JP5855562B2 - 吸引を有するガイドシステム - Google Patents
吸引を有するガイドシステム Download PDFInfo
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- JP5855562B2 JP5855562B2 JP2012500966A JP2012500966A JP5855562B2 JP 5855562 B2 JP5855562 B2 JP 5855562B2 JP 2012500966 A JP2012500966 A JP 2012500966A JP 2012500966 A JP2012500966 A JP 2012500966A JP 5855562 B2 JP5855562 B2 JP 5855562B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/008—Strength or flexibility characteristics of the catheter tip
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0097—Catheters; Hollow probes characterised by the hub
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
- A61B2017/246—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers for cleaning of the nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/345—Cannulas for introduction into a natural body opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
- A61B2017/346—Details of tips with wings
-
- 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
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0681—Sinus (maxillaris)
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Otolaryngology (AREA)
- Vascular Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Endoscopes (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
(1) 1つ又は2つ以上の可撓性装置を患者の副鼻腔内に誘導し、ガイドカテーテルを介する吸引を可能にするためのガイドカテーテルであって、
前記患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在する管腔と、を備える、カテーテルシャフトと、
前記カテーテルシャフトの前記近位部と連結される、ハブアセンブリであって、
前記カテーテルシャフト管腔と流体連通にある内室と、
前記内室の内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ハブと連結するための吸引ポートと、
通気孔と、を備える、ハブアセンブリと、を備える、ガイドカテーテル。
(2) 前記管腔が、
前記シャフトの前記近位部内の第1の内径であって、バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトを通って近位に引き出されるのを可能にするために十分である、第1の内径と、
前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備える、実施態様1に記載のガイドカテーテル。
(3) 前記カテーテルが、遠位外輪郭よりも大きい近位外輪郭を有する、実施態様1に記載のガイドカテーテル。
(4) 前記カテーテルが、前記近位外輪郭と前記遠位外輪郭との間に先細遷移部を含む、実施態様3に記載のガイドカテーテル。
(5) 前記近位部の一区画が、ステンレス鋼から形成される、実施態様1に記載のガイドカテーテル。
(6) 前記湾曲した遠位部の終末端部が、可撓性装置がそこを通って前進するときに、前記終末端部が拡張することを可能にする可撓性を有する、実施態様1に記載のガイドカテーテル。
(7) 前記湾曲した遠位部の前記終末端部が、PEBAXから形成される、実施態様6に記載のガイドカテーテル。
(8) 前記カテーテルが、PEBAXから形成される前記湾曲した遠位部の前記終末端部に近位になるように構成されたナイロン部分を含む、実施態様6に記載のガイドカテーテル。
(9) 傾斜した終末端を更に備える、実施態様1に記載のガイドカテーテル。
(10) ウィングを含む終末端を更に備える、実施態様1に記載のガイドカテーテル。
(12) 前記ハブアセンブリが、外科医が前記ハブアセンブリを把持し、一方の手の指で前記通気孔を被覆することを可能にする把持表面を含む、実施態様1に記載のガイドカテーテル。
