JP6105699B2 - 結紮装置 - Google Patents
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- JP6105699B2 JP6105699B2 JP2015197644A JP2015197644A JP6105699B2 JP 6105699 B2 JP6105699 B2 JP 6105699B2 JP 2015197644 A JP2015197644 A JP 2015197644A JP 2015197644 A JP2015197644 A JP 2015197644A JP 6105699 B2 JP6105699 B2 JP 6105699B2
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Description
[発明の例]
[例1]
痔核を治療する方法であって、
痔核動脈の位置を特定するステップと、
前記痔核動脈を固定するステップと、
前記痔核動脈を自動的に封止するステップと、
を含む方法。
[例2]
自動的に封止する前記ステップが、前記痔核動脈を機械的に結紮するサブステップを含む、例1に記載の方法。
[例3]
機械的に結紮する前記サブステップが、前記痔核動脈を圧縮するサブステップを含む、例2に記載の方法。
[例4]
固定する前記ステップが吸引力を付与するサブステップを含む、例1に記載の方法。
[例5]
固定する前記ステップが、前記痔核動脈に隣接する組織内にフックを挿入するサブステップを含む、例1に記載の方法。
[例6]
固定する前記ステップが、前記痔核動脈に隣接して接着剤を塗布するサブステップを含む、例1に記載の方法。
[例7]
痔核を治療する方法であって、
痔核動脈の位置を特定するステップと、
前記痔核動脈を固定するステップと、
前記痔核動脈を自動的に封止するステップであって、前記動脈内の流れを検知するサブステップと、流れが検出されると前記封止をトリガするサブステップとを含む、ステップと、
を含む方法。
[例8]
自動的に封止する前記ステップが、前記動脈を圧縮するサブステップを含む、例7に記載の方法。
[例9]
前記動脈を圧縮するサブステップが、前記動脈に隣接する組織を吸引して組織の山を形成することと、前記組織の山の上にクリップを送り出すこととを含む、例8に記載の方法。
[例10]
自動的に封止する前記ステップが、前記動脈内の流れが検出されると前記動脈を焼灼するサブステップを含む、例7に記載の方法。
[例11]
焼灼する前記サブステップが、RFエネルギーを前記動脈に送達することを含む、例10に記載の方法。
[例12]
焼灼する前記サブステップが、前記動脈内に又は上に蒸気を送達することを含む、例10に記載の方法。
[例13]
焼灼する前記サブステップが、前記動脈を凝固させることを含む、例10に記載の方法。
[例14]
自動的に封止する前記ステップが、前記動脈内の流れを検出すると前記動脈を硬化させるサブステップを含む、例7に記載の方法。
[例15]
前記動脈を硬化させる前記ステップが、前記動脈内に又は上に硬化剤を送達するサブステップを含む、例14に記載の方法。
[例16]
位置を特定する前記ステップが、ドップラー超音波を用いて位置を特定するサブステップを含む、例7に記載の方法。
[例17]
痔核を治療する方法であって、
痔核動脈の位置を特定するステップと、
前記痔核動脈を固定するステップと、
前記痔核動脈を遠隔で封止するステップと、
を含む方法。
[例18]
遠隔で封止する前記ステップが、封止装置を作動させて前記痔核動脈を閉鎖するサブステップを含み、作動させる前記サブステップが、直腸の外側で前記装置を制御することを含む、例17に記載の方法。
[例19]
前記装置が焼灼器を含み、前記焼灼器が前記痔核動脈を焼灼し、前記装置を作動させる前記サブステップが前記焼灼器を作動させることを含む、例17に記載の方法。
[例20]
前記装置が圧縮手段配置装置を含み、前記圧縮手段配置装置が前記痔核動脈を圧縮する圧縮手段を配置する、例17に記載の方法。
[例21]
前記圧縮手段配置装置が縫合糸配置装置を含む、例20に記載の方法。
[例22]
前記圧縮手段配置装置がクリップ装着器を含む、例20に記載の方法。
[例23]
前記圧縮手段配置装置がステープラを含む、例20に記載の方法。
[例24]
位置を特定する前記ステップが、ドップラー超音波を用いて位置を特定するサブステップを含む、例17に記載の方法。
[例25]
痔核を治療する方法であって、
痔核動脈の表面の組織に吸引力を付与するステップ
を含む方法。
[例26]
前記痔核動脈の位置を特定するステップと、前記痔核動脈に治療装置を固定するステップとをさらに含み、固定する前記ステップが、前記痔核動脈の表面の組織に吸引力を付与するサブステップを含む、例25に記載の方法。
[例27]
痔核動脈を治療する装置であって、
遠隔位置特定コンポーネント、結紮コンポーネント及び固定コンポーネントを備える先端部と、
前記先端部に対して基端側のハンドルと、
前記ハンドルと前記先端部との間の首部であって、非直線状である首部と、
