JP2019500953A - 回収システム - Google Patents
回収システム Download PDFInfo
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- JP2019500953A JP2019500953A JP2018532127A JP2018532127A JP2019500953A JP 2019500953 A JP2019500953 A JP 2019500953A JP 2018532127 A JP2018532127 A JP 2018532127A JP 2018532127 A JP2018532127 A JP 2018532127A JP 2019500953 A JP2019500953 A JP 2019500953A
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- 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
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- 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
- A61B2017/003—Steerable
-
- 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
- A61B2017/00358—Snares for grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
- A61B2017/22042—Details of the tip of the guide wire
- A61B2017/22044—Details of the tip of the guide wire with a pointed tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22079—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
- A61B2017/320775—Morcellators, impeller or propeller like means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Abstract
【選択図】図7B
Description
この出願は、引用によって本明細書にその開示が全体的に組み込まれている2016年1月22日出願の米国仮特許出願第62/281,930号に対する優先権の利益を主張するものである。
310 外側シース
311、321 第1の開口
320 内側シース
330 スネア
Claims (15)
- 吸引又は洗浄源に接続可能な第1のポートと医療デバイスの挿入を可能にする大きさに形成された第2のポートとを備えたY−コネクタを有するカテーテルと、
前記第2のポートを通して前記カテーテルの中に少なくとも部分的に挿入可能な腎盂鏡と、
前記腎盂鏡の作業チャネルを通して挿入可能であり、遠位端に又は遠位端の近くに自己拡張式要素を含むガイドワイヤと、
を備えるシステム。 - 前記腎盂鏡は、前記カテーテルの内壁に取り付けられる、請求項1に記載のシステム。
- 前記カテーテルは、拡張可能な遠位部分を含む、請求項1又は2に記載のシステム。
- 前記カテーテルは、内側管状部分及び外側管状部分を含む迅速結石交換用のセグメントを含み、前記内側管状部分及び前記外側管状部分の各々が、内腔を定めると共に側壁に互いに向かい合って配置された第1の開口及び第2の開口を有し、
該内側管状部分は、該外側管状部分内に摺動可能に配置され、
該外側管状部分の第1の開口及び第2の開口のうちの少なくとも一方が、洗浄又は吸引源に流体的に接続可能である、請求項1〜3のいずれか1項に記載のシステム。 - 前記迅速結石交換用のセグメントの前記内側管状部分を通して挿入可能なスネアを更に含む、請求項4に記載のシステム。
- 前記スネアは、拡張構成と収縮構成の間で移動可能なバスケット部分を含み、
前記迅速結石交換用のセグメントの前記内側管状部分は、該拡張構成にある該バスケット部分の直径よりも小さい直径を定めるフランジを含み、
該フランジは、前記迅速結石交換用のセグメントの該内側管状部分の第1の開口及び第2の開口に該バスケット部分を整列させるように配置されている、請求項5に記載のシステム。 - 前記カテーテルは、前記外側管状部分に対して前記内側管状部分を移動させるように構成されたアクチュエータを有するハンドルを更に含む、請求項5又は6に記載のシステム。
- 前記アクチュエータは、制御ワイヤである、請求項7に記載のシステム。
- 前記アクチュエータは、前記外側管状部分の第1の開口及び第2の開口のうちの少なくとも一方に流体的に接続された洗浄又は吸引源を制御するように構成されている、請求項7又は8に記載のシステム。
- 前記カテーテルは、拡張器の上に適合するような先細部分を更に含む、請求項7〜9のいずれか1項に記載のシステム。
- 前記自己拡張式要素は、複数のフォーク状歯を含む、請求項1〜10のいずれか1項に記載のシステム。
- 前記自己拡張式要素は、拡張して凸面傘形状を形成する、請求項1〜10のいずれか1項に記載のシステム。
- 前記自己拡張式要素は、拡張して凹面形状を形成する、請求項1〜10のいずれか1項に記載のシステム。
- 患者の身体からの物体の除去に使用するためのものである、請求項1〜13のいずれか1項に記載のシステム。
- 経皮的腎結石摘出術に使用するためのものである、請求項1〜13のいずれか1項に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662281930P | 2016-01-22 | 2016-01-22 | |
US62/281,930 | 2016-01-22 | ||
PCT/US2017/014214 WO2017127595A1 (en) | 2016-01-22 | 2017-01-20 | Retrieval system |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2019500953A true JP2019500953A (ja) | 2019-01-17 |
JP6643487B2 JP6643487B2 (ja) | 2020-02-12 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018532127A Active JP6643487B2 (ja) | 2016-01-22 | 2017-01-20 | 回収システム |
Country Status (5)
Country | Link |
---|---|
US (1) | US10980554B2 (ja) |
EP (1) | EP3405123B1 (ja) |
JP (1) | JP6643487B2 (ja) |
CN (1) | CN108495594B (ja) |
WO (1) | WO2017127595A1 (ja) |
Families Citing this family (10)
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US10085766B1 (en) | 2017-03-31 | 2018-10-02 | Jihad A. Mustapha | Chronic total occlusion crossing devices and methods |
US11090072B2 (en) | 2018-03-12 | 2021-08-17 | Boston Scientific Limited | Medical devices and related methods |
AU2019326548B2 (en) | 2018-08-24 | 2023-11-23 | Auris Health, Inc. | Manually and robotically controllable medical instruments |
AU2019414510A1 (en) * | 2018-12-28 | 2021-06-03 | Auris Health, Inc. | Percutaneous sheath for robotic medical systems and methods |
JP2022544554A (ja) | 2019-08-15 | 2022-10-19 | オーリス ヘルス インコーポレイテッド | 複数の屈曲部を有する医療デバイス |
EP4084722A4 (en) | 2019-12-31 | 2024-01-10 | Auris Health Inc | ALIGNMENT INTERFACES FOR PERCUTANE ACCESS |
CN114901194A (zh) | 2019-12-31 | 2022-08-12 | 奥瑞斯健康公司 | 解剖特征识别和瞄准 |
EP4084720A4 (en) | 2019-12-31 | 2024-01-17 | Auris Health Inc | ALIGNMENT TECHNIQUES FOR PERCUTANE ACCESS |
CN114533200A (zh) * | 2022-03-24 | 2022-05-27 | 王静静 | 一种肾内科取石冲洗器 |
WO2024006482A2 (en) * | 2022-06-30 | 2024-01-04 | Inari Medical, Inc. | Apparatuses, methods and systems for the percutaneous treatment of cholelithiasis |
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2017
- 2017-01-20 JP JP2018532127A patent/JP6643487B2/ja active Active
- 2017-01-20 EP EP17703011.1A patent/EP3405123B1/en active Active
- 2017-01-20 CN CN201780007492.9A patent/CN108495594B/zh active Active
- 2017-01-20 US US15/410,819 patent/US10980554B2/en active Active
- 2017-01-20 WO PCT/US2017/014214 patent/WO2017127595A1/en active Application Filing
Also Published As
Publication number | Publication date |
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EP3405123B1 (en) | 2020-09-23 |
EP3405123A1 (en) | 2018-11-28 |
CN108495594A (zh) | 2018-09-04 |
US10980554B2 (en) | 2021-04-20 |
CN108495594B (zh) | 2021-03-30 |
JP6643487B2 (ja) | 2020-02-12 |
WO2017127595A1 (en) | 2017-07-27 |
US20170209162A1 (en) | 2017-07-27 |
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