JP4435816B2 - 結紮バンド分配装置用の改良された遠位端 - Google Patents
結紮バンド分配装置用の改良された遠位端 Download PDFInfo
- Publication number
- JP4435816B2 JP4435816B2 JP2007206338A JP2007206338A JP4435816B2 JP 4435816 B2 JP4435816 B2 JP 4435816B2 JP 2007206338 A JP2007206338 A JP 2007206338A JP 2007206338 A JP2007206338 A JP 2007206338A JP 4435816 B2 JP4435816 B2 JP 4435816B2
- Authority
- JP
- Japan
- Prior art keywords
- distal
- support surface
- distal end
- ligation
- band
- 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
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—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
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
- A61B2017/12018—Elastic band ligators
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Description
Claims (10)
- 内視鏡の遠位端に連結されるように適用された結紮バンド分配装置のための支持構造であって、
剛性の支持面であって、前記支持面の遠位部は前記支持面の遠位端から近方に最遠位結紮バンド受入領域まで延びており、少なくとも前記遠位部は実質的に透明である、前記支持面と、
前記最遠位結紮バンド受入領域から近方に延びる前記支持面の一部上に受け入れられる複数の結紮バンドと、
前記支持面の遠位端から近位端まで前記支持面を軸方向に通って延びるチャンネルと、
前記チャンネルに受け入れられる内視鏡の遠位端の挿入を挿入の最遠位点まで制限するための位置決め手段であって、前記位置決め手段は最遠位にある前記結紮バンドの下方から3番目に遠位にある結紮バンドの下方までの位置に配置される、前記位置決め手段と、
を備えている支持構造。 - 前記位置決め手段は、前記チャンネル内に突出して前記内視鏡の遠位端の設置位置をチャンネル内に規定する隣接面を含む、請求項1に記載の支持構造。
- 前記隣接面は、前記チャンネル内に径方向に突出し、かつ、前記チャンネルの内径の少なくとも一部の周りに延びる、請求項2に記載の支持構造。
- 前記支持面は、その遠位端から近位端に向かって少なくとも12.7mm延びる、請求項1に記載の支持構造。
- 前記遠位部は長さが少なくとも5mmである、請求項1に記載の支持構造。
- 前記支持面の遠位端は、トリガー線を受け入れるために形成された複数の溝を含む、請求項1に記載の支持構造。
- 前記隣接面は、最遠位にある結紮バンドの遠位端と整列する、請求項3に記載の支持構造。
- 前記隣接面は前記結紮バンドのうち最近位のものよりも遠位に配置され、かつ、2本以下の結紮バンドは前記隣接面よりも遠位に配置される、請求項2に記載の支持構造。
- 2本以下の結紮バンドは前記挿入の最遠位点よりも遠位に配置される、請求項1に記載の支持構造。
- 前記位置決め手段は前記支持面の遠位端から8.9mm〜12.7mmに位置する、請求項1に記載の支持構造。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/869,055 US5853416A (en) | 1997-06-04 | 1997-06-04 | Distal end for ligating band dispenser |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP50243599A Division JP2002502291A (ja) | 1997-06-04 | 1998-06-01 | 結紮バンド分配装置用の改良された遠位端 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008023344A JP2008023344A (ja) | 2008-02-07 |
JP4435816B2 true JP4435816B2 (ja) | 2010-03-24 |
Family
ID=25352848
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP50243599A Pending JP2002502291A (ja) | 1997-06-04 | 1998-06-01 | 結紮バンド分配装置用の改良された遠位端 |
JP2007206338A Expired - Lifetime JP4435816B2 (ja) | 1997-06-04 | 2007-08-08 | 結紮バンド分配装置用の改良された遠位端 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP50243599A Pending JP2002502291A (ja) | 1997-06-04 | 1998-06-01 | 結紮バンド分配装置用の改良された遠位端 |
Country Status (7)
Country | Link |
---|---|
US (4) | US5853416A (ja) |
EP (1) | EP0986332B1 (ja) |
JP (2) | JP2002502291A (ja) |
AU (1) | AU737304B2 (ja) |
CA (1) | CA2291703C (ja) |
DE (1) | DE69830402T2 (ja) |
WO (1) | WO1998055030A1 (ja) |
Families Citing this family (45)
Publication number | Priority date | Publication date | Assignee | Title |
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US5913865A (en) | 1998-05-15 | 1999-06-22 | Scimed Lifesystems, Inc. | Distal end for ligating band dispenser |
US6235040B1 (en) | 1998-09-21 | 2001-05-22 | Scimed Life Systems, Inc. | Single pull wire multiple band ligator |
US6835200B2 (en) | 1999-06-22 | 2004-12-28 | Ndo Surgical. Inc. | Method and devices for tissue reconfiguration |
US6494888B1 (en) * | 1999-06-22 | 2002-12-17 | Ndo Surgical, Inc. | Tissue reconfiguration |
US8287554B2 (en) | 1999-06-22 | 2012-10-16 | Ethicon Endo-Surgery, Inc. | Method and devices for tissue reconfiguration |
US6663639B1 (en) | 1999-06-22 | 2003-12-16 | Ndo Surgical, Inc. | Methods and devices for tissue reconfiguration |
US7846180B2 (en) | 1999-06-22 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Tissue fixation devices and methods of fixing tissue |
US6821285B2 (en) * | 1999-06-22 | 2004-11-23 | Ndo Surgical, Inc. | Tissue reconfiguration |