を具備する装置。
[例28]
痔核動脈を治療する装置であって、
遠隔位置特定コンポーネント、結紮コンポーネント及び固定コンポーネントを備える先端部と、
前記先端部に対して基端側のハンドルと、
前記ハンドルと前記先端部との間の首部であり、角度的に関節動作可能である首部と、
を具備する装置。
[例29]
痔核動脈を治療する装置であって、
遠隔位置特定コンポーネント、結紮コンポーネント及び固定コンポーネントを備える先端部であり、先端部直径が約3cmを下回る、先端部と、
前記先端部に対して基端側のストッパであって、ストッパ直径が約3cmを上回る、ストッパと、
を具備する装置。
[例30]
前記先端部直径が約2cmを下回る、例29に記載の装置。
[例31]
前記先端部直径が約1.5cmを下回る、例29に記載の装置。
[例32]
前記先端部直径が約1cmを下回る、例29に記載の装置。
[例33]
前記結紮コンポーネントがクリップを含む、例29に記載の装置。
[例34]
前記結紮コンポーネントが焼灼コンポーネントを含む、例29に記載の装置。
[例35]
前記焼灼コンポーネントが電極を含む、例34に記載の装置。
[例36]
前記焼灼コンポーネントがHIFUトランスデューサを含む、例35に記載の装置。
[例37]
前記結紮コンポーネントがタンポナーデ剤を含む、例29に記載の装置。
[例38]
前記結紮コンポーネントが硬化剤を含む、例29に記載の装置。
[例39]
前記結紮コンポーネントがイオン化放射線源を含む、例29に記載の装置。
[例40]
前記固定コンポーネントが吸引源を含む、例29に記載の装置。
[例41]
前記吸引源が、前記遠隔位置特定コンポーネント及び前記結紮コンポーネントに隣接する吸引ポートと流体連通する、例40に記載の装置。
[例42]
前記吸引源が当該装置の残りの部分に対して並進可能である、例41に記載の装置。
[例43]
前記遠隔位置特定装置がドップラーセンサを含む、例29に記載の装置。
[例44]
前記遠隔位置特定コンポーネントが流れ検出器を含む、例29に記載の装置。
[例45]
前記遠隔位置特定コンポーネントが、前記流れ検出器が流れを検出すると音響信号を放射するように構成されている、例44に記載の装置。
[例46]
痔核動脈を治療する装置であって、
結紮・位置特定対の直交格子であり、各結紮・位置特定対が動脈位置特定器に隣接するか又はその中に動脈結紮器を備え、結紮・位置特定対の2つの行及び2つの列を備える直交格子
を具備する装置。
[例47]
前記動脈結紮器がRF電極を含む、例46に記載の装置。
[例48]
前記動脈位置特定器がドップラーセンサを含む、例46に記載の装置。
[例49]
痔核動脈を結紮する方法であって、
肛門内に装置を挿入するステップであり、前記装置が検知素子及び結紮素子を備える、ステップと、
前記検知コンポーネント及び前記結紮コンポーネントが歯状線より上位であるように前記装置を前進させるステップと、
手による縫合を用いることなく前記痔核動脈を結紮するステップと、
を含み、直接視覚化なしに行われる方法。
[例50]
挿入する前記ステップが、前記肛門を約2cm未満拡張させるサブステップをさらに含む、例49に記載の方法。
[例51]
前進させる前記ステップが、前記検知コンポーネント及び前記結紮コンポーネントが前記歯状線より約1cm上位であるように前記装置を前進させるサブステップを含む、例50に記載の方法。
[例52]
痔核動脈を治療する方法であって、
前記痔核動脈のすべてを同時に結紮するステップ
を含む方法。
[例53]
前記結紮が、直腸内の組織を円周方向に焼灼するサブステップを含む、例52に記載の方法。
[例54]
前記直腸内に前記歯状線を越えて結紮装置を挿入するステップをさらに含む、例53に記載の方法。
[例55]
挿入する前記ステップが、前記装置に対し、前記直腸内に約8cmを上回って前記結紮装置が挿入されるのを防止するサブステップを含む、例54に記載の方法。
[例56]
前記装置に対して防止する前記サブステップが、前記肛門に当接することを含む、例54に記載の方法。
[例57]
前記結紮が、前記痔核動脈にエネルギーを付与するサブステップを含む、例52に記載の方法。
[例58]
前記エネルギーが赤外線エネルギーを含む、例57に記載の方法。
[例59]
前記エネルギーがRFエネルギーを含む、例57に記載の方法。
[例60]
前記エネルギーがHIFUエネルギーを含む、例57に記載の方法。
[例61]
前記エネルギーが熱エネルギーを含む、例57に記載の方法。
[例62]
前記エネルギーが電気焼灼エネルギーを含む、例57に記載の方法。
[例63]
痔核動脈を治療する装置であって、
痔核動脈の位置を特定するセンサと、
前記痔核動脈を熱的に結紮するエネルギープローブと、
前記センサ及び前記エネルギープローブを歯状線の少なくとも1cm上方に配置する安全機構と、
前記センサに結合された処理ユニットと、
前記エネルギープローブに結合されたエネルギー発生器と、
を具備する装置。
[例64]
前記安全機構がストッパを含む、例63に記載の装置。
[例65]
