JP4977623B2 - 体腔にアクセスするための医用デバイス - Google Patents
体腔にアクセスするための医用デバイス Download PDFInfo
- Publication number
- JP4977623B2 JP4977623B2 JP2007548591A JP2007548591A JP4977623B2 JP 4977623 B2 JP4977623 B2 JP 4977623B2 JP 2007548591 A JP2007548591 A JP 2007548591A JP 2007548591 A JP2007548591 A JP 2007548591A JP 4977623 B2 JP4977623 B2 JP 4977623B2
- Authority
- JP
- Japan
- Prior art keywords
- patch
- sealing
- opening
- medical device
- body cavity
- 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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00659—Type of implements located only on one side of the opening
Description
Claims (13)
- 生体管路などの体腔にアクセスするための医用デバイスにおいて、
先端を有するデリバリー・シースと、
体腔壁の切開部封止用のパッチであって、前記デリバリー・シースの中に屈曲した形状または折り畳まれた形状で装填され、前記デリバリー・シースの前記先端から平らに伸びた形状に展開されて体腔壁に貼り付け可能なパッチとを備え、
前記パッチにはニードルを貫通させて挿通することのできる開口が形成されており、または、前記パッチはニードルを穿刺することでそのニードルを貫通させることが可能であり、かつ、前記パッチは、処置デバイスが抜去されたときに前記パッチの開口または貫通孔を封止するための封止手段を備えており、
前記ニードルは前記デリバリー・シースの中に摺動可能に配設され、かつ前記パッチは初期状態において前記デリバリー・シースの中の前記ニードルの先端よりも先端側に装填されており、
前記パッチは体腔壁に切開部が形成される前に体腔壁に当接するまでシースの中を押し進められ、前記パッチが体腔壁上に展開されると、前記ニードルが前記デリバリー・シースの先端側へ進められて前記パッチを貫通するとともに前記デリバリー・シースの前記先端から突出し、パッチの下の体腔壁に処置デバイスを挿入することのできる前記体腔に通じる切開部を形成するように構成されている
ことを特徴とする医用デバイス。 - 前記パッチが生体吸収性材料からなることを特徴とする請求項1記載の医用デバイス。
- 前記パッチが粘着性材料からなり、または、前記パッチが粘着層を備えることを特徴とする請求項1記載の医用デバイス。
- 前記パッチが自己封止性を備えていて前記処置デバイスが抜去されたときに前記開口を封止するようにしてあることを特徴とする請求項1記載の医用デバイス。
- 前記パッチが自己封止性ゲル材料からなることを特徴とする請求項4記載の医用デバイス。
- 前記パッチが血栓形成促進剤または凝血促進剤を含有していることを特徴とする請求項4記載の医用デバイス。
- 前記パッチの前記開口が加熱封止性を有することを特徴とする請求項1記載の医用デバイス。
- 前記パッチが発熱体を備えていることを特徴とする請求項1記載の医用デバイス。
- 前記パッチが前記開口の近傍に加熱封止性材料を備えており、前記発熱体が前記加熱封止性材料を加熱することで前記開口を封止するようにしてあることを特徴とする請求項8記載の医用デバイス。
- 前記パッチには予め開口が形成されており、前記パッチは該開口を封止するための封止機構を備えており、該封止機構は、形状記憶合金、超弾性ニチノール製封止部材、電気駆動型ポリマー、バッキー・ペーパー、マイクロエレクトロメカニカル封止機構、またはそれらの組合せからなるグループから選択されたものであることを特徴とする請求項1記載の医用デバイス。
- 前記開口には、該開口の第1部分に沿って画成された突起と、前記突起が係合する該開口の第2部分に沿って画成された凹部とが形成されており、前記突起を前記凹部に係合させることによって、該開口の少なくとも一部が封止されるようにしてあることを特徴とする請求項1記載の医用デバイス。
- 前記パッチは、前記開口の周囲領域に設けられた、フックとループとで構成された複数のファスナを備えており、フックとループとで構成されたそれら複数のファスナによって前記開口が封止されるようにしてあることを特徴とする請求項1記載の医用デバイス。
- 更に流動性媒体を備えており、該流動性媒体は、前記パッチの展開が行われる前の状態では、前記デリバリー・シースの中の、前記パッチより前記デリバリー・シースの基端側に装填されていることを特徴とする請求項1記載の医用デバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/023,055 | 2004-12-27 | ||
US11/023,055 US20060142798A1 (en) | 2004-12-27 | 2004-12-27 | Device and method for closing an opening in a body cavity or lumen |
PCT/US2005/047169 WO2006071910A1 (en) | 2004-12-27 | 2005-12-27 | Device and method for closing an opening in a body cavity or lumen |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2008525127A JP2008525127A (ja) | 2008-07-17 |
JP2008525127A5 JP2008525127A5 (ja) | 2009-02-19 |
JP4977623B2 true JP4977623B2 (ja) | 2012-07-18 |
Family
ID=36084357
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007548591A Expired - Fee Related JP4977623B2 (ja) | 2004-12-27 | 2005-12-27 | 体腔にアクセスするための医用デバイス |
Country Status (7)
Country | Link |
---|---|
US (1) | US20060142798A1 (ja) |
EP (1) | EP1830716B1 (ja) |
JP (1) | JP4977623B2 (ja) |
AT (1) | ATE461662T1 (ja) |
CA (1) | CA2591559A1 (ja) |
DE (1) | DE602005020183D1 (ja) |
WO (1) | WO2006071910A1 (ja) |
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-
2004
- 2004-12-27 US US11/023,055 patent/US20060142798A1/en not_active Abandoned
-
2005
- 2005-12-27 CA CA002591559A patent/CA2591559A1/en not_active Abandoned
- 2005-12-27 EP EP05855686A patent/EP1830716B1/en not_active Not-in-force
- 2005-12-27 AT AT05855686T patent/ATE461662T1/de not_active IP Right Cessation
- 2005-12-27 JP JP2007548591A patent/JP4977623B2/ja not_active Expired - Fee Related
- 2005-12-27 DE DE602005020183T patent/DE602005020183D1/de active Active
- 2005-12-27 WO PCT/US2005/047169 patent/WO2006071910A1/en active Application Filing
Also Published As
Publication number | Publication date |
---|---|
DE602005020183D1 (de) | 2010-05-06 |
EP1830716A1 (en) | 2007-09-12 |
US20060142798A1 (en) | 2006-06-29 |
EP1830716B1 (en) | 2010-03-24 |
WO2006071910A1 (en) | 2006-07-06 |
CA2591559A1 (en) | 2006-07-06 |
JP2008525127A (ja) | 2008-07-17 |
ATE461662T1 (de) | 2010-04-15 |
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