JP5453453B2 - 組織マーカの配置のためのマーカ伝送装置 - Google Patents
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Description
Claims (34)
- 組織マーカを配置するように構成されているマーカ伝送装置であって、
チャンバを有するハンドルと、
配置のための組織マーカを保持するように構成され、内孔を有しているカニューレと、
前記カニューレの内孔中で移動可能に設けられているマーカ導入ロッドと、
前記ハンドルに設けられており、駆動されると、組織マーカを配置するために前記マーカ導入ロッドを移動させるように構成されている配置メカニズムと、
前記ハンドルに設けられており、駆動されると、前記カニューレと前記マーカ導入ロッドとの両方をハンドルの前記チャンバ中に完全に引込ませるように構成されている引込ませメカニズムと、
マーカ伝送装置を、組織マーカの配置の1回の使用に制限するように、マーカ伝送装置の動作の間に、剪断されるように構成されている少なくとも1つの剪断部材とを具備する、
マーカ伝送装置。 - 前記カニューレは、カニューレを単一の所定の平面に沿って曲げるように構成されている複数の周辺スロットを有する請求項1に記載のマーカ伝送装置。
- 前記配置メカニズムは、前記少なくとも1つの剪断部材に含まれた第1の剪断部材を有し、この第1の剪断部材は、このマーカ伝送装置を、組織マーカの配置の1回の使用に制限するようにマーカ伝送装置の動作の間に、剪断されるように断面が小さくされた第1の領域を有している、請求項1又は2に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、引込ませトリガ−と、前記少なくとも1つの剪断部材に含まれた第2の剪断部材を有し、この第2の剪断部材は、前記引込ませトリガ−に接続された断面が小さくされた第2の領域を有し、
前記引込ませトリガ−が動作されたときに、前記第2の領域は、第2の領域から引込ませトリガ−を離すように剪断されて、カニューレと前記マーカ導入ロッドとの、前記チャンバ中への完全な引込ませの後に、これらカニューレとマーカ導入ロッドとが前記チャンバの外に延びるのを防ぐ、請求項1ないし3のいずれか1に記載のマーカ伝送装置。 - 組織マーカを配置するように構成されているマーカ伝送装置であって、
使用者の把持用のハンドルと、
前記ハンドルに接続された基端部と、先端部と、内孔を囲んでいる側壁とを有しているカニューレとを具後し、
前記ハンドルは、前端部、後端部、これら前端部と後端部との間で長手方向ら延びたチャンバ、並びに前記カニューレが中を貫通するように前記先端部に形成された貫通孔を備えたハウジングを有し、更に、このマーカ伝送装置は、
前記カニューレの先端部から組織マーカを配置のために排出させる前方への移動と、前記チャンバ中に戻る後方への移動とが可能なように、カニュール中を移動可能に設けられているマーカ導入ロッドと、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
前記マーカ導入ロッドの後方への移動により剪断される断面が小さくされた第1の領域を有する第1の剪断部材と、
前記ハウジングの外側で操作可能であり、前記第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーであって、このマーカ配置用トリガーの駆動によって、カニューレの前記内孔から組織マーカを配置するために、前記カニューレの長手方向に沿って前記マーカ導入ロッドを移動させるように、前記第1の剪断部材が前記マーカ導入ロッドを移動させる、マーカ配置用トリガーと、
前記ハウジングの外側で操作可能な引込ませトリガーと、
前記引込ませトリガーに接続された断面が小さくされた第2の領域を有している第2の剪断部材であって、前記引込ませトリガーの駆動により前記第2の領域が、第2の剪断部材から前記引込ませトリガーを離すように剪断される、第2の剪断部材と、
カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックであって、前記引込ませトリガーは、このカニューレガイドブロックを、前記ハンドルのハウジングに対して静止した状態に保持するように、このカニューレガイドブロックに前記第2の剪断部材によって連結されている、カニューレガイドブロックと、
ハウジングの前記前端部と前記カニューレガイドブロックとの間に配置されており、前記カニューレガイドブロックに予め付勢を与えるように、前記引込ませトリガーの駆動前に圧縮された状態であるばねと、を具備する、マーカ伝送装置。 - 前記引込ませトリガーの前記駆動によって、前記第2の剪断部材が前方に移動されると共に、前記カニューレガイドブロックが後方に移動するように前記ばねの圧縮が解放されるように、前記第2の剪断部材が前記第2の領域の所で剪断され、また第1の剪断部材が第1の領域の所で剪断され、前記カニューレと前記マーカ導入ロッドとの両方が、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、請求項5に記載のマーカ伝送装置。
