JP4094947B2 - ドップラー効果によって案内される縫合結紮デバイスおよび方法 - Google Patents
ドップラー効果によって案内される縫合結紮デバイスおよび方法 Download PDFInfo
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- JP4094947B2 JP4094947B2 JP2002542281A JP2002542281A JP4094947B2 JP 4094947 B2 JP4094947 B2 JP 4094947B2 JP 2002542281 A JP2002542281 A JP 2002542281A JP 2002542281 A JP2002542281 A JP 2002542281A JP 4094947 B2 JP4094947 B2 JP 4094947B2
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1477—Needle-like probes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- 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
- A61B2017/00349—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, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06104—Needles, e.g. needle tip configurations interconnected at their distal ends, e.g. two hollow needles forming a loop for passing a suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
Description
100 結紮デバイス
104 套管
120 第1延出可能部材
122 第2延出可能部材
124 ループ(着脱可能部材)
126 捕捉部分
136 捕捉部材
140 ドップラー桿
150 先端
154 所定長さの縫糸材料(所定長さの結紮材料)
300 延出可能部材(第1手段、第2手段)
302 套管
310 中空アーム
420 子宮動脈(管、解剖学的管)
Claims (12)
- 組織束内に含有された解剖学的管を結紮するためのデバイスであって、
第1延出可能部材と、第2延出可能部材と、該第1延出可能部材と該第2延出可能部材との間に位置するドップラー桿と、先端とを備えた套管と;
この套管を、前記組織束に対して隣接配置するための手段と;
前記ドップラー桿から前記組織束を通して前記管に向けて超音波信号を伝達するための手段と;
前記ドップラー桿によって前記組織束を通して前記管により反射された超音波反射信号を受領するための手段と;
前記組織束の第1サイドにおいて前記第1延出可能部材を使用して前記組織束内に陥入するための手段と;
前記管に関して前記套管の前記先端とは反対側に位置したサイドにおいて、前記第1および前記第2延出可能部材の間にわたって所定長さの結紮材料を貫通させるための手段と;
を具備することを特徴とするデバイス。 - 請求項1記載のデバイスにおいて、
前記第1延出可能部材が、前記結紮材料が取り付けられた着脱可能部材を備え、
前記デバイスが、さらに、前記第2延出可能部材の一部によって前記着脱可能部材を捕捉するための手段を具備していることを特徴とするデバイス。 - 請求項1記載のデバイスにおいて、
さらに、
前記第2延出可能部材を基端向きに引き込むための手段と;
前記第1延出可能部材から前記着脱可能部材を解放するための手段と;
を具備していることを特徴とするデバイス。 - 請求項1記載のデバイスにおいて、
前記第1延出可能部材が、前記結紮材料が取り付けられた組織貫通部材を備え、
前記デバイスが、さらに、前記組織貫通部材によって前記組織束を穿孔するための手段を具備していることを特徴とするデバイス。 - 請求項4記載のデバイスにおいて、
前記組織貫通部材が、前記結紮材料が取り付けられた組織貫通部材を有し、
前記デバイスが、さらに、前記第2延出可能部材の一部によって前記着脱可能部材を捕捉するための手段を具備していることを特徴とするデバイス。 - 請求項4記載のデバイスにおいて、
さらに、
前記第2延出可能部材を基端向きに引き込むための手段と;
前記第1延出可能部材から前記着脱可能部材を解放するための手段と;
を具備していることを特徴とするデバイス。 - 組織束内に含有された管を閉塞するための結紮デバイスであって、
ドップラー桿と先端とを備えた套管を、前記組織束の近傍へと非切開式に配置するための手段と;
前記ドップラー桿から前記組織束を通して前記管に向けて超音波信号を伝達するための手段と;
前記ドップラー桿によって前記組織束を通して前記管により反射された超音波反射信号を受領するための手段と;
前記組織束の第1サイドにおいて前記組織束内に陥入する第1陥入手段と;
前記組織束の前記第1サイドとは反対側の第2サイドにおいて前記組織束内に陥入する第2陥入手段と;
前記管に関して前記套管の前記先端とは反対側に位置したサイドにおいて、前記第1陥入手段および前記第2陥入手段の間にわたって所定長さの結紮材料を貫通させるための手段と;
を具備し、
前記ドップラー桿は、前記第1陥入手段と前記第2陥入手段との間に位置していることを特徴とするデバイス。 - 請求項7記載のデバイスにおいて、
前記第1陥入手段が、前記結紮材料が取り付けられた着脱可能部材を有している第1延出可能部材を備え、
前記デバイスが、さらに、前記第2陥入手段の一部によって前記着脱可能部材を捕捉するための手段を具備していることを特徴とするデバイス。 - 請求項8記載のデバイスにおいて、
