JP6012088B2 - 組織閉鎖デバイス及び方法 - Google Patents
組織閉鎖デバイス及び方法 Download PDFInfo
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- JP6012088B2 JP6012088B2 JP2015030224A JP2015030224A JP6012088B2 JP 6012088 B2 JP6012088 B2 JP 6012088B2 JP 2015030224 A JP2015030224 A JP 2015030224A JP 2015030224 A JP2015030224 A JP 2015030224A JP 6012088 B2 JP6012088 B2 JP 6012088B2
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- suture
- opening
- closure device
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- closure
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
-
- 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
- A61B2017/00663—Type of implements the implement being a suture
-
- 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
- A61B2017/00672—Locating means therefor, e.g. bleed back lumen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00858—Material properties high friction, non-slip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2911—Handles rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
Description
Claims (15)
- 組織閉鎖デバイスであって、
長手方向に延びる本体であって、手動配置のための近位部分及び組織層の開口部の中に挿入するための遠位部分を備え、該遠位部分は、遠位部分によって支持される縫合糸受容要素まで延びる第1の壁を有し、前記近位部分は、第1の壁を越えて横方向に延びる表面を有する遮蔽体を有し、
第1の針受容開口部が、長手方向に延びる本体の第1の軸方向位置に形成され、かつ遮蔽体の横方向に延びる表面を通って延び、
出口開口部が、長手方向に延びる本体の、第1の軸方向位置から離れている第2の軸方向位置、かつ第1の壁の外面に形成され、
遮蔽体の横方向に延びる表面は、第1の針受容開口部を越えて延び、中心軸を有し出口開口部まで延びる通路に開口し、当該通路の中心軸は、縫合糸受容要素が展開状態にあるときに、縫合糸受容要素と整列する、組織閉鎖デバイス。 - 長手方向に延びる本体の長さに沿って延びる引張棒をさらに備え、引張棒の遠位端は、縫合糸受容要素に連結されており、
引張棒の長手方向本体に対する近位方向への駆動は、縫合糸受容要素を展開状態に向けて横方向に向けて延ばす、請求項1に記載の組織閉鎖デバイス。 - 引張棒の長手方向本体に対する遠位方向への駆動は、縫合糸受容要素を展開状態から閉鎖状態に閉じる、請求項2に記載の組織閉鎖デバイス。
- 第1の針受容開口部は、略漏斗状導入部への開口を形成する、請求項1に記載の組織閉鎖デバイス。
- 横方向に延びる表面は、長手方向に延びる本体に対して垂直な平らな表面である、請求項1に記載の組織閉鎖デバイス。
- 第2の針受容開口部が、長手方に延びる本体の第1の軸方向位置に形成され、第1の針受容開口部が形成された位置とは直径方向反対側の位置で、遮蔽体の横方向に延びる表面を通って延びる、請求項1に記載の組織閉鎖デバイス。
- スロット開口部が、長手方向に延びる本体の表面に沿って延び、第1の針受容開口部と出口開口部とを接続する、請求項1に記載の組織閉鎖デバイス。
- スロット開口部は、遮蔽体の少なくとも一部を通って延びる、請求項7に記載の組織閉鎖デバイス。
- 組織閉鎖組立体であって、
長手方向に延びる本体であって、手動配置のための近位部分及び組織層の開口部の中に挿入するための遠位部分を備え、該遠位部分は、遠位部分によって支持される縫合糸受容要素まで延びる第1の壁を有し、前記近位部分は、第1の壁を越えて横方向に延びる表面を有し、
第1の針受容開口部が、長手方向に延びる本体の第1の軸方向位置に形成され、かつ表面を通って延び、
出口開口部が、長手方向に延びる本体の、第1の軸方向位置から離れている第2の軸方向位置、かつ第1の壁の外面に形成され、本体が第1の針受容開口部と出口開口部との間で延びる中心軸を有する通路を形成するようになっており、
縫合糸受容要素は、展開状態において、長手方向に延びる本体に対して垂直に延び、第1の針受容開口部と整列された標的アプローチ開口部を備える、組織閉鎖組立体。 - 表面は、遮蔽保護部を形成する平らな近位表面である、請求項9に記載の組織閉鎖組立体。
- 第1の針受容開口部は、略漏斗状導入部への開口を形成する、請求項9に記載の組織閉鎖組立体。
- スロット開口部が、長手方向に延びる本体の表面に沿って延び、第1の針受容開口部と出口開口部とを接続する、請求項9に記載の組織閉鎖組立体。
- スロット開口部は、長手方向に延びる本体の第1の壁に形成されている、請求項12に記載の組織閉鎖組立体。
- 長手方向に延びる本体の長さに沿って延びる引張棒をさらに備え、引張棒の遠位端は、縫合糸受容要素に連結されており、
引張棒の長手方向本体に対する近位方向への駆動は、縫合糸受容要素を展開状態に向けて横方向に向けて延ばす、請求項9に記載の組織閉鎖組立体。 - 引張棒の長手方向本体に対する遠位方向への駆動は、縫合糸受容要素を展開状態から閉鎖状態に閉じる、請求項14に記載の組織閉鎖組立体。
Applications Claiming Priority (2)
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US14415109P | 2009-01-12 | 2009-01-12 | |
US61/144,151 | 2009-01-12 |
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JP2011545492A Division JP5720031B2 (ja) | 2009-01-12 | 2010-01-11 | 組織閉鎖のための装置および方法 |
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JP2015110049A JP2015110049A (ja) | 2015-06-18 |
JP6012088B2 true JP6012088B2 (ja) | 2016-10-25 |
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JP2011545492A Active JP5720031B2 (ja) | 2009-01-12 | 2010-01-11 | 組織閉鎖のための装置および方法 |
JP2015030224A Active JP6012088B2 (ja) | 2009-01-12 | 2015-02-19 | 組織閉鎖デバイス及び方法 |
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US (4) | US8926639B2 (ja) |
EP (1) | EP2385798B1 (ja) |
JP (2) | JP5720031B2 (ja) |
WO (1) | WO2010081096A2 (ja) |
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US10485533B2 (en) | 2019-11-26 |
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