JP4166691B2 - 組織マーキング装置および方法 - Google Patents
組織マーキング装置および方法 Download PDFInfo
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- JP4166691B2 JP4166691B2 JP2003516397A JP2003516397A JP4166691B2 JP 4166691 B2 JP4166691 B2 JP 4166691B2 JP 2003516397 A JP2003516397 A JP 2003516397A JP 2003516397 A JP2003516397 A JP 2003516397A JP 4166691 B2 JP4166691 B2 JP 4166691B2
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- 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
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0076—Tattooing apparatus
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- 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
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/392—Radioactive markers
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3987—Applicators for implanting markers
Description
本出願は、2001年8月3日に出願された、米国仮特許出願第60/309,821号(その全体の内容は本明細書に参考として援用される)の優先権を主張する。
1.技術分野
本開示は組織マーキング装置および方法に関し、そして、より具体的には、長期間に渡る繰り返しのモニタリングのために、疑わしい組織をマーキングするための装置および方法に関する。
介在性の医療診断および処置は、対象とする組織塊、例えば、腫瘍、病変、嚢腫または類似の組織疾患、を効果的にマーキングする手段を必要とする。マーキングは、伝統的には、有刺端または類似の係合端を有する細長い針金を使用することで達成されている。細長い針金は、検査に際して見えるように、細長い針金の反対の端が身体の外に延びた状態で、有刺端が対象組織塊に侵入し、挿入されるように構成されている。この方法では、細長い針金は、その後に続く切開のための経路を提供し、そして、一旦、診断および処置が完了すると、針金の除去を容易にする。
本開示は、患者の体内の対象とする組織塊をマークするのに使用される装置に関する。本開示はまた、組織塊をマークするために、本開示の装置を使用する方法に関する。
本開示の目標マーキング装置の好ましい実施形態は、同様の参照数字が類似のまたは同一の要素を識別する図を参照して詳細に記述される。以下に掲げる図および説明において、「近位」という用語は、伝統的に、本開示の外科的デバイスまたは装置の操作者に最も近い端をさし、一方、「遠位」という用語は、デバイスまたは装置の操作者より最も遠い端をさす。
Claims (14)
- 患者の体内の対象とする組織塊をマーキングするための、組織マーキング装置であって、該組織マーキング装置は、以下:
ハンドル;
該ハンドルの遠位端と機能的に連結されたチューブ;
該チューブ内に配置され、そして該ハンドル内に延びている押棒;
該押棒の遠位の位置で、該チューブ内に受け入れられるためのマーカー;および
該ハンドル内に保持され、そして該押棒の近位端と機能的に連結された発射機構であって、該チューブを通じて該押棒を遠位へ進めるように構成および適合されている発射機構
を備え、
該マーカーは、その遠位端より延びている細長い尾部を備え、該尾部は、静止状態では、該細長い尾部の遠位端が該細長い尾部の中央部に達するような形状を有しており、該細長い尾部が、実質的に直線状態にまで変形し得ることを特徴とし;そして
該発射機構は、該マーカーを該チューブの遠位端から周囲の組織に貫入するような十分な速度で押し出すために、該チューブを通じて該押棒を遠位へ進める、
組織マーキング装置。 - 請求項1に記載の組織マーキング装置であって、前記マーカーが、以下:
その中のチャンバーを規定するカプセル、および
該カプセルの該チャンバー内に保持された、少なくとも1つの放射性ビーズ
を備える、組織マーキング装置。 - 前記マーカーの前記カプセルが、以下:
前記細長い尾部が延びる遠位カプセル部;および
前記少なくとも1つの放射性ビーズを保持するために、その中に形成されたチャンバーを有する近位カプセル部であって、該遠位カプセル部および近位カプセル部は、互いに固定され、そしてそのチャンバー内に該少なくとも1つの放射性ビーズを収容するように構成ならびに適合されている、近位カプセル部、
を備える、請求項2に記載の組織マーキング装置。 - 前記発射機構が、以下:
該発射機構の作動により、前記チューブを通じて、前記押棒を迅速に遠位に駆動するように構成および適合されたポテンシャルエネルギー発生源、
を備える、請求項1に記載の組織マーキング装置。 - 前記発射機構が、以下:
前記ハンドル内に滑動的に保持されたピストン;
該ピストンと該ハンドルの内部の近位表面との間に、滑動的に配置された圧縮バネ;
該ピストン内にしっかりと保持された近位端および該ハンドルの遠位表面に形成された止め金内に選択的に保持された遠位端を有する偏心棒であって、該バネを圧縮された状態に維持するように、該ピストンを該バネに押し付ける偏心棒;および
該ハンドルと機能的に連結された発射ボタンであって、該バネが伸長することを可能とするために、該止め金から該偏心棒の該遠位端を離脱させるように構成および適合されている発射ボタン、
を備える、請求項1に記載の組織マーキング装置。 - 前記発射機構が、以下:
前記ハンドル内に滑動的に保持された圧縮バネ;および
該ハンドル内に滑動的に保持された発射ボタンであって、以下:
ピストンを規定する遠位端;
該ハンドルの近位端に形成された開口部の縁部に係合するように構成および適合された縁を規定する近位端;および
該発射ボタンの該遠位端および近位端を相互接続するシャフト部であって、該発射ボタンの該シャフト部および該近位端が、該圧縮バネが該ピストンと該ハンドルの該近位端との間に配置されるように、該圧縮バネを通じて延びる、シャフト部、
を備える、発射ボタン、
