JP6356667B2 - 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム - Google Patents

最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム Download PDF

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Publication number
JP6356667B2
JP6356667B2 JP2015518501A JP2015518501A JP6356667B2 JP 6356667 B2 JP6356667 B2 JP 6356667B2 JP 2015518501 A JP2015518501 A JP 2015518501A JP 2015518501 A JP2015518501 A JP 2015518501A JP 6356667 B2 JP6356667 B2 JP 6356667B2
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Japan
Prior art keywords
retractor
flexible
lumen
distal
elements
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Expired - Fee Related
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JP2015518501A
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Japanese (ja)
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JP2015525109A (ja
Inventor
ピスクン、グレゴリー
トウ、ジョン
ファブロ、マリエル
タング、ブライアン
カントセボイ、セルゲイ
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Macroplata Inc
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Macroplata Inc
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Priority claimed from US13/531,477 external-priority patent/US8932211B2/en
Priority claimed from US13/913,466 external-priority patent/US9186131B2/en
Application filed by Macroplata Inc filed Critical Macroplata Inc
Publication of JP2015525109A publication Critical patent/JP2015525109A/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
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    • A61B1/00131—Accessories for endoscopes
    • A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
    • 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • 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
    • A61B1/31—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 rectum, e.g. proctoscopes or sigmoidoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083—Clips, e.g. resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
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    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00278—Transorgan operations, e.g. transgastric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2017/00287—Bags for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
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    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
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    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • A—HUMAN NECESSITIES
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    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447—Linked multiple cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
    • F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
    • F04C2270/00—Control; Monitoring or safety arrangements
    • F04C2270/04—Force
    • F04C2270/041—Controlled or regulated

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Endoscopes (AREA)
JP2015518501A 2012-06-22 2013-06-17 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム Expired - Fee Related JP6356667B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US13/531,477 US8932211B2 (en) 2012-06-22 2012-06-22 Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US13/531,477 2012-06-22
US13/913,466 2013-06-09
US13/913,466 US9186131B2 (en) 2009-12-16 2013-06-09 Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
PCT/US2013/046200 WO2013192116A1 (en) 2012-06-22 2013-06-17 Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2018058142A Division JP7106319B2 (ja) 2012-06-22 2018-03-26 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム

Publications (2)

Publication Number Publication Date
JP2015525109A JP2015525109A (ja) 2015-09-03
JP6356667B2 true JP6356667B2 (ja) 2018-07-11

Family

ID=48771697

Family Applications (5)

Application Number Title Priority Date Filing Date
JP2015518501A Expired - Fee Related JP6356667B2 (ja) 2012-06-22 2013-06-17 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2018058142A Expired - Fee Related JP7106319B2 (ja) 2012-06-22 2018-03-26 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2021011158A Pending JP2021069952A (ja) 2012-06-22 2021-01-27 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2022168405A Active JP7472231B2 (ja) 2012-06-22 2022-10-20 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2024063457A Pending JP2024088776A (ja) 2012-06-22 2024-04-10 浮動式マルチルーメンカテーテル・リトラクタシステム、リトラクタを有するマルチルーメンカテーテル・システム及びリトラクタを有する浮動式マルチルーメンカテーテル・リトラクタシステムを備えた手術室システム

Family Applications After (4)

Application Number Title Priority Date Filing Date
JP2018058142A Expired - Fee Related JP7106319B2 (ja) 2012-06-22 2018-03-26 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2021011158A Pending JP2021069952A (ja) 2012-06-22 2021-01-27 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2022168405A Active JP7472231B2 (ja) 2012-06-22 2022-10-20 最小侵襲胃腸手術処置のためのマルチルーメンカテーテル・リトラクタシステム
JP2024063457A Pending JP2024088776A (ja) 2012-06-22 2024-04-10 浮動式マルチルーメンカテーテル・リトラクタシステム、リトラクタを有するマルチルーメンカテーテル・システム及びリトラクタを有する浮動式マルチルーメンカテーテル・リトラクタシステムを備えた手術室システム

Country Status (7)

Country Link
EP (2) EP3669745B1 (enExample)
JP (5) JP6356667B2 (enExample)
KR (1) KR20150048706A (enExample)
CN (1) CN104470414B (enExample)
AU (2) AU2013277448A1 (enExample)
CA (1) CA2883783A1 (enExample)
WO (1) WO2013192116A1 (enExample)