US7993368B2 (en) | 2003-03-13 | 2011-08-09 | C.R. Bard, Inc. | Suture clips, delivery devices and methods |
US7399304B2 (en) | 2000-03-03 | 2008-07-15 | C.R. Bard, Inc. | Endoscopic tissue apposition device with multiple suction ports |
ES2252231T3 (es) * | 2000-05-15 | 2006-05-16 | C.R. Bard, Inc. | Mecanismo de fijacion de un accesorio endoscopico. |
US8105351B2 (en) | 2001-05-18 | 2012-01-31 | C.R. Bard, Inc. | Method of promoting tissue adhesion |
ES2435094T3 (es) | 2000-05-19 | 2013-12-18 | C.R. Bard, Inc. | Dispositivo y método de captura y sutura de tejido |
AU2893002A (en) | 2000-12-06 | 2002-06-18 | Wilson Cook Medical Inc | Ligating band delivery apparatus |
US7037314B2 (en) * | 2001-01-09 | 2006-05-02 | Armstrong David N | Multiple band ligator and anoscope system and method for using same |
US7063709B2 (en) * | 2002-06-11 | 2006-06-20 | Boston Scientific Scimed, Inc. | Ligating band dispenser with transverse ridge profile |
WO2004021873A2 (en) | 2002-09-06 | 2004-03-18 | C.R. Bard, Inc. | Integrated endoscope and accessory treatment device |
MXPA05012303A (es) | 2003-05-16 | 2006-02-22 | Bard Inc C R | Sistema de suturacion endoscopico de puntadas multiples, de intubacion individual. |
DE602004005584D1 (de) * | 2004-07-29 | 2007-05-10 | Taewoong Medical Co Ltd | Chirurgische Vorrichtung zur Gummibandligatur |
CN1329006C (zh) * | 2004-08-11 | 2007-08-01 | 太雄医疗器株式会社 | 医疗用束带结扎器 |
US7780592B2 (en) * | 2004-10-29 | 2010-08-24 | Medtronic, Inc. | Distal portion of an endoscopic delivery system |
US8845516B2 (en) * | 2005-05-09 | 2014-09-30 | Endochoice, Inc. | Ligator |
US7771440B2 (en) * | 2005-08-18 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Method and apparatus for endoscopically performing gastric reduction surgery in a single pass |
US9370370B2 (en) * | 2005-11-22 | 2016-06-21 | Boston Scientific Scimed, Inc. | Shape memory hemostasis band |
US9005220B2 (en) | 2006-04-04 | 2015-04-14 | C.R. Bard, Inc. | Suturing devices and methods with energy emitting elements |
CA2650287C (en) * | 2006-05-03 | 2015-11-17 | Indiana University Research & Technology Corporation | Methods and apparatuses for reshaping the esophagus and other body lumens |
US8821515B2 (en) * | 2006-10-16 | 2014-09-02 | Boston Scientific Scimed, Inc. | Ligating instrument |
US8728096B2 (en) * | 2006-10-24 | 2014-05-20 | Boston Scientific Scimed, Inc. | Ligating band dispenser with a sliding deployment system |
US8852216B2 (en) | 2007-03-23 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Tissue approximation methods |
JP5273980B2 (ja) * | 2007-10-01 | 2013-08-28 | オリンパスメディカルシステムズ株式会社 | 内視鏡用結紮具及び内視鏡結紮システム |
US8882785B2 (en) | 2008-09-29 | 2014-11-11 | Paul C. DiCesare | Endoscopic suturing device |
US8920311B2 (en) | 2008-11-18 | 2014-12-30 | Aponos Medical Corp. | Adapter for attaching devices to endoscopes |
US20110077666A1 (en) * | 2009-09-30 | 2011-03-31 | Boston Scientific Scimed, Inc | Ligating band dispenser device |
US20120239061A1 (en) * | 2011-03-15 | 2012-09-20 | Mathur Sandip V | Endoscopic full thickness gastric reduction apparatus and method |
US9155554B2 (en) | 2011-10-27 | 2015-10-13 | Boston Scientific Scimed, Inc. | Tissue resection bander and related methods of use |
US9204782B2 (en) | 2011-10-27 | 2015-12-08 | Boston Scientific Scimed, Inc. | Mucosal resection device and related methods of use |
WO2013148118A1 (en) | 2012-03-30 | 2013-10-03 | Boston Scientific Scimed, Inc. | Inserts for dividing a medical device lumen |
US9044237B2 (en) | 2012-04-16 | 2015-06-02 | Boston Scientific Scimed, Inc. | Securement structure for joining medical device parts |
US9402631B2 (en) | 2012-11-19 | 2016-08-02 | Endochoice, Inc. | Multiple band endoscopic ligation device |
US10105143B2 (en) * | 2013-06-05 | 2018-10-23 | Boston Scientific Scimed, Inc. | Cap with band deployment features |