を備え、該圧縮バネが、該発射ボタンの該縁が該ハンドルの該近位端に形成された該開口部の該縁部に係合しているときは、圧縮された状態に維持される、請求項1に記載の組織マーキング装置。 - 前記組織マーキング装置が、さらに、以下:
前記発射機構の前記作動を防止するように構成および適合されたロックタブ、
を備える、請求項4に記載の組織マーキング装置。 - 前記ロックタブが、前記発射ボタンの前記近位端と前記ハンドルの前記近位端に形成された前記開口部のより低い縁部との間で、該ハンドルの該近位端に形成された該開口部内に挿入可能であり、それによって、該ロックタブが、該ハンドルの該近位端に形成された該開口部の該縁部より、該発射ボタンの該近位端の前記縁が離脱するのを防止する、請求項7に記載の組織マーキング装置。
- 前記マーカーが、前記細長い尾部が遠位に方向付けられ、そして前記カプセルが前記押棒に接触するように前記チューブ内に配置される、請求項1に記載の組織マーキング装置。
- 前記組織マーキング装置の前記ハンドルが、以下:
前記チューブが延びる遠位本体部;および
近位本体部、
を備え、該遠位本体部および近位本体部が互いに連結されるように構成および適合されている、請求項1に記載の組織マーキング装置。 - 組織マーキング装置での使用のための、患者の体内の対象とする組織塊をマーキングし、そして該患者体内に完全に配置される、マーカーであって、以下:
カプセル;
該カプセルより延びている細長い尾部;および
該カプセル内に保持される少なくとも1つの放射性物質、
を備え、該放射性物質は、少なくとも1つの放射性ビーズを含み、そして該細長い尾部は、輪状の構成を有し、実質的に直線状態にまで変形し得、該細長い尾部は、該マーカーの移動を回避するように該患者に配置された場合、組織を係合することを特徴とする、マーカー。 - 前記カプセルが、以下:
前記細長い尾部が延びる遠位カプセル部;および
その中のチャンバーを規定する、近位カプセル部であって、該遠位カプセル部および該近位カプセル部が、互いに固定され、そしてその該チャンバー内に前記少なくとも1つの放射性ビーズを収容するように構成および適合される、近位カプセル部、
を備える、請求項11に記載のマーカー。 - 前記細長い尾部が、静止状態において、該細長い尾部の遠位端が、該細長い尾部の中央部に達する形状を有し、該細長い尾部は、実質的に直線状態にまで変形し得る、請求項12に記載のマーカー。
- 前記細長い尾部が、形状記憶合金および超弾性物質からなる群より選択される物質で構成される、請求項13に記載のマーカー。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US30982101P | 2001-08-03 | 2001-08-03 | |
PCT/US2002/025221 WO2003011161A1 (en) | 2001-08-03 | 2002-08-05 | Tissue marking apparatus and method |
Publications (3)
Publication Number | Publication Date |
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JP2004536660A JP2004536660A (ja) | 2004-12-09 |
JP2004536660A5 JP2004536660A5 (ja) | 2006-01-05 |
JP4166691B2 true JP4166691B2 (ja) | 2008-10-15 |
Family
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Application Number | Title | Priority Date | Filing Date |
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JP2003516397A Expired - Fee Related JP4166691B2 (ja) | 2001-08-03 | 2002-08-05 | 組織マーキング装置および方法 |
Country Status (7)
Country | Link |
---|---|
US (1) | US7497862B2 (ja) |
EP (1) | EP1411851B1 (ja) |
JP (1) | JP4166691B2 (ja) |
CA (1) | CA2453822C (ja) |
DE (1) | DE60215819T2 (ja) |
ES (1) | ES2271321T3 (ja) |
WO (1) | WO2003011161A1 (ja) |
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- 2002-08-05 EP EP02761297A patent/EP1411851B1/en not_active Expired - Fee Related
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- 2002-08-05 JP JP2003516397A patent/JP4166691B2/ja not_active Expired - Fee Related
- 2002-08-05 ES ES02761297T patent/ES2271321T3/es not_active Expired - Lifetime
- 2002-08-05 WO PCT/US2002/025221 patent/WO2003011161A1/en active IP Right Grant
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WO2003011161A1 (en) | 2003-02-13 |
ES2271321T3 (es) | 2007-04-16 |
CA2453822C (en) | 2011-02-22 |
DE60215819D1 (de) | 2006-12-14 |
EP1411851A1 (en) | 2004-04-28 |
DE60215819T2 (de) | 2007-09-06 |
JP2004536660A (ja) | 2004-12-09 |
CA2453822A1 (en) | 2003-02-13 |
EP1411851B1 (en) | 2006-11-02 |
US7497862B2 (en) | 2009-03-03 |
US20040162574A1 (en) | 2004-08-19 |
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