JP4509141B2 - 組織切断装置 - Google Patents
組織切断装置 Download PDFInfo
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- JP4509141B2 JP4509141B2 JP2007146679A JP2007146679A JP4509141B2 JP 4509141 B2 JP4509141 B2 JP 4509141B2 JP 2007146679 A JP2007146679 A JP 2007146679A JP 2007146679 A JP2007146679 A JP 2007146679A JP 4509141 B2 JP4509141 B2 JP 4509141B2
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/025—Pointed or sharp biopsy instruments for taking bone, bone marrow or cartilage samples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Hematology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Immunology (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
Description
例
例1
医師の説明に基づいて、患者の同意(インフォームド・コンセント)を得るとともに標準の生体組織検査の手順に沿って患者が準備をした後に、18回の生体組織検査が行われた。各々の生体組織検査は次の手順に沿って行われた。患者は外科手術用テーブルの上にあおむけに置かれ、そして患者の病変部の位置をつきとめるため超音波が用いられた。小さな切開が患者の胸部に施された。超音波を用いて病変部の位置をつきとめる間に、本発明の初期実施例は、生体組織収容孔とともに患者の胸部から病変部の付近に挿入された。本発明の初期実施例は病変をサンプリング、あるいは取り除くことに用いられた。病変は6mmから22mmと様々な大きさであった。外科医師の論評をテーブル1に記載する。
外科医が本発明の装置及びバーバンクが提供した各装置を効率的に用いるためのフィードバックに関する米国特許第5526822号の特徴を有する装置を用いて、生体検査を行った。外科医師から提供された情報は、病変部を除去するために必要な時間およびストローク数の算定に用いられた。
Claims (6)
- 末端部と対向基端部との間の外部管腔(27,306)を規定し、さらに前記外部管腔と接続する前記末端部に隣接する組織受取開口部(25,126)を規定する外部套管(15,125,303)と、
前記外部管腔(27,306)内を滑り、末端部と対向基端部との間の内部管腔(34)を規定し、さらに前記末端部の切刃(35)を規定する切断部(17,304)と、
突き出た切断組織を前記組織受取開口部(25,126)を横切って切刃(35)に移動する切断部(17,304)を操作可能に連結する駆動機構を支持するハンドピース(12,305)と、
前記切断部(17,304)の前記基端部に流体を連通する真空ソースと、
前記外部套管(15,125,303)の前記基端部に取り付ける末端部を有し、基端部は前記ハンドピースと前記切断部(17,304)から外部套管が分離可能になるハンドピース(12,305)に分離して装着されたハブ(75,140,312)と、
を備えることを特徴とする組織切断装置(10,300)。 - 前記ハブ(75,140,312)の基端部は、噛合フランジ(77,142,348)を規定し、
前記ハンドピース(12,305)は、噛合フランジ(77,142,348)に嵌合するために取り付ける金具(72,345)を規定する、ことを特徴とする請求項1に記載の組織切断装置(10,300)。 - 前記外部套管(15,125,303)内に配置されたラジオ−オパキュエマーカーを、さらに備える、ことを特徴とする請求項1に記載の組織切断装置(10,300)。
- 前記ハブは、前記外部套管の前記末端部が体内に位置し、前記ハブが体外に位置するとき、前記外部套管の前記外部管腔(27,306)と大気との間の漏れ流路を規定する、ことを特徴とする請求項1に記載の組織切断装置(10,300)。
- 前記ハンドピース(12,305)は、金具(77,142,348)を規定する末端部(71)を有するハウジング(70,340)を含み、
前記ハブ(75,140,312)は、前記基端部の噛合フランジ(77,142,348)を規定し、前記噛合フランジは、前記ハブの前記ハンドピース(12,305)に連結する前記金具に嵌合する、ことを特徴とする請求項1に記載の組織切断装置(10,300)。 - 前記漏れ流路は、前記ハウジング(70,340)と前記ハブ(75,140,312)との間に規定される、ことを特徴とする請求項4に記載の組織切断装置(10,300)。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/707,022 US6758824B1 (en) | 2000-11-06 | 2000-11-06 | Biopsy apparatus |
US09/864,031 US6638235B2 (en) | 2000-11-06 | 2001-05-23 | Biopsy apparatus |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002568992A Division JP4064243B2 (ja) | 2000-11-06 | 2001-10-25 | 生体組織検査装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007307391A JP2007307391A (ja) | 2007-11-29 |
JP4509141B2 true JP4509141B2 (ja) | 2010-07-21 |
