JP2021516091A - 組織切除のためのデバイス、システム、及び方法 - Google Patents
組織切除のためのデバイス、システム、及び方法 Download PDFInfo
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Abstract
Description
Claims (15)
- 体腔内の組織を切除する、組織切除デバイスにおいて、
一定の軸に沿って伸びる本体と、
前記本体の遠位に配置され、前記軸に沿って延びるシャフトに結合された遠位キャップであって、前記本体と前記遠位キャップは、互いに相対して移動可能である、遠位キャップと、
前記本体と前記遠位キャップを体腔内で切除されるべく選択された組織に近接して係合する係留機構と、
前記切除されるべく選択された組織が組織捕捉装置によって捕捉可能であるために、前記組織切除装置から配備可能な組織捕捉装置と、
前記切除されるべく選択された組織を切除するための組織切除装置とを備える、組織切除デバイス。 - 組織閉鎖デバイスをさらに備える、請求項1に記載の組織切除デバイス。
- 前記係留機構は、前記遠位キャップ上に配置された第1のバルーンと、本体上に配置された第2のバルーンとを含み、前記切除されるべく選択された組織が第1バルーンと第2バルーンの間にあるように前記体腔と係合すべく、前記第1及び第2のバルーンは拡張可能である、請求項1又は2に記載の組織切除装置。
- 前記組織捕捉デバイスは、前記本体の表面の周りに円周方向に配置され、前記切除されるべく選択された組織を前記遠位キャップに対して固定するために前記軸に沿った方向に前記本体から伸長可能な1つ以上のポストを含む、請求項1〜3のいずれかに記載の組織切除デバイス。
- 前記組織閉鎖デバイスは、前記体腔の部分を接合するための閉鎖機構を含む、請求項2〜4のいずれかに記載の組織切除デバイス。
- 前記組織切除装置は、前記本体の表面の周りに円周方向に配置され、前記切除されるべく選択された組織を切除するために、前記軸に沿った方向に前記本体から伸長可能なブレードを含む、請求項1〜5のいずれかに記載の組織切除装置。
- 前記組織切除装置は、前記遠位キャップの表面の周りに円周方向に配置され、前記切除されるべく選択された組織を切除するために、前記軸に沿った方向に前記遠位キャップから伸長可能なブレードを含む、請求項1〜5のいずれかに記載の組織切除装置。
- 前記組織切除装置は、外側シャフトに配置され、前記遠位キャップは、内側シャフトに配置され、前記組織切除装置は、前記内側シャフトが前記外側シャフトに対して相対移動可能であることに応じて、前記遠位キャップから延伸可能である、請求項7に記載の組織切除装置。
- 体腔内の組織を切除するための組織切除システムにおいて、
組織切除装置であって、
一定の軸に沿って伸びる本体と、
前記本体よりも遠位に配置され、及び、前記軸に沿って延びるシャフトに結合されている遠位キャップであって、前記本体と前記遠位キャップは、互いに相対して移動可能である、遠位キャップと、
前記体腔内で切除すべく選択された組織に近接して前記本体と前記遠位キャップを係合する係留機構とを備える組織切除装置と、
前記切除されるべく選択された組織に相対した、体腔内の前記組織切除装置の配備を視覚化するための視覚化装置とを備える、組織切除システム。 - 前記切除されるべく選択された組織が組織捕捉装置によって捕捉可能であるように、前記組織切除装置から配備可能な組織捕捉装置と、
前記選択された組織を切除のために切除するための組織切除装置と、
組織閉鎖装置とをさらに備える、請求項9に記載のシステム。 - 前記係留機構は、前記遠位キャップ上に配置された第1のバルーンと、本体上に配置された第2のバルーンとを含み、前記切除されるべく選択された組織が第1バルーンと第2バルーンの間にあるように前記体腔と係合すべく、前記第1及び第2のバルーンは拡張可能である、請求項9〜10のいずれかに記載のシステム。
- 前記組織捕捉デバイスは、前記本体の表面の周りに円周方向に配置され、前記切除されるべく選択された組織を前記遠位キャップに対して固定するために前記軸に沿った方向に前記本体から伸長可能な1つ以上のポストを含む、請求項10〜11のいずれかに記載のシステム。キャップ。
- 前記組織切除装置は、前記本体の表面の周りに円周方向に配置され、前記切除されるべく選択された組織を切除するために、前記軸に沿った方向に前記本体から伸長可能なブレードを含む、請求項10〜12のいずれかに記載のシステム。
- 前記組織切除装置は、前記遠位キャップの表面の周りに円周方向に配置され、前記切除されるべく選択された組織を切除するために、前記軸に沿った方向に前記遠位キャップから伸長可能なブレードを含む、請求項10〜13のいずれかに記載のシステム。
- 前記組織切除装置は、外側シャフトに配置され、前記遠位キャップは、内側シャフトに配置され、前記組織切除装置は、前記内側シャフトが前記外側シャフトに対して相対移動可能であることに応じて、前記遠位キャップから延伸可能である、請求項14に記載のシステム。
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WO2022189934A1 (en) * | 2021-03-11 | 2022-09-15 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11717300B2 (en) * | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11642131B2 (en) * | 2021-05-17 | 2023-05-09 | Covidien Lp | Devices and methods for shortening a rectal stump during a lower anterior resection procedure |
US20230012728A1 (en) * | 2021-07-13 | 2023-01-19 | Boston Scientific Scimed, Inc. | Tissue traction devices, systems, and methods |
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JP2023058508A (ja) | 2023-04-25 |
US20190357934A1 (en) | 2019-11-28 |
JP7431166B2 (ja) | 2024-02-14 |
CN112020334A (zh) | 2020-12-01 |
US11419624B2 (en) | 2022-08-23 |
US20220330968A1 (en) | 2022-10-20 |
KR20210013116A (ko) | 2021-02-03 |
JP7470829B2 (ja) | 2024-04-18 |
KR102583753B1 (ko) | 2023-09-26 |
EP3796849A1 (en) | 2021-03-31 |
WO2019226814A1 (en) | 2019-11-28 |
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