JP4382667B2 - 医療装置用ガイド - Google Patents
医療装置用ガイド Download PDFInfo
- Publication number
- JP4382667B2 JP4382667B2 JP2004533929A JP2004533929A JP4382667B2 JP 4382667 B2 JP4382667 B2 JP 4382667B2 JP 2004533929 A JP2004533929 A JP 2004533929A JP 2004533929 A JP2004533929 A JP 2004533929A JP 4382667 B2 JP4382667 B2 JP 4382667B2
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- Prior art keywords
- guide
- puncture
- segment
- needle
- base plate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 238000003780 insertion Methods 0.000 claims description 9
- 230000037431 insertion Effects 0.000 claims description 9
- 230000003014 reinforcing effect Effects 0.000 claims description 9
- 238000001574 biopsy Methods 0.000 claims description 6
- 239000000853 adhesive Substances 0.000 claims description 4
- 230000001070 adhesive effect Effects 0.000 claims description 4
- 238000002595 magnetic resonance imaging Methods 0.000 claims description 3
- 230000035515 penetration Effects 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 2
- 229910001220 stainless steel Inorganic materials 0.000 claims description 2
- 239000010935 stainless steel Substances 0.000 claims description 2
- 239000000463 material Substances 0.000 claims 2
- 238000000034 method Methods 0.000 description 9
- 238000002591 computed tomography Methods 0.000 description 7
- 210000001519 tissue Anatomy 0.000 description 4
- 210000004556 brain Anatomy 0.000 description 2
- 210000003625 skull Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 0 CC1(*)*=*CCC1 Chemical compound CC1(*)*=*CCC1 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/20—Control lever and linkage systems
- Y10T74/20207—Multiple controlling elements for single controlled element
- Y10T74/20305—Robotic arm
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- External Artificial Organs (AREA)
Description
2,17 ベースプレート
3,18 ニードルガイド
4,19 リテイナ
5 リング状部材
6 平脚部
7,20 第1のセグメント
8,21 第2のセグメント
9 突起
10 対象部位
11 周辺組織
12 皮膚
13 レーザビーム
14 レーザ
15 穿刺ニードル
22〜25 弓形部材
26 ネジ
Claims (15)
- 穿刺ニードルを患者の体内の対象部位へと導くための穿刺ガイド(1)であって、所定の穿刺入点で患者の体に位置決めされるようになっているベースプレート(2)と、挿入中に前記穿刺ニードルを導くようになっているニードルガイド(3)と、前記ニードルガイド(3)を前記ベースプレート(2)に対して所定の位置に固定するためのリテイナ(4)とを備え、前記ニードルガイド(3)に取り付けられる第2のセグメント(8)と摺動可能に接触する第1のセグメント(7)が前記ベースプレート(2)に設けられている穿刺ガイド(1)において、
前記第1のセグメント(7)は、基本的に、前記ベースプレート(2)の裏面と同じ高さに中心を有する第1の半球の形状を成しており、前記中心は、前記所定の穿刺入点と一致する1つの点と一致し、前記第2のセグメント(8)は、基本的に、前記第1の半球の中心と一致する中心を有する第2の半球の形状を成しており、前記リテイナ(4)は、前記第2のセグメント(8)上に位置決めされるようになっているとともに、貫通した開口を有しており、前記リテイナが前記第2のセグメント上に位置決めされた時に、前記所定の穿刺入点と一致する前記1つの点を中心に前記ニードルガイド(3)が移動できるように前記第1のセグメント(7)と前記第2のセグメント(8)が協働することを特徴とする穿刺ガイド(1)。 - 前記ベースプレート(2)には中央リング状部材(5)が設けられ、前記リング状部材の中心には前記第1のセグメント(7)が設けられ、前記第2のセグメント(8)は前記ニードルガイド(3)のシャフト上に設けられ、前記第1のセグメント(7)は、該第1のセグメントの半球および前記ベースプレート(2)を貫通して延びる孔を有していることを特徴とする請求項1に記載の穿刺ガイド(1)。
- 前記リテイナ(4)が有する前記開口は、前記ニードルガイド(3)の主軸と直交する面内での前記第2のセグメント(8)の幅よりも小さいサイズまで下側に向かって該開口が狭くなっている上側部分と、前記ベースプレートの前記中央リング状部材(5)の対応する取付手段と合致して前記ニードルガイド(3)を前記ベースプレート(2)に対して固定する取付手段が設けられた下側リング状部分とを有していることを特徴とする請求項2に記載の穿刺ガイド(1)。