US9693779B2 (en) | 2015-06-12 | 2017-07-04 | Endochoice, Inc. | Ligator for use with an endoscope |
US11497507B2 (en) | 2017-02-19 | 2022-11-15 | Orpheus Ventures, Llc | Systems and methods for closing portions of body tissue |
WO2019067186A1 (en) | 2017-09-29 | 2019-04-04 | Gregory Piskun | RUBBER BAND LIGATION SYSTEM FOR THE TREATMENT OF HEMORRHOIDS |
WO2019229874A1 (ja) * | 2018-05-30 | 2019-12-05 | オリンパス株式会社 | 粘膜拳上器具および粘膜拳上方法 |
IT202000020383A1 (it) * | 2020-08-25 | 2022-02-25 | Biodismed S R L | Dispositivo medicale per l’emostasi meccanica dei vasi sanguigni in chirurgia d’urgenza video-assistita |
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JPS61262171A (ja) * | 1985-05-16 | 1986-11-20 | Mitsubishi Electric Corp | カラ−インクリボン |
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US5356416A (en) * | 1992-10-09 | 1994-10-18 | Boston Scientific Corporation | Combined multiple ligating band dispenser and sclerotherapy needle instrument |
US5269789A (en) * | 1992-10-09 | 1993-12-14 | Boston Scientific Corporation | Multiple ligating band dispenser for ligating instruments |
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US5624453A (en) * | 1993-02-23 | 1997-04-29 | Wilson-Cook Medical, Inc. | Endoscopic ligating instrument |
US5320630A (en) * | 1993-02-23 | 1994-06-14 | Munir Ahmed | Endoscopic ligating instrument for applying elastic bands |
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US5398844A (en) * | 1994-01-31 | 1995-03-21 | Boston Scientific Corporation | Multiple ligating band dispenser |
US5520630A (en) * | 1994-02-14 | 1996-05-28 | Daneshvar; Yousef | E-Z leg supports |
TW288967B (ja) | 1994-04-26 | 1996-10-21 | Top Kk | |
EP0750470A4 (en) * | 1994-12-20 | 1998-02-04 | Bard Inc C R | POSTER IN SERIES OF ELASTIC LIGATIONS, TRANSPARENT AND ANIMATED OF AN ALTERNATIVE MOTION |
US5968058A (en) * | 1996-03-27 | 1999-10-19 | Optonol Ltd. | Device for and method of implanting an intraocular implant |
US5857585A (en) | 1996-05-28 | 1999-01-12 | Act Medical, Inc. | Ligating band dispenser |
AU726329B2 (en) * | 1996-06-06 | 2000-11-02 | C.R. Bard Inc. | Hydraulically actuated multiband ligator |
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-
1997
- 1997-06-04 US US08/869,055 patent/US5853416A/en not_active Expired - Lifetime
-
1998
- 1998-06-01 DE DE69830402T patent/DE69830402T2/de not_active Expired - Lifetime
- 1998-06-01 EP EP98926031A patent/EP0986332B1/en not_active Expired - Lifetime
- 1998-06-01 CA CA002291703A patent/CA2291703C/en not_active Expired - Fee Related
- 1998-06-01 WO PCT/US1998/009365 patent/WO1998055030A1/en active IP Right Grant
- 1998-06-01 JP JP50243599A patent/JP2002502291A/ja active Pending
- 1998-06-01 AU AU77959/98A patent/AU737304B2/en not_active Ceased
- 1998-12-23 US US09/220,477 patent/US6059798A/en not_active Expired - Lifetime
-
2000
- 2000-04-06 US US09/544,590 patent/US6610070B1/en not_active Expired - Lifetime
-
2003
- 2003-03-13 US US10/386,489 patent/US7214231B2/en not_active Expired - Fee Related
-
2007
- 2007-08-08 JP JP2007206338A patent/JP4435816B2/ja not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
AU737304B2 (en) | 2001-08-16 |
EP0986332A4 (en) | 2003-06-04 |
CA2291703A1 (en) | 1998-12-10 |
WO1998055030A1 (en) | 1998-12-10 |
EP0986332A1 (en) | 2000-03-22 |
US5853416A (en) | 1998-12-29 |
US6059798A (en) | 2000-05-09 |
EP0986332B1 (en) | 2005-06-01 |
JP2002502291A (ja) | 2002-01-22 |
DE69830402D1 (de) | 2005-07-07 |
DE69830402T2 (de) | 2006-01-26 |
US7214231B2 (en) | 2007-05-08 |
US6610070B1 (en) | 2003-08-26 |
CA2291703C (en) | 2006-09-19 |
JP2008023344A (ja) | 2008-02-07 |
AU7795998A (en) | 1998-12-21 |
US20030187464A1 (en) | 2003-10-02 |
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