前記第2陥入手段が、第2延出可能部材を備え、
前記デバイスが、さらに、
前記第2延出可能部材を基端向きに引き込むための手段と;
前記第1延出可能部材から前記着脱可能部材を解放するための手段と;
を具備していることを特徴とするデバイス。 - 請求項7記載のデバイスにおいて、
前記第1陥入手段が、前記結紮材料が取り付けられた組織貫通部材をを備え、
前記デバイスが、さらに、前記組織貫通部材によって前記組織束を穿孔するための手段を具備していることを特徴とするデバイス。 - 請求項10記載のデバイスにおいて、
前記組織貫通部材が、前記結紮材料が取り付けられた組織貫通部材を有し、
前記デバイスが、さらに、前記第2延出可能部材の一部によって前記着脱可能部材を捕捉するための手段を具備していることを特徴とするデバイス。 - 請求項10記載のデバイスにおいて、
さらに、
前記第2陥入手段を基端向きに引き込むための手段と;
前記第1延出可能部材から前記着脱可能部材を解放するための手段と;
を具備していることを特徴とするデバイス。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/713,020 US6638286B1 (en) | 2000-11-16 | 2000-11-16 | Doppler directed suture ligation device and method |
PCT/US2001/027791 WO2002039904A1 (en) | 2000-11-16 | 2001-11-01 | Doppler directed suture ligation device and method |
Publications (2)
Publication Number | Publication Date |
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JP2004520867A JP2004520867A (ja) | 2004-07-15 |
JP4094947B2 true JP4094947B2 (ja) | 2008-06-04 |
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ID=24864442
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Application Number | Title | Priority Date | Filing Date |
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JP2002542282A Pending JP2004513702A (ja) | 2000-11-16 | 2001-11-01 | ドップラー効果によって案内される縫合結紮デバイスおよび方法 |
JP2002542281A Expired - Lifetime JP4094947B2 (ja) | 2000-11-16 | 2001-11-01 | ドップラー効果によって案内される縫合結紮デバイスおよび方法 |
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Application Number | Title | Priority Date | Filing Date |
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JP2002542282A Pending JP2004513702A (ja) | 2000-11-16 | 2001-11-01 | ドップラー効果によって案内される縫合結紮デバイスおよび方法 |
Country Status (8)
Country | Link |
---|---|
US (1) | US6638286B1 (ja) |
EP (2) | EP1343417A1 (ja) |
JP (2) | JP2004513702A (ja) |
AT (1) | ATE510501T1 (ja) |
AU (2) | AU2002211227A1 (ja) |
CA (2) | CA2431649C (ja) |
ES (1) | ES2364627T3 (ja) |
WO (1) | WO2002039905A1 (ja) |
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AU2002224319A1 (en) | 2002-05-27 |
JP2004513702A (ja) | 2004-05-13 |
WO2002039905A1 (en) | 2002-05-23 |
AU2002211227A1 (en) | 2002-05-27 |
EP1345534B1 (en) | 2011-05-25 |
US6638286B1 (en) | 2003-10-28 |
ES2364627T3 (es) | 2011-09-08 |
EP1343417A1 (en) | 2003-09-17 |
JP2004520867A (ja) | 2004-07-15 |
EP1345534A4 (en) | 2008-04-23 |
WO2002039905A9 (en) | 2003-03-27 |
CA2431649A1 (en) | 2002-05-23 |
CA2437475A1 (en) | 2002-05-23 |
EP1345534A1 (en) | 2003-09-24 |
CA2431649C (en) | 2007-01-02 |
ATE510501T1 (de) | 2011-06-15 |
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