前記ストッパが、当該装置の残りの部分より直径が大きい、例63に記載の装置。
[例66]
前記センサが超音波ドップラートランスデューサである、例63に記載の装置。
[例67]
前記エネルギープローブが高周波電極、高強度超音波アブレーションプローブ、蒸気送達ポート及び/又はレーザ送信機である、例63に記載の装置。
[例68]
前記センサが、前記エネルギープローブの中間に又はそれに隣接して配置される、例63に記載の装置。
[例69]
前記センサ及び/又は前記エネルギープローブが拡張可能部材に配置される、例63に記載の装置。
[例70]
前記拡張可能部材がバルーンを含む、例69に記載の装置。
[例71]
前記拡張可能部材がバスケットを含む、例69に記載の装置。
[例72]
前記拡張可能部材がメッシュを含む、例69に記載の装置。
[例73]
前記安全機構がタッチセンサ及び/又は挿入深さ指示器である、例63に記載の装置。
[例74]
前記処理ユニット及び前記エネルギー発生器が、前記痔核動脈の直接視覚化を必要とすることなく、動脈結紮プロセスを最適化するように情報を交換するように構成されている、例63に記載の装置。
[例75]
痔核を治療する方法であって、
治療装置を肛門に挿入するステップであり、前記治療装置がセンサ及びエネルギープローブを備える、ステップと、
前記センサ及び前記エネルギープローブを歯状線の少なくとも1cm上方に配置するステップと、
前記治療装置の先端部を、前記治療装置が直腸内部組織と接触するように拡張させるか又は関節動作させるステップと、
少なくとも1つの痔核動脈の位置が特定されるまで前記治療装置を関節動作させるステップであり、回転させるサブステップ及び/又は並進させるサブステップを含む、ステップと、
前記痔核動脈を、前記エネルギープローブにより熱的に結紮するステップと、
を含む方法。
[例76]
前記痔核動脈を結紮する前記ステップが切開を行わないサブステップを含む、例75に記載の方法。
[例77]
前記痔核動脈を結紮する前記ステップが、前記痔核動脈の壁の温度を、約70℃を上回るまで上昇させるサブステップを含む、例76に記載の方法。
[例78]
前記痔核動脈を結紮する前記ステップが、前記エネルギーを前記歯状線の上方に配置した後に発生する、例76に記載の方法。
[例79]
痔核の治療のために痔核動脈を結紮する装置であって、
管状ハウジングと、
前記管状ハウジングの先端部の、吸引により組織ひだを形成するために開放空洞を画定する吸引チャンバであり、前記組織ひだの基部を少なくとも部分的に挟み付けるように配置可能な圧縮クリップを受け取る手段を有する、吸引チャンバと、
前記吸引チャンバ及び前記クリップ配置機構に対して基端側のドップラー超音波センサと、
前記管状ハウジングの基端部の、前記吸引チャンバ内の吸引力を活性化し前記組織ひだの前記基部を少なくとも部分的に挟み付けるようにクリップを配置する機構を備えたハンドルと、
を具備する装置。
[例80]
前記圧縮クリップが、先端の長さが異なるかかりを備えている、例79に記載の装置。
[例81]
前記圧縮クリップがワイヤストックを含む、例79に記載の装置。
[例82]
痔核の治療のために痔核動脈を結紮する方法であって、
組織の組織表面上にドップラー超音波センサを配置するステップと、
動脈の位置が特定されるまで、前記組織表面に沿って前記超音波センサを移動させるステップと、
前記組織を垂直方向に挟み付けることにより、前記検出された動脈内の血流を中断させる組織ひだを形成するステップと、
圧縮クリップを送り出すことにより、前記組織ひだの前記基部を少なくとも部分的に挟み付けることにより前記検出された動脈内の血流を停止させるステップと、
を含む方法。
[例83]
前記圧縮クリップが送り出された後に前記動脈を通る血流の中断を確認するステップであり、ドップラー超音波センサを用いるサブステップを含む、ステップをさらに含む、例82に記載の方法。
[例84]
挟み付ける前記ステップが前記組織に吸引力を付与するサブステップを含み、送り出す前記ステップが、吸引の方向に対して垂直に前記圧縮クリップを送り出すサブステップを含む、例82に記載の方法。
[例85]
前記ドップラー超音波センサを配置する前記サブステップが、直腸内に治療装置を前進させることを含み、前記装置が測定装置であり、前記治療装置の前記前進を測定して、前記治療装置の作業端が前記直腸の歯状線の上方にあることを確実にするステップを含む、例82に記載の方法。
Claims (19)
- 痔核の治療のために痔核動脈を結紮する装置であって、
管状ハウジングと、
吸引により組織ひだを形成するために開放空洞を画定する、前記管状ハウジングの先端部の吸引チャンバであり、痔核動脈を圧縮し且つ結紮するように配置可能な一つ又は複数のクリップを受け取る手段を有する、吸引チャンバと、
前記吸引チャンバ及びクリップ配置機構に対して基端側のドップラー超音波センサであって、痔核動脈の位置を特定するためのドップラー超音波センサと、
前記管状ハウジングの基端部のハンドルであって、前記吸引チャンバ内の吸引力を活性化し、前記痔核動脈を圧縮し且つ結紮するように前記一つ又は複数のクリップを配置する機構を備えたハンドルと、
