え、前記溝の遠位端は、前記溝の近位端から周方向に偏倚されている、請求項1または2に記載の搬送装置。
- 前記溝は、その近位端と遠位端との間に配置された急停止部をさらに備える、請求項3に記載の搬送装置。
- 前記多段配置機構は、前記溝の内側に配置される内方に延びる係合要素を備える、請求項3または4に記載の搬送装置。
- 前記ハンドルアセンブリの内側に配置されたロック機構をさらに備える、請求項1〜5のいずれか一項に記載の搬送装置。
- 前記ロック機構は、前記第2ハブ部と前記第1ハブ部とを離脱可能に連結する、請求項6に記載の搬送装置。
- 前記ロック機構は、回転可能な保持リングを備える、請求項6または7に記載の搬送装置。
- 搬送装置の第1ハブ部に取り付けられた外側管状部材と搬送装置の第2ハブ部に取り付けられた中間管状部材と搬送装置の第3ハブ部に取り付けられた内側管状部材とを個別に動かす方法であって、方法は、
前記第3ハブ部に配置された多段配置機構を動かすことと、前記多段配置機構が内方に延びる突出部を備えることと、
前記内方に延びる突出部が前記第2ハブ部に配置された急停止部に接するまで、前記第1ハブ部と前記第2ハブ部に対して前記第3ハブ部を遠位方向に前進させることと、前記第3ハブ部を回転させることと、
前記第3ハブ部に対して前記第1ハブ部と前記第2ハブ部とを近位方向に後退させることと、
からなる方法。 - 前記内方に延びる突出部は、前記第2ハブ部の外表面に配置された対応する長軸方向に延びる溝に係合する、請求項9に記載の方法。
- 前記溝の遠位端は、前記溝の近位端から周方向に偏倚している、請求項10に記載の方法。
- 前記急停止部は、前記溝の近位端と遠位端の間に配置される、請求項11に記載の方法。
- 前記第1ハブ部に配置されたロック機構を動かすことをさらに含む、請求項9〜12のいずれか一項に記載の方法。
- 前記第2ハブ部に対して前記第1ハブ部を近位方向に後退させることをさらに含む、請求項13に記載の方法。
- 前記第1ハブ部に対して前記第2ハブ部を遠位方向に前進させることをさらに含む、請求項14に記載の方法。
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JP6663990B2 (ja) | 2020-03-13 |
US11389649B2 (en) | 2022-07-19 |
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WO2017087661A1 (en) | 2017-05-26 |
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US10500395B2 (en) | 2019-12-10 |
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