JP2021530306A - 身体管腔および／または体腔の側壁の可視化を向上させるおよび／または当該側壁のアクセスを向上させるのを実現するために当該側壁を操作するための、ならびに／あるいは当該側壁を基準として器械を安定させるための、方法および装置 - Google Patents

身体管腔および／または体腔の側壁の可視化を向上させるおよび／または当該側壁のアクセスを向上させるのを実現するために当該側壁を操作するための、ならびに／あるいは当該側壁を基準として器械を安定させるための、方法および装置 Download PDF

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JP2021530306A
JP2021530306A JP2021502543A JP2021502543A JP2021530306A JP 2021530306 A JP2021530306 A JP 2021530306A JP 2021502543 A JP2021502543 A JP 2021502543A JP 2021502543 A JP2021502543 A JP 2021502543A JP 2021530306 A JP2021530306 A JP 2021530306A
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connector
balloon
endoscope
tissue
sleeve
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JP2021530306A5 (https=
JPWO2020018566A5 (https=
Inventor
ヨハン，ペーター
カンツェボイ，セルゲイ
ミルソム，ジェフリー
シャーマ，サミール
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ルメンディ リミテッド
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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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • 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
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00135—Oversleeves mounted on the endoscope prior to 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
    • A61B1/00147—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
    • A61B1/31—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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/1204—Type of occlusion temporary occlusion
    • A61B17/12045—Type of occlusion temporary occlusion double occlusion, e.g. during anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00287—Bags for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/12127—Double occlusion, e.g. for creating blood-free anastomosis site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22054—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • 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
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10181—Means for forcing inflation fluid into the balloon
    • A61M25/10182—Injector syringes

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Endoscopes (AREA)
JP2021502543A 2018-07-16 2019-07-16 身体管腔および／または体腔の側壁の可視化を向上させるおよび／または当該側壁のアクセスを向上させるのを実現するために当該側壁を操作するための、ならびに／あるいは当該側壁を基準として器械を安定させるための、方法および装置 Pending JP2021530306A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201862698583P 2018-07-16 2018-07-16
US62/698,583 2018-07-16
US201916477789A 2019-07-12 2019-07-12
US16/477,789 2019-07-12
PCT/US2019/042044 WO2020018566A1 (en) 2018-07-16 2019-07-16 Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same and/or for stabilizing instruments relative to the same

Publications (3)

Publication Number Publication Date
JP2021530306A true JP2021530306A (ja) 2021-11-11
JP2021530306A5 JP2021530306A5 (https=) 2022-07-12
JPWO2020018566A5 JPWO2020018566A5 (https=) 2022-07-12

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JP2021502543A Pending JP2021530306A (ja) 2018-07-16 2019-07-16 身体管腔および／または体腔の側壁の可視化を向上させるおよび／または当該側壁のアクセスを向上させるのを実現するために当該側壁を操作するための、ならびに／あるいは当該側壁を基準として器械を安定させるための、方法および装置

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Country Link
EP (1) EP3823513A4 (https=)
JP (1) JP2021530306A (https=)
CN (1) CN113038862B (https=)
CA (1) CA3106405A1 (https=)
WO (1) WO2020018566A1 (https=)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020021697A1 (ja) 2018-07-27 2020-01-30 オリンパス株式会社 医療機器
US20230107857A1 (en) 2021-09-29 2023-04-06 Cilag Gmbh International Surgical sealing devices for a natural body orifice
WO2023052953A1 (en) * 2021-09-29 2023-04-06 Cilag Gmbh International Surgical systems and methods for selectively pressurizing a natural body lumen
WO2023052958A1 (en) * 2021-09-29 2023-04-06 Cilag Gmbh International Surgical anchoring systems for endoluminal access
FR3134704B1 (fr) 2022-04-26 2024-03-22 Hospices Civils Lyon Dispositif de traction endoscopique ajustable
CN119074177B (zh) * 2024-09-02 2025-03-25 北京大学第一医院(北京大学第一临床医学院) 一种经阴道的输卵管复通器械
CN120203668B (zh) * 2025-04-11 2026-03-17 中国人民解放军总医院第四医学中心 一种可调节气囊压迫式鼻腔止血通气装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010036024A (ja) * 2008-07-31 2010-02-18 Olympus Medical Systems Corp 内視鏡用縫合器
JP2012200475A (ja) * 2011-03-28 2012-10-22 Fujifilm Corp ダブルオーバーチューブ
WO2018132836A2 (en) * 2017-01-13 2018-07-19 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7122003B2 (en) * 2003-04-16 2006-10-17 Granit Medical Innovations, Llc Endoscopic retractor instrument and associated method
US7347863B2 (en) * 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
JP3806934B2 (ja) * 2004-03-01 2006-08-09 フジノン株式会社 内視鏡システム
US20060106288A1 (en) * 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device
EP2046227A2 (en) * 2006-08-03 2009-04-15 Hansen Medical, Inc. Systems for performing minimally invasive procedures
US11564556B2 (en) * 2008-11-07 2023-01-31 Izomed, Inc. Endoscope accessory
CN102612339A (zh) * 2009-11-17 2012-07-25 G.I.视频有限公司 自对中可扩张球囊
US10149601B2 (en) * 2009-12-15 2018-12-11 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
US10485401B2 (en) * 2009-12-15 2019-11-26 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
US9565998B2 (en) * 2009-12-16 2017-02-14 Boston Scientific Scimed, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10758116B2 (en) * 2009-12-16 2020-09-01 Boston Scientific Scimed, Inc. System for a minimally-invasive, operative gastrointestinal treatment
CN102440820B (zh) * 2010-09-30 2013-04-10 上海创亿医疗器械技术有限公司 带有链条关节的微创外科器械
US20130217957A1 (en) * 2012-02-16 2013-08-22 Usgi Medical, Inc. Devices and methods for the endolumenal treatment of obesity
CN203303395U (zh) * 2013-05-30 2013-11-27 中南大学湘雅三医院 体腔引流管套件
CN110801200A (zh) * 2014-02-11 2020-02-18 康奈尔大学 用于操纵体管腔或体腔的侧壁的方法和设备
US10251666B2 (en) * 2015-05-20 2019-04-09 Boston Scientific Scimed, Inc. Endoscopic mucosal resection single step hood
US10342540B2 (en) * 2015-10-15 2019-07-09 Boston Scientific Scimed, Inc. Tissue retraction devices and related methods of use
CN105326531B (zh) * 2015-11-25 2018-03-09 孙德科 一种微创治疗脑出血的通道系统

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010036024A (ja) * 2008-07-31 2010-02-18 Olympus Medical Systems Corp 内視鏡用縫合器
JP2012200475A (ja) * 2011-03-28 2012-10-22 Fujifilm Corp ダブルオーバーチューブ
WO2018132836A2 (en) * 2017-01-13 2018-07-19 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same

Also Published As

Publication number Publication date
CN113038862B (zh) 2025-03-07
EP3823513A1 (en) 2021-05-26
EP3823513A4 (en) 2022-08-17
CN113038862A (zh) 2021-06-25
WO2020018566A1 (en) 2020-01-23
CA3106405A1 (en) 2020-01-23

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