(13) 前記通気孔が、前記ハブの外面から前記ハブの内面までの通路を備え、前記通路は、前記ガイドカテーテルの長手方向軸に対して前記内面から前記外面へと近位に角度をつけられる、実施態様1に記載のガイドカテーテル。
(14) 前記吸引ポートが、前記ガイドカテーテルの長手方向軸に対して近位に角度をつけられる、実施態様1に記載のガイドカテーテル。
(15) 1つ又は2つ以上の可撓性装置を患者の副鼻腔内に誘導し、ガイドカテーテルを介する吸引を可能にするためのガイドカテーテルであって、
前記患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在する管腔と、を備える、カテーテルシャフトと、
前記近位部内の前記管腔内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ガイドカテーテルと連結するための、前記シャフト近位部に沿って配置された吸引ポートと、
前記シャフト近位部に沿って配置された通気孔と、を備える、ガイドカテーテル。
(16) 前記管腔が、
前記シャフトの前記近位部内の第1の内径であって、バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトを通って近位に引き出されるのを可能にするために十分である、第1の内径と、
前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備える、実施態様15に記載のガイドカテーテル。
(17) 副鼻腔の上で、又はその中で処置を実行するためのシステムであって、
ガイドカテーテルであって、
患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在する管腔と、を備える、カテーテルシャフトと、
前記カテーテルシャフトの前記近位部と連結されるハブアセンブリであって、
前記カテーテルシャフト管腔と流体連通にある内室と、
前記内室の内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ハブと連結するための吸引ポートと、
通気孔と、を備える、ハブアセンブリと、を備える、ガイドカテーテルと、
前記ガイドカテーテルを通って副鼻腔内に入り、前記副鼻腔の上、又はその中で処置を実行するように構成される可撓性装置と、を備える、システム。
(18) 前記可撓性装置が、前記副鼻腔内への開口部を拡大するために使用される可撓性バルーンカテーテルを備える、実施態様17に記載のシステム。
(19) ガイドワイヤを更に備え、その上で前記バルーンカテーテルが前進する、実施態様18に記載のシステム。
(20) 前記ガイドワイヤが、副鼻腔を徹照することが可能な照明ガイドワイヤを備える、実施態様19に記載のシステム。
(22) 前記副鼻腔を潅注するための拡大後に、前記ガイドカテーテルを通って通過するための潅注カテーテルを更に備える、実施態様18に記載のシステム。
(23) 前記ガイドカテーテルの前記管腔が、
前記シャフトの前記近位部内の第1の内径であって、バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトを通って近位に引き出されることを可能にするために十分である、第1の内径と、
前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備える、実施態様17に記載のシステム。
(24) 前記ガイドカテーテルの前記湾曲した遠位部の終末端部が、可撓性装置がそこを通って前進するときに、前記終末端部が拡張することを可能にする可撓性を有する、実施態様17に記載のシステム。
(25) 前記ガイドカテーテルが、傾斜した終末端を更に備える、実施態様17に記載のシステム。
(26) 前記ガイドカテーテルの前記弁が、前記ガイドカテーテルを通って前進した可撓性バルーンカテーテルの周囲に封止を形成する、実施態様17に記載のシステム。
Claims (23)
- 1つ又は2つ以上の可撓性バルーンカテーテルを患者の副鼻腔内に誘導し、ガイドカテーテルを介する吸引を可能にするためのガイドカテーテルであって、
前記患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在し、前記カテーテルシャフトの遠位端開口まで延びる管腔と、を備える、カテーテルシャフトと、
前記カテーテルシャフトの前記近位部と連結される、ハブアセンブリであって、
前記カテーテルシャフト管腔と流体連通にある内室と、
前記内室の内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ハブと連結するための吸引ポートと、
通気孔と、を備える、ハブアセンブリと、を備え、
前記管腔が、前記カテーテルシャフトの前記近位部内の第1の内径であって、前記可撓性バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトの前記遠位端開口から前記カテーテルシャフトを通って近位に引き出されるのを可能にするために十分である、第1の内径と、前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備え、
