JP2020157067A - 外科用保護システム - Google Patents
外科用保護システム Download PDFInfo
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Abstract
Description
4 外科用デバイス
6 インジケータ/コンピュータ
10 マーカー
12 保管状態
14 拡張状態
18 磁石
20 拡張可能な丸い部材
22 組織タグ
24 中空の中心部
26 固形マーカー
28 磁場
30 制限エリア
40 ロケータ
42 挿入機構
44 タグ磁場センサ
50 外科用保護システム
52 組織作用要素
54 作用要素マーカーデバイスタグ
56 先端部
58 デバイスタグ磁場
60 作用磁場センサ
80 器官
82 管腔
84 標的
86 保護部
Claims (20)
- デバイスであって、
a. 1つまたは複数のマーカーであって、1つまたは複数のマーカーのうちのいくつかまたはすべては、保管状態から拡張状態に拡張可能である拡張可能な丸い部材であり、拡張状態にあるとき、前記拡張可能な丸い部材のそれぞれが、拡張し動いて器官の管腔と接触する、1つまたは複数のマーカーと、
b. 磁化材料で作られた、前記拡張可能な丸い部材に接続された1つまたは複数の組織タグ、あるいは、前記拡張可能な丸い部材と、
を備え、
前記拡張可能な丸い部材は、挿入機構内に位置し、前記挿入機構から前記器官の前記管腔内に配備されるように構成されていることを特徴とする、デバイス。 - 前記器官の前記管腔は、生来のオリフィスであり、1つまたは複数の前記マーカーの進入は、前記生来のオリフィスを通ることを特徴とする、請求項1に記載のデバイス。
- 前記拡張可能な丸い部材のすべてまたは一部は、ニチノールで作られていることを特徴とする、請求項1に記載のデバイス。
- 前記拡張可能な丸い部材は、中空の中心部を含むことを特徴とする、請求項1に記載のデバイス。
- 1つまたは複数の前記マーカーのうちのいくつかは、前記管腔内に配備される1つまたは複数の固形マーカーを含むことを特徴とする、請求項1に記載のデバイス。
- 外科用システムであって、
先端部を含む1つまたは複数の組織作用要素と、
1つまたは複数の前記組織作用要素の前記先端部との空間的関係および磁性配向を有する1つまたは複数のデバイスタグと、
請求項1に記載のデバイスを含み、前記デバイスを前記管腔内の標的組織に対する所定の場所に配備する、挿入機構と、
を備えていることを特徴とする、外科用システム。 - 前記デバイスは、デバイスタグをはね返す磁性配向を有することを特徴とする、請求項6に記載の外科用システム。
- 1つまたは複数の前記デバイスタグは、前記デバイスの1つまたは複数の前記組織タグと共通の極性の磁場を呈し、それによって、1つまたは複数の前記デバイスタグは、1つまたは複数の前記組織タグに向かって動く前記組織作用要素の先端部に対する触覚抵抗の増加をもたらし、前記標的組織および1つまたは複数の前記組織タグは、1つまたは複数の前記デバイスタグが前記標的組織および1つまたは複数の前記組織タグに向かって動くと、動かされることを特徴とする、請求項6に記載の外科用システム。
- 前記組織作用要素は、ブレードまたは針であることを特徴とする、請求項8に記載の外科用システム。
- 外科用システムであって、
(a)1つまたは複数の組織作用要素と、
(b)1つまたは複数のマーカーと、
を含む、1つまたは複数の外科用デバイスを備え、
1つまたは複数の前記組織作用要素の先端部が、磁化材料である1つまたは複数のデバイスタグを含む場合、1つまたは複数の前記マーカーが、組織タグ磁場センサを含み、あるいは、1つまたは複数の前記組織作用要素の前記先端部における1つまたは複数の前記デバイスタグが、前記組織タグ磁場センサを含む場合、1つまたは複数の前記マーカーが、磁化材料である1つまたは複数の組織タグを含み、
a. ディスプレイシステムは、1つまたは複数の前記マーカーに対する1つまたは複数の前記組織作用要素の前記先端部の近接性を示し、
b. アラームシステムは、前記先端部および1つまたは複数の前記マーカーが互いから所定の距離以内にある場合に信号を提供し、
c. 前記先端部に供給される電力は、前記先端部および1つまたは複数の前記マーカーが互いから所定の距離以内にある場合に除去され、あるいは、
d. これらの組み合わせが行われることを特徴とする、外科用システム。 - 前記信号は、聴覚信号、視覚信号、触覚信号、またはこれらの組み合わせの信号であることを特徴とする、請求項10に記載の外科用システム。
- 前記先端部に供給される前記電力は、組織を切断し、組織を焼灼し、組織を凝固させ、あるいは、これらの組み合わせを行うことを特徴とする、請求項10に記載の外科用システム。
- 1つまたは複数の前記組織タグおよび1つまたは複数の前記マーカーは、同じ管腔に挿入され、前記管腔に対して手術が実行されることを特徴とする、請求項10に記載の外科用システム。
- 1つまたは複数の前記マーカーは、手術部位をブラケットで支える2つのマーカーであり、前記デバイスタグは、2つの前記マーカー間に位置していることを特徴とする、請求項10に記載の外科用システム。
- a. 1つまたは複数の組織タグを有する1組の1つまたは複数のマーカーを管腔内に配備するステップと、
b. 1つまたは複数のデバイスタグを備えた先端部を有する組織作用要素を、1つまたは複数の前記マーカーと同じ管腔に挿入するステップと、
を含んでなる方法であって、
1つまたは複数の前記組織タグのそれぞれは、1つまたは複数の前記デバイスタグと磁気通信し、それによって、
i. 1つまたは複数の前記組織タグおよび1つまたは複数の前記デバイスタグは、1つまたは複数の前記組織タグおよび1つまたは複数の前記デバイスタグが所定の距離以内で離れると、互いにはね返し、
ii. 1つまたは複数の前記組織タグに対する1つまたは複数の前記デバイスタグの近接性を示す、ディスプレイシステム上の表示が生成され、
iii. 1つまたは複数の前記デバイスタグおよび1つまたは複数の前記組織タグが互いから所定の距離以内に位置する場合の信号が生成され、
iv. 1つまたは複数の前記デバイスタグおよび1つまたは複数の前記組織タグが互いから所定の距離以内にある場合に、1つまたは複数の前記デバイスタグに供給される電力が除去され、あるいは、
v. これらの組み合わせが行われることを特徴とする、方法。 - 当該方法は、1つまたは複数の前記組織タグを有する第2の組の1つまたは複数の前記マーカーを、前記管腔内に配備された前記1組の1つまたは複数の前記組織タグから、ある距離だけ離して、前記管腔内に配備するステップをさらに含むことを特徴とする、請求項15に記載の方法。
- 前記先端部は、前記1組の前記組織タグと第2の組の1つまたは複数の前記組織タグとの間に挿入されていることを特徴とする、請求項15に記載の方法。
- 1つまたは複数の前記マーカーは、拡張可能な丸い部材であることを特徴とする、請求項15に記載の方法。
- 当該方法は、1つまたは複数の前記マーカーを前記管腔から除去するステップをさらに含むことを特徴とする、請求項15に記載の方法。
- 1つまたは複数の前記マーカーは、2つのマーカーであり、当該方法は、2つの前記マーカーが手術部位をブラケットで支えるように2つの前記マーカーを前記管腔に挿入するステップを含み、当該方法は、前記組織作用要素の前記先端部および1つまたは複数の前記デバイスタグを2つ以上の前記マーカー間に延ばすステップをさらに含むことを特徴とする、請求項15に記載の方法。
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