を具備する装置。 - 前記一つ又は複数のクリップの各々は、互いに対して変位可能な二つのクリップアームを備える、請求項1に記載の装置。
- 前記クリップアームは、変位されるときに角度をなして閉鎖する、請求項2に記載の装置。
- 前記クリップアームに接続された、内側に対向するジョーをさらに備える、請求項2に記載の装置。
- 前記一つ又は複数のクリップの各々は前記クリップアームの前記端部においてブロックを備える、請求項2に記載の装置。
- 前記ブロックは歯付きである、請求項5に記載の装置。
- 前記クリップアームは、前記ブロックから取り外し可能である、請求項5に記載の装置。
- 前記ブロックは生体吸収性である、請求項5に記載の装置。
- 前記一つ又は複数のクリップの各々は少なくとも二つの鋭利端を備える、請求項1に記載の装置。
- 前記少なくとも二つの鋭利端は複数の歯を含む、請求項9に記載の装置。
- 前記一つ又は複数のクリップの各々は、閉じるように付勢されており、配置されるまで開いて保持される、請求項1〜10のいずれか一項に記載の装置。
- 前記一つ又は複数のクリップの各々は、前記ハウジング内の開放形態及び閉鎖形態を有し、前記閉鎖形態に付勢されており、前記開放形態に配置可能である、請求項1〜11のいずれか一項に記載の装置。
- 前記一つ又は複数のクリップの各々はニチノールを備える、請求項1〜12のいずれか一項に記載の装置。
- 前記吸引チャンバは吸引ポートを含む、請求項1に記載の装置。
- 前記吸引ポートは、前記ハウジングの底部と同一平面に向けることが可能である、請求項14に記載の装置。
- 前記一つ又は複数のクリップは、前記組織ひだの基部を少なくとも部分的に挟み付けるように配置可能である、請求項1に記載の装置。
- 前記ドップラー超音波センサは、前記吸引チャンバに隣接する前記ハウジング上において保持される、請求項1〜16のいずれか一項に記載の装置。
- 前記ハウジングに組織を引き込むように構成された後退可能吸引ポートをさらに備える、請求項1〜17のいずれか一項に記載の装置。
- 前記一つ又は複数のクリップは、前記組織の山の長軸に平行な方向に到達可能である、請求項1〜18のいずれか一項に記載の装置。
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EP2398548B1 (en) * | 2009-02-17 | 2017-04-19 | The Board Of Trustees Of The Leland | Closure device |
-
2010
- 2010-02-17 EP EP10744059.6A patent/EP2398548B1/en not_active Not-in-force
- 2010-02-17 WO PCT/US2010/000470 patent/WO2010096174A1/en active Application Filing
- 2010-02-17 JP JP2011550138A patent/JP5885506B2/ja not_active Expired - Fee Related
- 2010-02-17 US US13/201,079 patent/US9232947B2/en not_active Expired - Fee Related
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2015
- 2015-10-05 JP JP2015197644A patent/JP6105699B2/ja not_active Expired - Fee Related
- 2015-12-21 US US14/977,537 patent/US20160106435A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
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JP5885506B2 (ja) | 2016-03-15 |
WO2010096174A1 (en) | 2010-08-26 |
JP2016093483A (ja) | 2016-05-26 |
EP2398548B1 (en) | 2017-04-19 |
US20160106435A1 (en) | 2016-04-21 |
US9232947B2 (en) | 2016-01-12 |
US20120059394A1 (en) | 2012-03-08 |
EP2398548A1 (en) | 2011-12-28 |
WO2010096174A4 (en) | 2010-10-14 |
EP2398548A4 (en) | 2015-04-22 |
WO2010096174A8 (en) | 2011-10-06 |
JP2012517858A (ja) | 2012-08-09 |
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