前記カテーテルシャフトの前記遠位部は弾力性を有しており、前記可撓性バルーンカテーテルが前記ガイドカテーテル内に引き戻された際に、前記カテーテルシャフトの前記遠位部が拡大して、前記カテーテルシャフトの前記遠位部内の前記管腔の内壁と前記可撓性バルーンカテーテルの外面との間に締まり嵌めが形成される、ガイドカテーテル。 - 前記ガイドカテーテルが、遠位外輪郭よりも大きい近位外輪郭を有する、請求項1に記載のガイドカテーテル。
- 前記ガイドカテーテルが、前記近位外輪郭と前記遠位外輪郭との間に先細遷移部を含む、請求項2に記載のガイドカテーテル。
- 前記近位部の一区画が、ステンレス鋼から形成される、請求項1に記載のガイドカテーテル。
- 前記湾曲した遠位部の終末端部が、前記可撓性バルーンカテーテルがそこを通って前進するときに、前記終末端部が拡張することを可能にする可撓性を有する、請求項1に記載のガイドカテーテル。
- 前記湾曲した遠位部の前記終末端部が、PEBAXから形成される、請求項5に記載のガイドカテーテル。
- 前記ガイドカテーテルが、PEBAXから形成される前記湾曲した遠位部の前記終末端部に近位になるように構成されたナイロン部分を含む、請求項5に記載のガイドカテーテル。
- 傾斜した終末端を更に備える、請求項1に記載のガイドカテーテル。
- ウィングを含む終末端を更に備える、請求項1に記載のガイドカテーテル。
- 前記弁が、前記ガイドカテーテルを通って前進した前記可撓性バルーンカテーテルの周囲に封止を形成する、請求項1に記載のガイドカテーテル。
- 前記ハブアセンブリが、外科医が前記ハブアセンブリを把持し、一方の手の指で前記通気孔を被覆することを可能にする把持表面を含む、請求項1に記載のガイドカテーテル。
- 前記通気孔が、前記ハブの外面から前記ハブの内面までの通路を備え、前記通路は、前記ガイドカテーテルの長手方向軸に対して前記内面から前記外面へと近位に角度をつけられる、請求項1に記載のガイドカテーテル。
- 前記吸引ポートが、前記ガイドカテーテルの長手方向軸に対して近位に角度をつけられる、請求項1に記載のガイドカテーテル。
- 1つ又は2つ以上の可撓性バルーンカテーテルを患者の副鼻腔内に誘導し、ガイドカテーテルを介する吸引を可能にするためのガイドカテーテルであって、
前記患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在し、前記カテーテルシャフトの遠位端開口まで延びる管腔と、を備える、カテーテルシャフトと、
前記近位部内の前記管腔内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ガイドカテーテルと連結するための、前記シャフト近位部に沿って配置された吸引ポートと、
前記シャフト近位部に沿って配置された通気孔と、を備え、
前記管腔が、前記カテーテルシャフトの前記近位部内の第1の内径であって、前記可撓性バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトの前記遠位端開口から前記カテーテルシャフトを通って近位に引き出されるのを可能にするために十分である、第1の内径と、前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備え、
前記カテーテルシャフトの前記遠位部は弾力性を有しており、前記可撓性バルーンカテーテルが前記ガイドカテーテル内に引き戻された際に、前記カテーテルシャフトの前記遠位部が拡大して、前記カテーテルシャフトの前記遠位部内の前記管腔の内壁と前記可撓性バルーンカテーテルの外面との間に締まり嵌めが形成される、ガイドカテーテル。 - 副鼻腔の上で、又はその中で処置を実行するためのシステムであって、
ガイドカテーテルであって、
患者の鼻孔内へ前進するように寸法決定された細長いカテーテルシャフトであって、
近位部と、
前記近位部よりも可撓性である湾曲した遠位部と、
前記近位部及び遠位部を通って長手方向に延在し、前記カテーテルシャフトの遠位端開口まで延びる管腔と、を備える、カテーテルシャフトと、
前記カテーテルシャフトの前記近位部と連結されるハブアセンブリであって、
前記カテーテルシャフト管腔と流体連通にある内室と、
前記内室の内部に配置された一方向弁であって、前記弁を通って前進した装置の周囲に封止を形成するように寸法決定された開口部を有する、弁と、
吸引源を前記ハブと連結するための吸引ポートと、
通気孔と、を備える、ハブアセンブリと、を備える、ガイドカテーテルと、
前記ガイドカテーテルを通って副鼻腔内に入り、前記副鼻腔の上、又はその中で処置を実行するように構成される可撓性バルーンカテーテルと、を備え、
前記管腔が、前記カテーテルシャフトの前記近位部内の第1の内径であって、前記可撓性バルーンカテーテルが前記近位部管腔内に存在する間に、吸引が前記カテーテルシャフトの前記遠位端開口から前記カテーテルシャフトを通って近位に引き出されるのを可能にするために十分である、第1の内径と、前記第1の内径よりも小さい前記遠位部内の第2の内径と、を備え、
前記カテーテルシャフトの前記遠位部は弾力性を有しており、前記可撓性バルーンカテーテルが前記ガイドカテーテル内に引き戻された際に、前記カテーテルシャフトの前記遠位部が拡大して、前記カテーテルシャフトの前記遠位部内の前記管腔の内壁と前記可撓性バルーンカテーテルの外面との間に締まり嵌めが形成される、システム。 - 前記可撓性バルーンカテーテルは、前記副鼻腔内への開口部を拡大するために使用される、請求項15に記載のシステム。