- 前記引込ませトリガーの駆動によって、前記第2の剪断部材の第2の領域は、ハウジングの前記側壁内の支持位置からハウジングのチャン内の露出位置へと移動され、この結果、前記ばねが圧縮から解放され、前記カニューレガイドブロックが前記ハウジングの後端部方向へ移動し、前記カニューレの最初の引込ませが開始され、前記ばねの連続した圧縮の解放によって、前記カニューレガイドブロックが、前記第1の剪断部材を剪断させるように前記導入ロッドガイドブロックに衝突し、かくして、前記カニューレ及び前記マーカ導入ロッドの、前記ハンドルのハウジングのチャンバ中への同期した引込ませが、開始される、請求項5又は6に記載のマーカ伝送装置。
- 前記カニューレと前記マーカ導入ロッドとの両方の、前記ハンドル中への同期した引込ませは、前記カニューレと前記マーカ導入ロッドとの両方が前記ハンドルのハウジングのチャンバ中に完全に収容された後に、終了する、請求項7に記載のマーカ伝送装置。
- 離間装置が、前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に配置されており、またこの離間装置は、長手方向に沿った全長を有しており、この結果、前記カニューレガイドブロックが組織マーカの配置位置に配置されると、前記カニューレガイドブロックは、前記導入ロッドガイドブロックと動作可能に接触し、また、前記引込ませトリガーが駆動されると、前記第1の剪断部材と前記第2の剪断部材とは、ほぼ同期して剪断されて、前記カニューレ及び前記マーカ導入ロッドの、前記ハウジングのチャンバ中への完全な同期した引込ませが生じる、請求項5に記載のマーカ伝送装置。
- 組織マーカが配置された後に、前記マーカ配置用トリガーをマーカの配置位置にロックするために、ロックメカニズムを更に具備する、請求項5ないし9のいずれか1に記載のマーカ伝送装置。
- 前記マーカ配置用トリガーは、第1のロック部材を含み、前記ハウジングは、第2のロック部材を含み、前記第1のロック部材は、前記マーカ配置用トリガーが前記組織マーカの配置位置に配置された時に、前記第2のロック部材に係合する、請求項5ないし10のいずれか1に記載のマーカ伝送装置。
- 前記第1のロック部材と前記第2のロック部材との一方は、ロックチャンネルであり、前記第1のロック部材と前記第2のロック部材とのもう一方は、ばね式挿入部材であり、このばね式挿入部材は、前記マーカ配置用トリガーがマーカの配置位置に配置された時に、前記ロックチャンネルに係合する、請求項11に記載のマーカ伝送装置。
- ユーザによって把持されるように構成されているハンドルであって、間にチャンバが設けられている前端部と後端部と、このチャンバから前記ハンドルの外側に延びている孔とを有しているハウジングを含む、ハンドルと、
基端部と、先端部と、これら基端部と先端部との間でカニューレの長手方向に沿って延びている内孔と、を有し、前記孔から前記ハウジングの前端部を越えて引込ませ可能に延びるように前記ハンドル中に配置されている、カニューレと、
前記カニューレの先端部から組織マーカの配置を与えるようにカニューレの前記内孔中に移動可能に配置されており、駆動端部とマーカ配置端部とを有しているマーカ導入ロッドと、
前記ハウジングに設けられており、前記マーカ導入ロッドの駆動端部に結合されており、駆動されると、組織マーカを配置するために前記マーカ導入ロッドを移動させるように構成されている、配置メカニズムと、
前記ハウジングに設けられており、前記カニューレの基端部に結合されており、駆動されると、前記カニューレ及び前記マーカ導入ロッドの、前記ハンドルのハウジングのチャンバ中への完全な引込ませを促すように構成されている、引込ませメカニズムと、
断面が小さくされた剪断領域を有し、手動操作により移動可能な剪断メカニズムとを具備し、
前記剪断メカニズムが移動されたときに、前記剪断領域は、前記引込ませメカニズムにより生じる力を受けて、前記剪断メカニズムは剪断領域の所で剪断されて、引込ませメカニズムによる前記引込ませが果たされる、組織マーカの配置のためのマーカ伝送装置。 - 前記配置メカニズムは、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
前記マーカ導入ロッドの後方への移動の移動により剪断されるように断面が小さくされた第1の領域を有している第1の剪断部材と、
前記ハウジングの外側で操作可能であり、前記第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーであって、このマーカ配置用トリガーの駆動によって、カニューレの前記内孔から組織マーカを配置させるために、前記カニューレの長手方向に沿って前記マーカ導入ロッドを前方に移動させる、マーカ配置用トリガーと、を具備する、請求項13に記載のマーカ伝送装置。 - 前記ハウジングは、このハウジングの側壁に沿って延びているトリガースロットを含み、
前記マーカ配置用トリガーは、最初の位置から、組織マーカの配置位置へと、前記トリガースロットに沿った側方の移動のために前記ハウジングに設けられており、
このマーカ配置用トリガーは、第1のロック部材を含み、また、前記ハウジングは、第2のロック部材を含み、
前記第1のロック部材は、前記マーカ配置用トリガーが前記マーカの配置位置に配置された時に、前記第2のロック部材に固く係合する、
