JP2019193858A - 内視鏡検査装置 - Google Patents
内視鏡検査装置 Download PDFInfo
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- JP2019193858A JP2019193858A JP2019125430A JP2019125430A JP2019193858A JP 2019193858 A JP2019193858 A JP 2019193858A JP 2019125430 A JP2019125430 A JP 2019125430A JP 2019125430 A JP2019125430 A JP 2019125430A JP 2019193858 A JP2019193858 A JP 2019193858A
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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
- A61B1/00112—Connection or coupling means
- A61B1/00119—Tubes or pipes in or with an endoscope
-
- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- 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
- A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
- A61B1/2733—Oesophagoscopes
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0409—Special features for tracheal tubes not otherwise provided for with mean for closing the oesophagus
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0415—Special features for tracheal tubes not otherwise provided for with access means to the stomach
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0434—Cuffs
- A61M16/0445—Special cuff forms, e.g. undulated
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0431—Special features for tracheal tubes not otherwise provided for with a cross-sectional shape other than circular
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0486—Multi-lumen tracheal tubes
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
- A61M16/049—Mouthpieces
- A61M16/0493—Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0222—Materials for reducing friction
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0238—General characteristics of the apparatus characterised by a particular materials the material being a coating or protective layer
Abstract
Description
in Gastroenterology)、2006年11月)。
からである。したがって、そのような状況では、検査手順を迅速に行なって、内視鏡が挿入される時間の量を最小限にすることが重要である。この結果、検査手順の間に得られる情報がより少なくなることがあるが、これは患者にとって危険であり、その結果、生じるコストが増大してしまうことがある。
発明の第1の局面に従うと、内視鏡の使用を容易にするための内視鏡検査装置が提供され、内視鏡検査装置は、少なくとも1つの気道管と、少なくとも1つの気道管の一方端に担持されるマスクとを備え、マスクは、遠端と、近端と、患者の喉頭の後ろの実際のかつ潜在的な空間に適合し、かつその中に嵌合して、喉頭口の周の周りの封止を形成することができる周囲形成部とを有し、周囲形成部は、マスクの中空内部空間または管腔を取り囲み、少なくとも1つの気道管はマスクの管腔の中に開口し、装置はさらに、マスクが定位置にある場合に患者の食道の中への内視鏡の通過のために適合される導管を備える。
つの実施形態では、気道管はシリコーン材料を備えてもよい。
ならびに右および左側を有する。
)PVC+PUからの成形によって形成される。この材料は典型的に、気道管2の材料よりも実質的により軟らかくかつより変形可能なものである。後ろ板9は典型的に、背または腹側方向から見ると、ほぼ楕円形の成形体を備える。
少なくとも1つの気道管の一方端に担持されるマスク3とを含み、マスク3が、遠端4と、近端5と、患者の喉頭後ろの実際のかつ潜在的な空間に適合し、かつこの中に嵌合して喉頭口の周の周りに封止を形成することができる周囲形成部6とを有し、周囲形成部6がマスク3の中空内部空間または管腔7を取り囲み、少なくとも1つの気道管2がマスクの管腔7の中に開口し、装置がさらに、マスク3が定位置にある場合に患者の食道内への胃鏡の通過のために適合される導管8をさらに備える点で、図1から図8に図示される装置に似ている。上述のような材料および構築のさまざまな詳細をこの実施形態にも適用してもよい。
手段でカフ部分6に装着することができる。図示されるように、導管8の端は、その長手方向軸に対して垂直の平面に対して20度の角度で後方に向けて切断されることが好ましい。
Claims (29)
- 内視鏡の使用を容易にするための内視鏡検査装置であって、少なくとも1つの気道管と、前記少なくとも1つの気道管の一方端に担持されるマスクとを備え、前記マスクは、遠端と、近端と、患者の喉頭後ろの実際のかつ潜在的な空間に適合し、かつその中に嵌合して喉頭口の周の周りに封止を形成することができる周囲形成部とを有し、前記周囲形成部は前記マスクの中空内部空間または管腔を取り囲み、前記少なくとも1つの気道管は前記マスクの前記管腔の中に開口し、前記装置はさらに、前記マスクが定位置にある場合に患者の食道の中への内視鏡の通過のために適合される導管を備える、内視鏡検査装置。
- 前記装置は近端および遠端を備え、その間に長軸が設けられ、導管は、前記装置の前記長軸に対する中線に対してオフセットするような角度で設けられる、請求項1に記載の内視鏡検査装置。
- 前記装置は、前記導管の壁の内側表面とその中に挿入される内視鏡との間の摩擦接触を最小限にするように適合される、請求項1または2に記載の内視鏡検査装置。
- 前記装置には、前記導管の内部壁の表面積を低減する手段が設けられる、請求項3に記載の内視鏡検査装置。
- 前記手段は、長手方向に延在する複数の稜線を備える、請求項4に記載の内視鏡検査装置。
- 前記導管は、前記気道管に対して大きなボア径を有する、請求項1、2、または3に記載の内視鏡検査装置。
- 前記導管の直径は、約5〜25mmの間、より典型的には約10〜20mmの間、最も典型的には約15mmである、請求項1から6のいずれか1項に記載の内視鏡検査装置。
