JP6429409B2 - 人工収縮構造を備える医療装置 - Google Patents
人工収縮構造を備える医療装置 Download PDFInfo
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/132—Tourniquets
- A61B17/1322—Tourniquets comprising a flexible encircling member
- A61B17/1327—Tensioning clamps
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- A—HUMAN NECESSITIES
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/005—Gastric bands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/005—Gastric bands
- A61F5/0053—Gastric bands remotely adjustable
- A61F5/0059—Gastric bands remotely adjustable with wireless means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
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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
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
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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
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/009—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
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Description
Claims (21)
- 収縮要素(1)が休止位置又は作動位置にあるように構成される態様で、中空の人体器官を収縮させるように構成された少なくとも1つの収縮要素(1)を含む人工収縮構造であって、前記作動位置では、前記収縮要素(1)が前記中空の人体器官を収縮させると定められ、前記休止位置では、前記収縮要素(1)が前記中空の人体器官を収縮させないと定められる、人工収縮構造と、
前記収縮要素(1)が前記中空の人体器官の周りを締めるように力を印加するように構成された張力装置(2)と
を備える医療装置において、
前記収縮要素(1)は、
長手方向に延びる可撓性ストリップ(4)と、
前記可撓性ストリップ(4)の表面から延びる複数の横方向補強要素(10)と、
をさらに含み、
前記張力装置(2)は、前記力を印加すると、前記可撓性ストリップ(4)を、U字形状又はU字様形状の断面に撓ませるように構成され、前記U字形状又はU字様形状の底部は、最大8N/cm 2 の概ね均一の閉塞圧を印加するように配置されており、前記収縮要素(1)が前記作動位置にある際に、前記均一の閉塞圧は、前記収縮要素(1)と前記中空の人体器官との間の接触領域の外周に沿って、最大15%だけ変化することを特徴とする、医療装置。 - 前記収縮要素(1)は、前記収縮要素(1)を弛緩するように配置された弾性要素(18a)をさらに含む、請求項1に記載の医療装置。
- 前記可撓性ストリップ(4)は、各々が2つの隣接する横方向補強要素(10)の間に配置された、複数の開口部(70)を含む、請求項1又は2に記載の医療装置。
- 前記張力装置(2)は、シース内に配置された張力要素(20)を含む可撓性トランスミッション(3)を含み、前記シース(18)の少なくとも部分は、第1の固定点(12)で前記可撓性ストリップ(4)に固定され、前記張力要素は、前記シース(18)の前記少なくとも部分から延び、第2の固定点(14)で前記可撓性ストリップ(4)に固定されている、請求項1〜3のいずれか一項に記載の医療装置。
- 前記張力要素(20)は、フィラメント、ワイヤ、ケーブル、又は平ストリップである、請求項4に記載の医療装置。
- 前記張力要素(20)は、前記横方向補強要素(10)の少なくとも幾つかを通り抜けている、請求項5に記載の医療装置。
- 前記張力装置(2)は、解放要素に加えられる張力に応答して前記閉塞圧を解放するように構成された解放要素を含み、前記解放要素は、別のフィラメント、別のワイヤ、別のケーブル、又は別の平ストリップにより製作されている、請求項1〜6のいずれか一項に記載の医療装置。
- 前記シースは、少なくとも1つのコイル状ワイヤ(18a、18b)を含む、請求項4を引用する場合の請求項5〜7のいずれか一項に記載の医療装置。
- 前記シースは、第1の方向に巻かれた内側コイル状ワイヤ(18a)と、前記内側コイル状ワイヤ(18a)を囲み、前記第1の方向と反対の第2の方向に巻かれた外側コイル状ワイヤ(18b)とを含む、請求項8に記載の医療装置。
- 少なくとも1つのコイル状ワイヤ(18a)は、前記第1の固定点(12)と前記第2の固定点(14)との間で伸ばされ、応力のない状態において、前記弾性要素(18a)を形成するために、前記少なくとも1つのコイル状ワイヤ(18a)の隣接するコイルは接触しないようになっている、請求項2を引用する場合の請求項4に記載の医療装置。
- 前記収縮要素(1)から分離され、張力を前記張力要素(20)に印加するように配置されたアクチュエータをさらに備え、前記張力要素(20)は、かしめ、レーザ溶接、フック止めの少なくとも1つ、及び/又は着脱可能手段(40)により、前記アクチュエータのハウジングから突出する接続要素(62)に取り付けられている、請求項4に記載の医療装置。
- 前記収縮要素(1)は、前記収縮要素(1)を中空の人体器官の周りに閉ループの形に形成するための閉鎖部(6)をさらに含み、前記閉鎖部(6)は、前記可撓性ストリップ(4)の第1の先端に配置されている、請求項1〜11のいずれか一項に記載の医療装置。
- 前記閉鎖部(6)は、前記収縮要素(1)を、複数の所定の外周の1つを有する閉ループの形に形成するように配置されている、請求項12に記載の医療装置。
- 前記収縮要素(1)は、前記収縮要素(1)を中空の人体器官の周りに閉ループの形に形成するための閉鎖部(6)をさらに含み、
前記閉鎖部(6)は、前記可撓性ストリップ(4)に沿った複数の所定の位置の1つにおいて閉鎖するように配置されている、請求項1に記載の医療装置。 - 前記収縮要素(1)は、前記収縮要素(1)を中空の人体器官の周りに閉ループの形に形成するための閉鎖部(6)をさらに含み、
