JP5847758B2 - 弁装填具の方法、システム、および装置 - Google Patents
弁装填具の方法、システム、および装置 Download PDFInfo
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- JP5847758B2 JP5847758B2 JP2013107783A JP2013107783A JP5847758B2 JP 5847758 B2 JP5847758 B2 JP 5847758B2 JP 2013107783 A JP2013107783 A JP 2013107783A JP 2013107783 A JP2013107783 A JP 2013107783A JP 5847758 B2 JP5847758 B2 JP 5847758B2
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Description
230を有しうる。この軸方向溝230は、装填具プランジャ220の遠位端の近位で終わることが好ましい。軸方向溝230の遠位端は、この軸方向溝230を斜めに横切って延びる他の溝232(図4参照)の内部で終わることが好ましい。
カートリッジ104は、任意適切なサイズ、形状、または構成を有しうる。例示された実施形態では、カートリッジ104は、第1の開放空洞214の内部に受け入れられるように、サイズ決めされ、形作られ、かつ構成される。より好ましくは、カートリッジ104は、唯一の配向のみで、第1の開放空洞214の内部に受け入れられるようにサイズ決めされ、形作られ、かつ構成される。
任意の種類の配備カテーテル102が、弁装填具106に使用可能であり、例示された配備カテーテル102の以下の説明は、一般に例示にすぎず、限定的ではないことが意図されているということが理解されよう。
弁装填システム100を使用する方法が、図に関連して説明されうる。しかし、弁装填システム100を使用しうる様々な外科手技(例えば、肺臓弁移植手技、ステント移植手技、または同様の手技)は、手技の特定の目的および/または技法に応じて、手技毎に変わりうることが理解されよう。したがって、以下の説明は、一般に例示的であるにすぎず、本発明の方法に限定されるものとして意図されていない。
102 配備カテーテル
104 カートリッジ
106 弁装填具
108 連結口
112 配備カテーテルの遠位端
114 出荷錠止具
202 外部筐体構造
202A、202B 外部筐体構造の2つの半部分または側面
204 外部筐体構造の上部側
206 外部筐体構造の下部側
208 外部筐体構造の近位端
210 外部筐体構造の遠位端
212 外部筐体構造の複数の凹部
214 外部筐体構造の第1の開放空洞
216 外部筐体構造の角度付き部分
218 外部筐体構造の第2の開放空洞
220 装填具プランジャ (アクチュエータ)
222 カートリッジ錠止機構
224 位置合わせ挿入具
226 位置合わせ管
228A、228B 第1および第2の把持爪
230 軸方向溝
232 斜めの溝
234 第1の端部
236 旋回ピン
238、240 第1のこぶ、第2のこぶ
242、244 第1の止め、第2の止め
246、248 筐体構造の第1の表面、第2の表面
250 錠止機構の第2の端部
252 開口部、通路
254 概円筒形の近位端
258 タブ
260 通路
262 概円筒形部分
264 漏斗形状導路
266 より小さい直径の概円筒形部分
268 僅かにより大きい直径の概円筒形部分
270 僅かに拡大する部分
272 概円筒形遠位部分
274 概円錐形である遠位部分
276 浅い導路
278 より深い導路
280 ばね
282 開口部
284 外部支柱
286A、286B 第1の端部
288A、288B 旋回ピン
290A、290B 第2の端部
292A、292B 把持部分
294A、294B 包囲部分
296A、296B 取付け凹部
300A、300B 第1の把持部分、第2の把持部分
302 把持部分の尖頭、鋭い特徴構造、または畝
304 解除機構
306 リーフばね
308 リーフばねの第1の部分
310 旋回ピン
312 片持ちレバー部分
314 ボタン
316 リーフばねの第2の部分
318 カム部分
320 段、棚部、唇部、溝、または空洞
322 ばねまたは偏倚要素
323 ボタンの心棒
324 唇部または棚部
326 安全滑動機構
328、330 近位端、遠位端
332 空洞または溝
336 偏倚要素
400、402 カートリッジの近位壁、遠位壁
404、406 カートリッジの第1の側壁、第2の側壁
408 カートリッジの上部壁
410 カートリッジの通路
412 第1の先細り部分または先細った内腔
414 概円筒形部分
416 第2の先細り部分
418 近位開口部
420 遠位開口部
422 カバー、キャップ、または蓋
424、426 下部脚、上部脚