請求項14に記載のマーカ伝送装置。 - 前記第1のロック部材と前記第2のロック部材との一方は、ロックチャンネルであり、前記第1のロック部材と前記第2のロック部材との他方は、ばね式挿入部材であり、このばね式挿入部材は、前記マーカ配置用トリガーが前記マーカの配置位置に配置された時に、ロックチャンネルに係合する、請求項15に記載のマーカ装置。
- 前記引込ませメカニズムは、
前記ハウジングの外側で操作可能な引込ませトリガーと、
第2の剪断部材と、
カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックであって、前記引込ませトリガーは、このカニューレガイドブロックを前記ハンドルのハウジングに対して静止した状態に保持するように、前記カニューレガイドブロックに、前記第2の剪断部材によって連結されている、カニューレガイドブロックと、
ハウジングの前記前端部と前記カニューレガイドブロックとの間に配置されており、前記カニューレガイドブロックに予め付勢を与えるように、前記引込ませトリガーの駆動前に圧縮された状態であるばねと、を含み、
前記第2の剪断部材は、前記カニューレガイドブロックの後方への移動の間に剪断されるように断面が小さくされた第2の領域を有し、
前記第2の剪断部材が剪断されたときに、前記引込ませトリガーは、前記カニューレガイドブロックから接続が解除された状態に維持され、
前記ばねは、前記引込ませトリガーが駆動されたときに、前記第2の領域の所で前記第2の剪断部材を剪断するように、前記ハウジング内での前記カニューレガイドブロックの後方への移動を生じさせるように、圧縮が解放される、請求項13に記載のマーカ伝送装置。 - 前記引込ませトリガーの駆動によって、前記カニューレ及び前記マーカ導入ロッドが、前記ハンドルのハウジングのチャンバ中に引っ込められる、請求項17に記載のマーカ伝送装置。
- 前記引込ませトリガーの駆動によって、前記第2の領域は、前記ハウジングの側壁内の支持位置からハウジングの前記チャンバ内の解放位置に移動され、前記ばねが圧縮された状態から解放されて、前記カニューレガイドブロックが前記ハウジングの後端部方向に移動されて、前記第2の剪断部材を第2の所で剪断し、前記カニューレの最初に引込ませが開始され、前記ばねの連続した圧縮の解除によって、前記カニューレガイドブロックが、前記第1の剪断部材を剪断させるように前記導入ロッドガイドブロックに衝突し、かくして、前記カニューレと前記マーカ導入ロッドとの両方の、前記ハンドルのハウジングのチャンバ中への同期した引込ませが、開始される、請求項17に記載のマーカ伝送装置。
- 前記カニューレと前記マーカ導入ロッドと両方の、前記ハンドル中への同期した引込ませは、前記カニューレと前記マーカ導入ロッドとの両方が前記ハンドルのハウジングのチャンバ中に完全に収容された後に、終了する、請求項19に記載のマーカ伝送装置。
- 離間装置が、前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に配置されており、またこの離間装置は、長手方向に沿った全長を有しており、この結果、前記カニューレガイドブロックがマーカの配置位置に配置されると、前記カニューレガイドブロックは、前記導入ロッドガイドブラックと動作可能に接触し、また、前記引込ませトリガーが駆動されると、前記第1の剪断部材と前記第2の剪断部材とは、ほぼ同期して剪断されて、前記カニューレと前記マーカ導入ロッドとの両方の、前記ハウジングのチャンバ中への完全な同期した引込ませが生じる、請求項17ないし20のいずれか1に記載のマーカ伝送装置。
- 前記カニューレは、カニューレの側壁を通って前記内孔に延びている複数の周辺スロットのから成るスロット配列によって形成された可撓性の部分を有しており、前記複数の周辺スロットは、前記カニューレの可撓性の部分のところでたわみを促すように、カニューレの長手方向に沿って互いにほぼ平行になるように、離間されており、
前記マーカ導入ロッドは、前記カニューレの可撓性の部分に対応する可撓性の領域を有している、請求項13に記載のマーカ伝送装置。 - 前記カニューレの可撓性の部分は、カニューレの前記基端部より、カニューレの前記先端部の近くに配置されている、請求項22に記載のマーカ伝送装置。
- 前記複数の周辺スロットは、カニューレの前記可撓性の部分のところで、単一の所定の平面に沿って、たわみを促すように構成されている、請求項22又は23に記載のマーカ伝送装置。
- 前記複数の周辺スロットは、第1の円弧を有している第1の組の周辺スロットと、第2の円弧を有している第2の組の周辺スロットとを含む、請求項22ないし24のいずれか1に記載のマーカ伝送装置。
- 前記第1の円弧は、前記第2の円弧に対して周方向にずらして配置されている、請求項25のマーカ伝送装置。
- 前記カニューレの側壁は、前記複数の周辺スロットの少なくとも一部分のところで連結している軸方向のスロットを含む、請求項22ないし26のいずれか1に記載のマーカ伝送装置。
- 前記カニューレは、金属材料によって形成されており、前記マーカ導入ロッドの少なくとも前記可撓性の領域は、可撓性の金属部材として形成されている、請求項22ないし27のいずれか1に記載のマーカ伝送装置。