前記閉鎖部(6)は、前記可撓性ストリップ(4)に係合するように配置された複数のリップ(26)と、前記リップ(26)を所定の位置に固定するように配置された安全装置(8a、8b)とを含む、請求項1に記載の医療装置。 - 前記安全装置(8a、8b)は、複数の相互インターロックフラップ(30、34)を含む、請求項15に記載の医療装置。
- 前記収縮要素(1)のデッドゾーンを除去するための手段をさらに備える、請求項1〜16のいずれか一項に記載の医療装置。
- 前記収縮要素(1)のデッドゾーンを除去するための前記手段は、前記デッドゾーンの少なくとも部分の周りに置かれるように配置された補剛材(50)を含む、請求項17に記載の医療装置。
- 前記収縮要素(1)のデッドゾーンを除去するための前記手段は、調整可能位置において、前記張力装置(2)の少なくとも部分を前記収縮要素(1)に取り付けるための手段を含む、請求項17に記載の医療装置。
- 前記第1の固定点(12)は、前記閉鎖部(6)に近接して配置し、前記第2の固定点(14)は、前記第1の固定点(12)から複数の距離において前記可撓性ストリップ(4)に沿って位置する複数の第2の固定点(14)から選択することができる、請求項4及び12を引用する場合の請求項19に記載の医療装置。
- 所定の磁界(M)の印加に応答して、前記収縮要素(1)を開くように構成された磁気ラッチ(61、62)をさらに備える、請求項1〜20のいずれか一項に記載の医療装置。
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PCT/EP2014/052421 WO2015117664A1 (en) | 2014-02-07 | 2014-02-07 | Medical device comprising an artificial contractile structure |
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US (4) | US10321912B2 (ja) |
EP (1) | EP3102149B1 (ja) |
JP (1) | JP6429409B2 (ja) |
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US10321912B2 (en) | 2014-02-07 | 2019-06-18 | Myopowers Medical Technologies Sa | Medical device including an artificial contractile structure |
EP3618689A4 (en) | 2017-05-03 | 2021-02-17 | Canon U.S.A., Inc. | STEERABLE MEDICAL DEVICE AND PROCEDURE |
WO2019106402A1 (en) | 2017-11-30 | 2019-06-06 | MyoPowers Medical Technologies France SAS | Artificial contractile structure |
CA3083634A1 (en) * | 2017-11-30 | 2019-06-06 | MyoPowers Medical Technologies France SAS | Artificial contractile structure and medical device comprising such |
US11896470B2 (en) | 2017-11-30 | 2024-02-13 | MyoPowers Medical Technologies France SAS | Medical-grade actuator having a modular structure and medical device comprising same |
RU186088U1 (ru) * | 2017-12-21 | 2018-12-28 | Павел Борисович Панов | Кровоостанавливающий жгут |
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WO2013091730A1 (en) * | 2011-12-23 | 2013-06-27 | Myopowers Medical Technologies Sa | Medical device comprising an artificial contractile structure |
WO2013165541A1 (en) | 2012-05-02 | 2013-11-07 | Ams Research Corporation | Passive artificial sphincter |
FR3005846B1 (fr) * | 2013-05-21 | 2018-03-23 | Uromems | Procede et dispositif de detection de l'atrophie d'un conduit naturel entoure d'un systeme d'occlusion |
US10321912B2 (en) * | 2014-02-07 | 2019-06-18 | Myopowers Medical Technologies Sa | Medical device including an artificial contractile structure |
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2014
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- 2014-02-07 JP JP2016550553A patent/JP6429409B2/ja not_active Expired - Fee Related
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EP3102149B1 (en) | 2018-08-08 |
US11389165B2 (en) | 2022-07-19 |
US20190314029A1 (en) | 2019-10-17 |
US20190314028A1 (en) | 2019-10-17 |
JP2017505199A (ja) | 2017-02-16 |
US20160374687A1 (en) | 2016-12-29 |
WO2015117664A1 (en) | 2015-08-13 |
US10321912B2 (en) | 2019-06-18 |
US20190282239A1 (en) | 2019-09-19 |
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