JP4722850B2 - 植込み式デバイス締付けシステムおよび使用方法 - Google Patents
植込み式デバイス締付けシステムおよび使用方法 Download PDFInfo
- Publication number
- JP4722850B2 JP4722850B2 JP2006526976A JP2006526976A JP4722850B2 JP 4722850 B2 JP4722850 B2 JP 4722850B2 JP 2006526976 A JP2006526976 A JP 2006526976A JP 2006526976 A JP2006526976 A JP 2006526976A JP 4722850 B2 JP4722850 B2 JP 4722850B2
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- JP
- Japan
- Prior art keywords
- fastener
- port
- injection port
- fasteners
- implantable
- 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 - Fee Related
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0684—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0649—Coils or spirals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/005—Gastric bands
- A61F5/0053—Gastric bands remotely adjustable
- A61F5/0056—Gastric bands remotely adjustable using injection ports
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
- A61M2039/0223—Subcutaneous access sites for injecting or removing fluids having means for anchoring the subcutaneous access site
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/04—Access sites having pierceable self-sealing members
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
Claims (21)
- 注入ポートを体組織に取付けるための取付け手段を含む植込み式注入ポートであって、
前記注入ポートの外周を取囲む筐体と、
前記筐体に枢動的に取付けられ、前記ポートを体組織内で固定するために第1の位置から第2の位置へ回転可能な締付け手段と、
前記締付け手段を前記第1の位置から前記第2の位置へ回転させるための回転ディスクと、を備える植込み式注入ポート。 - 前記締付け手段が、前記第1の位置から前記第2の位置へ同時に軸回転する複数の締め具をさらに有する、請求項1に記載の植込み式注入ポート。
- 前記締め具が、前記植込み式注入ポートの下方の基部プレートの周囲に配置されていて湾曲したフックの形状を有する、請求項2に記載の植込み式注入ポート。
- 前記フックが、垂直軸の通る中心から外側に向かうように実質的に半径方向に沿って配置された軸を中心に軸回転する、請求項3に記載の植込み式注入ポート。
- 前記フックが、中心に垂直軸がある円の実質的に接線方向に沿った軸を中心に軸回転する、請求項3に記載の植込み式注入ポート。
- 前記フックのそれぞれが、前記フックが展開位置まで完全に軸回転したことを示す、聞取可能なクリック音を生じる、請求項3に記載の植込み式注入ポート。
- 湾曲した前記フックの鋭い先端が、円弧に沿って回転して前記円弧の端で、前記ポートの下方の基部プレートにおいて、または基部プレートの近傍で受入れられる、請求項3に記載の植込み式注入ポート。
- 前記筐体の下方の基部プレートが複数の開口を含み、前記締付け手段が、前記基部プレートに枢動的に取付けられるとともに前記基部プレートの下方に突出していない第1の位置から前記基部プレートの下方の第2の位置まで軸回転する複数の締め具を有し、前記締め具のそれぞれの先端が、体組織を貫通するように前記開口のいずれか1つを通って下方に延び、そして前記基部プレートに向かって上向きに湾曲している、請求項1に記載の植込み式注入ポート。
- 前記締め具のそれぞれが、先端が前記基部プレートにおける他の開口に受け入れられるように上向きに湾曲していることにより、前記締め具が、前記基部プレートの下で閉鎖ループをそれぞれ形成する、請求項8に記載の植込み式注入ポート。
- 止め部に係合して、前記締付け手段を前記第1の位置から前記第2の位置まで回転させた後における前記ディスクの後方への回転を防止する、少なくとも1つのロッキングタブをさらに含む、請求項1に記載の植込み式注入ポート。
- 前記筐体により保持される隔壁であって、前記隔壁の一端が前記植込み式注入ポートの上面の少なくとも一部を形成しており、前記隔壁に針を貫通させることが可能である隔壁と、
前記隔壁の下で流体の貯蔵部を定める空間と、
前記貯蔵部から前記筐体を通って延びる出口導管をさらに含む、請求項1に記載の植込み式注入ポート。 - 植込み式注入ポートと展開ツールのシステムであって、
請求項1に記載の植込み式注入ポートと、
展開ツールであって、
近位端側のシャフトと、
前記注入ポートを内部に受け入れて前記ポートの下方の基部プレートを露出させる窪みを規定する遠位端のカバーであって、前記ポートが実質的に垂直になるように前記カバーと窪みとが配置されており、前記近位端側のシャフトが、前記遠位端のカバーから上向きに延びているとともに近位端の手動式作動装置を備えているカバーと、