428 開口部
430 歯、薄目のタブ
431 厚めのタブ
432 端繰り
434 解放タブ
436 指パッド
438 錠止突起
440 カートリッジの溝領域、凹部
500 弁または医療器具
502 繋止具
700、702 配備カテーテルの近位端、遠位端
704 制御部分、弁
706 送達部分
710 カテーテル心棒
712 カテーテル心棒の内腔
714 カテーテル心棒の空洞
716 カテーテル先端
718 カテーテル鞘
720 安定化ワイヤの先端
722 安定化ワイヤ
724 安定化ワイヤの先端中の凹部
726 制御部分のキャップ
728 ハイポチューブ
730 鞘保持具
732 スリーブ滑動子筐体
734 スリーブ滑動子筐体の溝穴または窓
736 鞘保持具の2本の指
740 スリーブ滑動子
742 歪み解放管
744 歪み解放管の畝
746 錠止特徴構造
748 錠止特徴構造の錠止レバー
750 錠止特徴構造の2本の脚、ペグ
752 錠止特徴構造の部分カラー
754 錠止特徴構造の操作箇所
Claims (11)
- 体内へ移植するための配備可能な医療器具を配備装置の中へ装填するために使用される医療器具カートリッジであって、
装填システムの弁装填具の第1の開放空洞に対して着脱可能に取り付けられる閉鎖容器を備え、前記閉鎖容器は、その近位開口部が閉鎖可能とされ、前記閉鎖容器は、前記装填システムによって前記配備装置(102)の中へ誘導されうる前記配備可能な医療器具を収容するように構成される、医療器具カートリッジ(104)。 - 前記配備装置の中へ装填する前に、前記配備可能な医療器具を圧縮するための先細にされた内腔(412)を前記閉鎖容器の内部にさらに備える、請求項1に記載の医療器具カートリッジ。
- 前記先細にされた内腔は、遠位端よりも大きい直径を有する近位端を備える、請求項2に記載の医療器具カートリッジ。
- 前記先細にされた内腔は、近位端におけるよりも遠位端においてより先細にされる、請求項2に記載の医療器具カートリッジ。
- 前記閉鎖容器と一体形成される少なくとも1つの解放タブ(434)をさらに備え、前記少なくとも1つの解放タブは、前記医療器具カートリッジを前記弁装填具の内部に錠止するように構成される、請求項1から4のいずれか一項に記載の医療器具カートリッジ。
- 前記閉鎖容器は、前記弁装填具内部の空洞(214)に対応する嵌合形状を備え、前記嵌合形状は、前記医療器具カートリッジが、1つの方向で前記空洞の中へ挿入されることを可能にするように構成される、請求項1から5のいずれか一項に記載の医療器具カートリッジ。
- 前記閉鎖容器は、前記医療器具カートリッジを前記弁装填具の中へ保持するための錠止機構(222)を受け入れるように構成された凹部(440)を備える、請求項1から6のいずれか一項に記載の医療器具カートリッジ。
- 前記配備可能な医療器具(500)を前記閉鎖容器の内部にさらに備える、請求項1から7のいずれか一項に記載の医療器具カートリッジ。
- 前記配備可能な医療器具は、肺容積低減器具である、請求項8に記載の医療器具カートリッジ。
- 弁装填具(106)と、配備装置(102)と、配備可能な医療器具を収容するように構成されたカートリッジ(104)とを備える装填システムであって、
前記弁装填具は、外部筐体構造(202)および第1の開放空洞(214)を備え、前記第1の開放空洞は前記カートリッジを受け入れるように構成され、前記筐体構造は、前記配備可能な医療器具を前記カートリッジから前記筐体構造の放出端に誘導するように構成された装填プランジャ(220)を備え、前記放出端は、前記配備可能な医療器具が内部へ装填されうる配備装置を受け入れるように構成された第2の空洞(218)を有し、
前記装填システムが、請求項1から9のいずれか一項の前記少なくとも1つの医療器具カートリッジをさらに備える、装填システム。 - 配備可能な医療器具を配備装置の中へ装填する方法であって、
請求項1から9のいずれか一項に記載の医療器具カートリッジを、弁装填具(106)と、配備装置(102)と、配備可能な医療器具を収容するように構成されたカートリッジ(104)とを備える装填システムであって、前記弁装填具は、外部筐体構造(202)および第1の開放空洞(214)を備え、前記第1の開放空洞は前記カートリッジを受け入れるように構成され、前記筐体構造は、前記配備可能な医療器具を前記カートリッジから前記筐体構造の放出端に誘導するように構成された装填プランジャ(220)を備え、前記放出端は、前記配備可能な医療器具が内部へ装填されうる配備装置を受け入れるように構成された第2の空洞(218)を有する装填システムの中へ挿入するステップと、
前記医療器具カートリッジ内部の医療器具を前記装填システムに通して、前記配備装置の中へ誘導するために、前記装填システム内部のアクチュエータを起動するステップとを含む、方法。
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