- 前記導管の径方向壁厚みは約1〜2mmの間である、請求項1から7のいずれか1項に記載の内視鏡検査装置。
- 前記導管は、その壁の中に形成される複数のボアを備える、請求項4から6のいずれか1項に記載の内視鏡検査装置。
- 前記導管は、その壁の中に形成される複数のチャネルを備える、請求項7に記載の内視鏡検査装置。
- 前記導管はシリコーン材料を備える、請求項1から10のいずれか1項に記載の内視鏡検査装置。
- 前記導管のデュロメータ硬度は60〜70ショアの間である、請求項1から11のいずれか1項に記載の内視鏡検査装置。
- 周囲形成部は膨らますことができるカフである、請求項1から12のいずれか1項に記載の内視鏡検査装置。
- 前記マスクは後ろ板を備える、請求項1から13のいずれか1項に記載の内視鏡検査装置。
- 前記気道管の直径は前記導管の直径よりも小さい、請求項1から14のいずれか1項に記載の内視鏡検査装置。
- 前記気道管は強化される、請求項1から15のいずれか1項に記載の内視鏡検査装置。
- 前記導管は、使用の際、前記マスクの遠端から延在して、患者の口を通り、前記患者の歯の間に現われるような長さを有する、請求項1から16のいずれか1項に記載の内視鏡検査装置。
- 前記気道管および/または導管は咬合阻止器を含む、請求項1から17のいずれか1項に記載の内視鏡検査装置。
- 前記咬合阻止器は、使用の際、患者の歯に隣接する点に隣接する、比較的より軟らかい壁部分を含む、請求項16に記載の内視鏡検査装置。
- 前記咬合阻止器は、その遠端に先細部分を含む、請求項16に記載の内視鏡検査装置。
- 咬合阻止器は前記導管上に設けられる、請求項1から15のいずれか1項に記載の内視鏡検査装置。
- 前記導管の遠端はカフの遠端に実質的に隣接する、請求項1から21のいずれか1項に記載の内視鏡検査装置。
- 前記導管の遠端は、水平面に対して約10〜15度の角度αで、より好ましくは水平面に対して約45度の角度αで設けられ、前記水平面は、前記装置が実質的に線形の配置にある場合は前記装置の前記長軸に対して垂直である、請求項1から22のいずれか1項に記載の内視鏡検査装置。
- 前記導管の遠端はカフの遠端を大きく越えて延在しない、請求項19または20に記載の内視鏡検査装置。
- カフの遠端に開口が設けられる、請求項1から24のいずれか1項に記載の内視鏡検査装置。
- 前記導管および前記気道管は、それらが互いから別個であるような構成で維持される、請求項1から25のいずれか1項に記載の内視鏡検査装置。
- 前記導管と前記気道管とは互いに接続される、請求項1から22のいずれか1項に記載の内視鏡検査装置。
- 前記導管の出口の広がりを許す手段を含む、請求項1から27のいずれか1項に記載の内視鏡検査装置。
- 前記手段は、前記導管の出口に隣接するスリットを備える、請求項26に記載の内視鏡検査装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GBGB1120628.1A GB201120628D0 (en) | 2011-11-30 | 2011-11-30 | Endoscopy device |
GB1120628.1 | 2011-11-30 |
Related Parent Applications (1)
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JP2017143590A Division JP6937183B2 (ja) | 2011-11-30 | 2017-07-25 | 内視鏡検査装置 |
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JP2019193858A true JP2019193858A (ja) | 2019-11-07 |
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Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
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JP2014543964A Pending JP2015502211A (ja) | 2011-11-30 | 2012-11-29 | 内視鏡検査装置 |
JP2017143590A Active JP6937183B2 (ja) | 2011-11-30 | 2017-07-25 | 内視鏡検査装置 |
JP2019125430A Pending JP2019193858A (ja) | 2011-11-30 | 2019-07-04 | 内視鏡検査装置 |
Family Applications Before (2)
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JP2014543964A Pending JP2015502211A (ja) | 2011-11-30 | 2012-11-29 | 内視鏡検査装置 |
JP2017143590A Active JP6937183B2 (ja) | 2011-11-30 | 2017-07-25 | 内視鏡検査装置 |
Country Status (11)
Country | Link |
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US (1) | US10806327B2 (ja) |
EP (2) | EP2785238B1 (ja) |
JP (3) | JP2015502211A (ja) |
CN (2) | CN104039214A (ja) |
AU (1) | AU2012343628B2 (ja) |
BR (1) | BR112014012829A2 (ja) |
CA (1) | CA2857105C (ja) |
GB (1) | GB201120628D0 (ja) |
IN (1) | IN2014CN04822A (ja) |
MY (1) | MY170984A (ja) |
WO (1) | WO2013079902A1 (ja) |
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CA2857105C (en) | 2021-02-16 |
IN2014CN04822A (ja) | 2015-09-18 |
JP6937183B2 (ja) | 2021-09-22 |
AU2012343628A1 (en) | 2014-06-12 |
CN110064112A (zh) | 2019-07-30 |
WO2013079902A1 (en) | 2013-06-06 |
AU2012343628B2 (en) | 2016-11-17 |
BR112014012829A2 (pt) | 2017-06-13 |
EP2785238A1 (en) | 2014-10-08 |
GB201120628D0 (en) | 2012-01-11 |
EP2785238B1 (en) | 2019-10-23 |
JP2015502211A (ja) | 2015-01-22 |
MY170984A (en) | 2019-09-23 |
CA2857105A1 (en) | 2013-06-06 |
US20140323806A1 (en) | 2014-10-30 |
EP3549513A1 (en) | 2019-10-09 |
US10806327B2 (en) | 2020-10-20 |
CN104039214A (zh) | 2014-09-10 |
JP2017221685A (ja) | 2017-12-21 |
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