Family
ID=27107810
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002568992A Expired - Fee Related JP4064243B2 (ja) | 2000-11-06 | 2001-10-25 | 生体組織検査装置 |
JP2007146679A Expired - Fee Related JP4509141B2 (ja) | 2000-11-06 | 2007-06-01 | 組織切断装置 |
JP2007146680A Expired - Fee Related JP4510053B2 (ja) | 2000-11-06 | 2007-06-01 | 組織切断装置 |
JP2007288847A Expired - Fee Related JP4659014B2 (ja) | 2000-11-06 | 2007-11-06 | 生体組織切断装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002568992A Expired - Fee Related JP4064243B2 (ja) | 2000-11-06 | 2001-10-25 | 生体組織検査装置 |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007146680A Expired - Fee Related JP4510053B2 (ja) | 2000-11-06 | 2007-06-01 | 組織切断装置 |
JP2007288847A Expired - Fee Related JP4659014B2 (ja) | 2000-11-06 | 2007-11-06 | 生体組織切断装置 |
Country Status (4)
Country | Link |
---|---|
US (6) | US8109886B2 (ja) |
JP (4) | JP4064243B2 (ja) |
GB (1) | GB2376633B (ja) |
WO (1) | WO2002069808A2 (ja) |
Families Citing this family (268)
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2006
- 2006-02-28 US US11/364,123 patent/US7883476B2/en not_active Expired - Fee Related
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2007
- 2007-06-01 JP JP2007146679A patent/JP4509141B2/ja not_active Expired - Fee Related
- 2007-06-01 JP JP2007146680A patent/JP4510053B2/ja not_active Expired - Fee Related
- 2007-11-06 JP JP2007288847A patent/JP4659014B2/ja not_active Expired - Fee Related
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2011
- 2011-08-15 US US13/175,830 patent/US20120059276A1/en not_active Abandoned
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2013
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JPH09510638A (ja) * | 1994-03-24 | 1997-10-28 | バイオプシス メディカル インコーポレイテッド | 軟組織の自動化された生検および採取のための方法および装置 |
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JP2004519279A (ja) | 2004-07-02 |
JP4510053B2 (ja) | 2010-07-21 |
US20040049128A1 (en) | 2004-03-11 |
US20140257134A1 (en) | 2014-09-11 |
JP2007313332A (ja) | 2007-12-06 |
JP2008100082A (ja) | 2008-05-01 |
US7883476B2 (en) | 2011-02-08 |
WO2002069808A3 (en) | 2003-03-06 |
US20120059276A1 (en) | 2012-03-08 |
WO2002069808A9 (en) | 2003-12-31 |
WO2002069808A2 (en) | 2002-09-12 |
JP4064243B2 (ja) | 2008-03-19 |
US8986222B2 (en) | 2015-03-24 |
US8109886B2 (en) | 2012-02-07 |
GB0215654D0 (en) | 2002-08-14 |
GB2376633A (en) | 2002-12-24 |
JP2007307391A (ja) | 2007-11-29 |
JP4659014B2 (ja) | 2011-03-30 |
US20140012158A1 (en) | 2014-01-09 |
GB2376633B (en) | 2004-11-10 |
US20060155209A1 (en) | 2006-07-13 |
US20050113715A1 (en) | 2005-05-26 |
US8764679B2 (en) | 2014-07-01 |
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