前記第1の位置から前記第2の位置まで前記締付け手段を移動させるために、前記作動装置の動作を、前記シャフトにおける要素を通じて前記ポートに伝達する、前記シャフトにおける伝動装置とを備える展開ツールと、を備えるシステム。 - 前記展開ツールが、ペンシルグリップ型作動装置、パームグリップ型作動装置、またはピストルグリップ型作動装置によって作動される、請求項12に記載のシステム。
- 前記締付け手段が、前記ポートの下方の基部プレートの周囲に配置されていて湾曲したフックの形状を有するとともに、前記第1の位置から前記第2の位置へ同時に軸回転する複数の締め具をさらに有する、請求項12に記載のシステム。
- 前記伝動装置が、前記手動式作動装置に伝達される力を、前記締付け手段に供給されるより大きな力に増幅する機構を含む、請求項12に記載のシステム。
- 前記展開ツールが、前記回転ディスクに接触するとともに前記回転ディスクを回転させ、前記伝動装置が、前記手動式作動装置の運動を、垂直軸を中心にした回転運動に変換して前記回転ディスクを回転させる、請求項12に記載のシステム。
- 前記締付け手段が、前記注入ポートの下の第2の位置に到達したときに、ハンドルにおいて感知し得る触覚シグナルを発生する、請求項12に記載のシステム。
- 前記締付け手段が、前記注入ポートの下の第2の位置に到達したときに、聴覚シグナルを放出する、請求項12に記載のシステム。
- 前記展開ツールのシャフトが、前記遠位端のカバーから近位端側のハンドルまで、垂直に対して所定の角度で上向きに延びる、請求項12に記載のシステム。
- 前記締付け手段が、前記ポートの下方の基部プレートの周囲に配置されているとともに前記第1の位置から前記第2の位置へ同時に軸回転する複数の締め具を有し、前記手動式作動装置が、前記シャフトに対して傾斜したパームグリップ型作動装置であり、前記パームグリップ型作動装置が、使用者が使用者の手のひらでレバーとハウジング部分とをともに握って前記締め具を展開することができるように、前記伝動装置に連結されているとともにハウジング部分に対して枢動的に取り付けられているレバーを含む、請求項19に記載のシステム。
- 前記システムが、前記シャフトの一部を通って直線的にスライドするように取り付けられているとともに前記パームグリップ型作動装置のレバーによって移動されるプランジャを含む、請求項20に記載のシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US50307403P | 2003-09-15 | 2003-09-15 | |
US60/503,074 | 2003-09-15 | ||
US53867404P | 2004-01-23 | 2004-01-23 | |
US60/538,674 | 2004-01-23 | ||
PCT/US2004/030053 WO2005037055A2 (en) | 2003-09-15 | 2004-09-15 | Implantable device fastening system and methods of use |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010181084A Division JP2010279726A (ja) | 2003-09-15 | 2010-08-12 | 植込み式デバイス締付けシステムおよび使用方法 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2007505696A JP2007505696A (ja) | 2007-03-15 |
JP2007505696A5 JP2007505696A5 (ja) | 2010-10-28 |
JP4722850B2 true JP4722850B2 (ja) | 2011-07-13 |
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ID=34467944
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Application Number | Title | Priority Date | Filing Date |
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JP2006526976A Expired - Fee Related JP4722850B2 (ja) | 2003-09-15 | 2004-09-15 | 植込み式デバイス締付けシステムおよび使用方法 |
JP2010181084A Pending JP2010279726A (ja) | 2003-09-15 | 2010-08-12 | 植込み式デバイス締付けシステムおよび使用方法 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2010181084A Pending JP2010279726A (ja) | 2003-09-15 | 2010-08-12 | 植込み式デバイス締付けシステムおよび使用方法 |
Country Status (14)
Country | Link |
---|---|
US (4) | US7762998B2 (ja) |
EP (2) | EP2311520B1 (ja) |
JP (2) | JP4722850B2 (ja) |
CN (2) | CN101869496B (ja) |
AT (1) | ATE513571T1 (ja) |
AU (2) | AU2004281641B2 (ja) |
BR (1) | BRPI0414415A (ja) |
CR (1) | CR8327A (ja) |
DK (1) | DK1662971T3 (ja) |
ES (2) | ES2366188T5 (ja) |
HK (1) | HK1086773A1 (ja) |
IL (1) | IL174345A0 (ja) |
MX (1) | MXPA06003005A (ja) |
WO (1) | WO2005037055A2 (ja) |
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