- 前記リテイナ(4)の前記下側リング状部分の内面は、前記第2のセグメント(8)の形状に対応する形状を成していることを特徴とする請求項3に記載の穿刺ガイド(1)。
- 前記リテイナ(4)の前記下側リング状部分の内面の形状は面取りが施され、該面取りは、前記第2のセグメント(8)の形状に対応していることを特徴とする請求項4に記載の穿刺ガイド(1)。
- 前記リテイナ(4)の前記上側部分の外面は、ユーザのための把持部を形成するために広がっていることを特徴とする請求項3〜5のいずれか1つに記載の穿刺ガイド(1)。
- 前記ベースプレート(2)には、患者の皮膚に添えられる複数の平脚部(6)が設けられていることを特徴とする請求項1に記載の穿刺ガイド(1)。
- 前記平脚部の裏面には、患者の皮膚への付着に適した接着剤が設けられていることを特徴とする請求項7に記載の穿刺ガイド(1)。
- 前記リテイナ(4)の前記下側リング状部分の外面には、前記中央リング状部材(5)の内面の溝に嵌合する突起(9)が設けられ、これにより、前記ベースプレート(2)と前記ニードルガイド(3)との間でバヨネット結合することを特徴とする請求項3〜8のいずれか1つに記載の穿刺ガイド(1)。
- 前記所定の穿刺入点と対向する前記ニードルガイド(3,18)の部分は、略管状を成す補強手段によって補強されていることを特徴とする請求項3〜9のいずれか1つに記載の穿刺ガイド(1)。
- 前記補強手段は前記ニードルガイドと一体の部分であることを特徴とする請求項10に記載の穿刺ガイド(1)。
- 前記補強手段は、X線画像で視認可能な材料、例えば金属によって形成されていることを特徴とする請求項10または11に記載の穿刺ガイド(1)。
- 前記補強手段は、磁気共鳴映像法に適合し得る材料、例えば非磁性ステンレス鋼によって形成されていることを特徴とする請求項12に記載の穿刺ガイド(1)。
- 穿刺ニードルを患者の体内の対象部位へと導くための穿刺ガイド(16)であって、所定の穿刺入点で患者の体に位置決めされるようになっているベースプレート(17)と、挿入中に前記穿刺ニードルを導くようになっているニードルガイド(18)と、前記ニードルガイド(18)を前記ベースプレート(17)に対して所定の位置に固定するためのリテイナ(19)とを備え、前記ニードルガイド(18)に取り付けられる第2のセグメント(21)と摺動可能に接触する第1のセグメント(20)が前記ベースプレート(17)に設けられている穿刺ガイド(16)において、
前記第1のセグメント(20)および前記第2のセグメント(21)は、90°離れた位置で前記ベースプレート(17)に回動可能に取り付けられたサイズの等しい2つの半円弓部の形状を成しており、各弓部にはスリットが設けられ、前記ニードルガイド(18)は、前記弓部の交差点で前記スリット内に配置されるようになっており、前記所定の穿刺入点と一致する1つの点を中心に前記ニードルガイド(18)が移動できるように前記第1のセグメント(20)と前記第2のセグメント(21)が協働することを特徴とする請求項1に記載の穿刺ガイド(16)。 - 前記リテイナ(19)の内面は、ネジ山が形成されるとともに、前記ニードルガイド(18)の外面の対応するネジと螺合しており、前記ニードルガイド(18)上で前記リテイナ(19)を締め付けることにより、前記ニードルガイドと前記リテイナとの間に前記第1および第2のセグメント(20,21)が位置した状態で前記ニードルガイド(18)が、ある位置に固定されることを特徴とする請求項14に記載の穿刺ガイド(16)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US40795902P | 2002-09-05 | 2002-09-05 | |
SE0202633A SE524042C2 (sv) | 2002-09-05 | 2002-09-05 | Punktionsguide för styrning av en punktionsnål till ett målställe i en patients kropp |
PCT/SE2003/001349 WO2004021898A1 (en) | 2002-09-05 | 2003-09-01 | Guide for a medical device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005537850A JP2005537850A (ja) | 2005-12-15 |
JP4382667B2 true JP4382667B2 (ja) | 2009-12-16 |
Family
ID=31980724
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004533929A Expired - Lifetime JP4382667B2 (ja) | 2002-09-05 | 2003-09-01 | 医療装置用ガイド |
Country Status (7)
Country | Link |
---|---|
US (1) | US7824417B2 (ja) |
EP (1) | EP1534153B1 (ja) |
JP (1) | JP4382667B2 (ja) |
AT (1) | ATE428360T1 (ja) |
AU (1) | AU2003256201B2 (ja) |
DE (1) | DE60327213D1 (ja) |
WO (1) | WO2004021898A1 (ja) |
Cited By (1)
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AU2003256201A1 (en) | 2004-03-29 |
AU2003256201B2 (en) | 2006-06-01 |
DE60327213D1 (de) | 2009-05-28 |
EP1534153A1 (en) | 2005-06-01 |
US20040260312A1 (en) | 2004-12-23 |
ATE428360T1 (de) | 2009-05-15 |
JP2005537850A (ja) | 2005-12-15 |
US7824417B2 (en) | 2010-11-02 |
WO2004021898A1 (en) | 2004-03-18 |
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