- ガイドワイヤを更に備え、その上で前記可撓性バルーンカテーテルが前進する、請求項16に記載のシステム。
- 前記ガイドワイヤが、副鼻腔を徹照することが可能な照明ガイドワイヤを備える、請求項17に記載のシステム。
- 前記可撓性バルーンカテーテルを膨張するための膨張装置を更に備える、請求項16に記載のシステム。
- 前記副鼻腔を潅注するための拡大後に、前記ガイドカテーテルを通って通過するための潅注カテーテルを更に備える、請求項16に記載のシステム。
- 前記ガイドカテーテルの前記湾曲した遠位部の終末端部が、前記可撓性バルーンカテーテルがそこを通って前進するときに、前記終末端部が拡張することを可能にする可撓性を有する、請求項15に記載のシステム。
- 前記ガイドカテーテルが、傾斜した終末端を更に備える、請求項15に記載のシステム。
- 前記ガイドカテーテルの前記弁が、前記ガイドカテーテルを通って前進した前記可撓性バルーンカテーテルの周囲に封止を形成する、請求項15に記載のシステム。
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PCT/US2010/027837 WO2010108017A1 (en) | 2009-03-20 | 2010-03-18 | Guide system with suction |
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JP2012520749A JP2012520749A (ja) | 2012-09-10 |
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JP2012500966A Expired - Fee Related JP5855562B2 (ja) | 2009-03-20 | 2010-03-18 | 吸引を有するガイドシステム |
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EP (1) | EP2408505A1 (ja) |
JP (1) | JP5855562B2 (ja) |
KR (1) | KR20120012796A (ja) |
CN (1) | CN102361663B (ja) |
AU (1) | AU2010226594B2 (ja) |
BR (1) | BRPI1012540A2 (ja) |
CA (1) | CA2755321A1 (ja) |
MX (1) | MX2011009837A (ja) |
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2010
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- 2010-03-18 JP JP2012500966A patent/JP5855562B2/ja not_active Expired - Fee Related
- 2010-03-18 BR BRPI1012540A patent/BRPI1012540A2/pt not_active IP Right Cessation
- 2010-03-18 CN CN201080013878.9A patent/CN102361663B/zh not_active Expired - Fee Related
- 2010-03-18 WO PCT/US2010/027837 patent/WO2010108017A1/en active Application Filing
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RU2538237C2 (ru) | 2015-01-10 |
CN102361663A (zh) | 2012-02-22 |
BRPI1012540A2 (pt) | 2016-03-29 |
RU2011142301A (ru) | 2013-04-27 |
WO2010108017A1 (en) | 2010-09-23 |
AU2010226594A1 (en) | 2011-10-20 |
US10524814B2 (en) | 2020-01-07 |
KR20120012796A (ko) | 2012-02-10 |
MX2011009837A (es) | 2011-10-19 |
US20160324535A1 (en) | 2016-11-10 |
JP2012520749A (ja) | 2012-09-10 |
EP2408505A1 (en) | 2012-01-25 |
AU2010226594B2 (en) | 2015-12-03 |
US20200046392A1 (en) | 2020-02-13 |
US20100241155A1 (en) | 2010-09-23 |
CA2755321A1 (en) | 2010-09-23 |
US20220142663A1 (en) | 2022-05-12 |
CN102361663B (zh) | 2015-04-01 |
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