- 前記カニューレは、金属材料によって形成されており、前記マーカ導入ロッドの少なくとも前記可撓性の領域は、可撓性のプラスチック部材として形成されている、請求項22ないし27のいずれか1に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、前記マーカ導入ロッドを引っ込ませるように構成されている第1の引込ませメカニズムと、前記カニューレを引っ込ませるように構成されている第2の引込ませメカニズムとを含み、前記導入ロッドの最初の引込ませは、前記カニューレの引込ませの前に生じる、請求項13ないし29のいずれか1に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、前記マーカ導入ロッドを引っ込ませるように構成されている第1の引込ませメカニズムと、前記カニューレを引っ込ませるように構成されている第2の引込ませメカニズムとを含み、前記導入ロッドの完全な引込ませは、前記カニューレの引込ませの前に行われる、請求項13ないし29のいずれか1に記載のマーカ伝送装置。
- 前記引込ませメカニズムは、
前記マーカ導入ロッドの駆動端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されている導入ロッドガイドブロックと、
前記カニューレの前記基端部に取着されており、前記ハウジングのチャンバ中で摺動可能に配置されているカニューレガイドブロックと、
前記導入ロッドガイドブロックと前記カニューレガイドブロックとの間に係合した状態で配置されている第1のばねと、
前記ハウジングの外側で操作可能であり、前記剪断メカニズムの第1の剪断部材によって前記導入ロッドガイドブロックに連結されているマーカ配置用トリガーと、を含み、
前記マーカ配置用トリガーの第1の位置への駆動によって、前記第1の剪断部材は、カニューレの内孔から組織マーカを配置するために前記カニューレの長手方向に沿って前記マーカ導入ロッドを移動させ、且つ前記第1のばねを同期して圧縮し、
前記マーカ配置用トリガーの、前記第1の位置とは異なる第2の位置への更なる駆動によって、前記第1のばねの圧縮が解除されて、前記第1の剪断部材が剪断され、かつ前記マーカ導入ロッドの前記ハンドルを前記ハウジングのチャンバ中に引っ込ませる、請求項13ないし29のいずれか1に記載のマーカ伝送装置。 - 前記第1のばねの圧縮の解除によって、前記第1の剪断部材が剪断されて、前記マーカ導入ロッドが、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、請求項32に記載のマーカ伝送装置。
- 前記ハウジングに設けられており、前記カニューレガイドブロックに結合されている引込ませトリガーと、
前記ハウジングの前端部と前記カニューレガイドブロックとの間に係合した状態で配置されており、前記カニューレガイドブロックに予め付勢を与えるために、前記引込ませトリガーの駆動の前に、圧縮された状態である第2のばねと、を更に含み、
前記引込ませトリガーの駆動によって、前記第2のばねの圧縮が解除され、前記カニューレが、前記ハンドルのハウジングのチャンバ中に完全に引っ込められる、
請求項32に記載のマーカ伝送装置。
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CA2742765A1 (en) | 2010-07-08 |
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CA2742765C (en) | 2016-04-12 |
EP3005971A3 (en) | 2016-07-20 |
EP3005971A2 (en) | 2016-04-13 |
WO2010077244A1 (en) | 2010-07-08 |
EP4215147A3 (en) | 2023-10-18 |
CN102256660B (zh) | 2013-07-03 |
EP2370139A4 (en) | 2013-09-04 |
BRPI0823399A2 (pt) | 2015-06-16 |
EP4215147A2 (en) | 2023-07-26 |
CN102256660A (zh) | 2011-11-23 |
JP2012513866A (ja) | 2012-06-21 |
BRPI0823399B8 (pt) | 2021-06-22 |
US10258428B2 (en) | 2019-04-16 |
US20140194892A1 (en) | 2014-07-10 |
US8670818B2 (en) | 2014-03-11 |
EP3005971B1 (en) | 2023-04-26 |
BRPI0823399B1 (pt) | 2019-03-19 |
US11779431B2 (en) | 2023-10-10 |
AU2008365906A1 (en) | 2011-07-07 |
EP2370139B1 (en) | 2015-12-02 |
US20110028836A1 (en) | 2011-02-03 |
ES2560515T3 (es) | 2016-02-19 |
EP2370139A1 (en) | 2011-10-05 |
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