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US10758116B2 (en) 2009-12-16 2020-09-01 Boston Scientific Scimed, Inc. System for a minimally-invasive, operative gastrointestinal treatment
JP5852008B2 (ja) 2009-12-16 2016-02-03 マクロプラタ、インコーポレイテッドＭａｃｒｏｐｌａｔａ，Ｉｎｃ． 消化管病変を内視鏡検査で治療するためのシステム
US12376737B1 (en) 2009-12-16 2025-08-05 Boston Scientific Scimed, Inc. Tissue retractor for minimally invasive surgery
US8932211B2 (en) 2012-06-22 2015-01-13 Macroplata, Inc. Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US9186131B2 (en) 2009-12-16 2015-11-17 Macroplata, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10531869B2 (en) 2009-12-16 2020-01-14 Boston Scientific Scimed, Inc. Tissue retractor for minimally invasive surgery
US9565998B2 (en) 2009-12-16 2017-02-14 Boston Scientific Scimed, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10595711B2 (en) * 2009-12-16 2020-03-24 Boston Scientific Scimed, Inc. System for a minimally-invasive, operative gastrointestinal treatment
US10966701B2 (en) 2009-12-16 2021-04-06 Boston Scientific Scimed, Inc. Tissue retractor for minimally invasive surgery
USRE48850E1 (en) 2009-12-16 2021-12-14 Boston Scientific Scimed, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US11344285B2 (en) 2009-12-16 2022-05-31 Boston Scientific Scimed, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
WO2013192116A1 (en) * 2012-06-22 2013-12-27 Macroplata Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
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CN105769257A (zh) * 2016-01-22 2016-07-20 姚蔼晟 多器械通道脊柱内窥镜
JPWO2017203582A1 (ja) 2016-05-23 2019-04-11 オリンパス株式会社 内視鏡用デバイスおよび内視鏡システム
CN114767266B (zh) * 2016-06-09 2026-07-17 直观外科手术操作公司 计算机辅助远程操作手术系统和方法
EP3457908B1 (en) * 2016-09-10 2020-08-26 Boston Scientific Scimed, Inc. System for a minimally-invasive, operative gastrointestinal treatment
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EP3562374A1 (en) * 2016-12-30 2019-11-06 Boston Scientific Scimed, Inc. System for a minimally-invasive treatment within a body lumen
CN110198654A (zh) * 2017-01-20 2019-09-03 波士顿科学国际有限公司 用于微创手术治疗的系统
CN110913773B (zh) 2017-03-18 2023-03-28 波士顿科学国际有限公司 用于体腔内的微创治疗的系统
CN114305313B (zh) 2017-03-29 2025-07-04 波士顿科学国际有限公司 用于组织牵开的装置和方法
CN117814875A (zh) * 2017-10-02 2024-04-05 波士顿科学国际有限公司 用于组织牵开的装置和方法
CN108261174B (zh) * 2018-03-13 2024-06-07 南微医学科技股份有限公司 一种内窥镜端帽
WO2020033375A1 (en) * 2018-08-07 2020-02-13 Boston Scientific Scimed, Inc. Systems, devices, and related methods for retracting tissue
CN109394348A (zh) * 2018-11-02 2019-03-01 蚌埠市淮杨生物医药科技有限公司 一种弓弦牵引扯皮系统
CN114828932B (zh) * 2019-10-23 2025-08-26 佳能美国公司 具有分段可弯曲区段的医学设备
WO2021118958A1 (en) 2019-12-13 2021-06-17 Boston Scientific Scimed, Inc. Devices, systems, and methods for minimally invasive surgery in a body lumen
CN113842183B (zh) * 2021-09-26 2024-06-28 复旦大学附属中山医院 一种消化道闭合装置及控制方法
CN115040176B (zh) * 2022-06-07 2025-12-02 上海诺英医疗器械有限公司 一种内窥镜手术辅助牵引钳
WO2025115167A1 (ja) * 2023-11-30 2025-06-05 朝日インテック株式会社 医療デバイス

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JP7472231B2 (ja) 2024-04-22
CA2883783A1 (en) 2013-12-27
EP2863791A1 (en) 2015-04-29
JP2021069952A (ja) 2021-05-06
EP3669745B1 (en) 2024-03-27
JP2015525109A (ja) 2015-09-03
EP2863791B1 (en) 2020-04-22
JP2018122126A (ja) 2018-08-09
KR20150048706A (ko) 2015-05-07
JP2022183329A (ja) 2022-12-08
CN104470414A (zh) 2015-03-25
EP3669745A1 (en) 2020-06-24
AU2013277448A1 (en) 2015-01-22
JP2024088776A (ja) 2024-07-02
WO2013192116A1 (en) 2013-12-27
AU2017251833A1 (en) 2017-11-16
CN104470414B (zh) 2018-07-03
JP7106319B2 (ja) 2022-07-26

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