JP6453397B2 - 骨を通して湾曲経路を作り、骨内で神経を調節するシステム及び方法 - Google Patents
骨を通して湾曲経路を作り、骨内で神経を調節するシステム及び方法 Download PDFInfo
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- JP6453397B2 JP6453397B2 JP2017156808A JP2017156808A JP6453397B2 JP 6453397 B2 JP6453397 B2 JP 6453397B2 JP 2017156808 A JP2017156808 A JP 2017156808A JP 2017156808 A JP2017156808 A JP 2017156808A JP 6453397 B2 JP6453397 B2 JP 6453397B2
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Description
以下の実施例は、本発明の幾つかの実施形態を示し、本開示の範囲を制限することをいずれの点でも意図されない。さらに、以下の実施例及び上記の開示で述べる方法及び手技は、提示された順序で実施される必要はない。
Claims (17)
- 自己誘導式処置デバイスを骨の内部に送達するためのシステムであって、
近位端、遠位端及び中央チャネルを備えるトロカールであって、
前記中央チャネルは、前記トロカールの中心軸に沿って配設され、前記近位端から前記遠位端に向かって延在し、
該トロカールは、該トロカールの前記遠位端にあるか又は前記遠位端の近くにある遠位開口部を備え、該開口部は前記中央チャネルと連通状態にある、
トロカールと、
処置プローブであって、
該処置プローブは、前記中央チャネル内に受け入れられ、前記近位端から前記遠位開口部に向けて送達されるサイズに作られ、
該処置プローブは、直線状近位端及び湾曲遠位端を備えるスタイレットを備え、
前記湾曲遠位端は、前記トロカールを通って直線状構成で送達され、前記トロカールの前記中心軸に対して或る角度で前記遠位開口部から外向きに湾曲構成で展開されるように変形可能であり、
前記湾曲遠位端は、治療用量のエネルギーを処置位置に送達するように構成される処置デバイスを備える、
処置プローブと、
を備え、
前記トロカールの前記近位端はハンドルを備え、
該ハンドルは、
近位リセスであって、
該近位リセスは、前記中央チャネル内での前記処置プローブの往復動を可能にするように前記中央チャネルと連通状態にある、
近位リセスと、
前記近位リセスと連通状態にある横スロットであって、前記ハンドルの近位表面において前記近位リセスから半径方向外向きに延在し、
該横スロットは、前記処置プローブの挿入を可能にするように構成され、それにより、前記処置プローブの前記湾曲遠位端が前記近位リセスに挿入されると、前記スタイレットの前記直線状近位端の中心軸が前記トロカールの前記中心軸に対して或る角度になる、
横スロットと、
を備える、
自己誘導式処置デバイスを骨の内部に送達するためのシステム。 - 前記湾曲遠位端は、椎体の海綿骨領域を通して経路形成するように構成される鋭利化された遠位先端を備え、
前記治療用量のエネルギーは、前記椎体に関連する椎体神経を除神経するように構成される、
請求項1に記載のシステム。 - 前記スロットは、前記処置プローブの前記湾曲遠位端が前記リセス及び前記中央チャネルに入るように摺動可能に前進させられることを可能にするように構成される曲線下部表面を備える、
請求項1又は2に記載のシステム。 - 前記曲線下部表面は、前記処置プローブの前記湾曲遠位端のアールに実質的に一致するアールを備える、
請求項3に記載のシステム。 - 直線状近位本体及び鋭利化された遠位端を備える直線状スタイレットを更に備え、
前記スタイレットは、前記トロカール内に設置されると、該トロカールの前記遠位開口部から突出するように構成され、
前記スタイレットは、前記椎体の皮質骨領域を通って前記トロカールを前進させるための衝当表面を備える、
請求項1から4のいずれか1項に記載のシステム。 - 前記処置プローブは、前記椎体の海綿骨領域を通って前記処置プローブを前進させるための衝当表面を有するハンドルを備える、
請求項1から5のいずれか1項に記載のシステム。 - 前記処置プローブの前記遠位端は、複数の周方向逃げ付きセクションを備える、
請求項1から6のいずれか1項に記載のシステム。 - 前記処置プローブの前記遠位端は、双極RF処置デバイスを形成する一対のリング電極を備える、
請求項1から7のいずれか1項に記載のシステム。 - 前記スタイレットは、前記湾曲遠位端から前記直線状近位端まで延在する縦チャネルを備え、該チャネルは、前記一対のリング電極に結合された可撓性リードを収容するように構成される、
請求項8に記載のシステム。 - 前記プローブハンドルは、電力源を前記可撓性リードに結合させるためのコネクタを備える、
請求項9に記載のシステム。 - 自己誘導式処置デバイスを骨の内部に送達するためのシステムであって、
近位端、遠位端及び中央チャネルを備えるトロカールであって、
前記中央チャネルは、前記トロカールの中心軸に沿って配設され、前記近位端から前記遠位端に向かって延在し、
該トロカールは、該トロカールの前記遠位端にあるか又は前記遠位端の近くにある遠位開口部を備え、該開口部は前記中央チャネルと連通状態にある、
トロカールと、
処置プローブであって、
該処置プローブは、前記中央チャネル内に受け入れられ、前記近位端から前記遠位開口部に向けて送達されるサイズに作られ、
該処置プローブは、直線状近位端及び湾曲遠位端を備えるスタイレットを備え、
前記湾曲遠位端は、前記トロカールを通って直線状構成で送達され、前記トロカールの前記中心軸に対して或る角度で前記遠位開口部から外向きに湾曲構成で展開されるように変形可能であり、
前記湾曲遠位端は、治療用量のエネルギーを処置位置に送達するように構成される処置デバイスを備える、
処置プローブと、
を備え、
前記トロカールの前記近位端は、横スロットを備えるハンドルを備え、
該横スロットは、前記トロカールの前記中央チャネル内での前記処置プローブの挿入を可能にするように構成されている、
自己誘導式処置デバイスを骨の内部に送達するためのシステム。 - 前記湾曲遠位端は、椎体の海綿骨領域を通して経路形成するように構成される鋭利化された遠位先端を備え、
前記治療用量のエネルギーは、前記椎体に関連する椎体神経を除神経するように構成される、
請求項11に記載のシステム。 - 前記横スロットは、前記処置プローブの前記湾曲遠位端が前記トロカールの前記中央チャネルに入るように摺動可能に前進させられることを可能にするように構成される曲線下部表面を備える、
請求項11又は12に記載のシステム。 - 前記曲線下部表面は、前記処置プローブの前記湾曲遠位端のアールに実質的に一致するアールを備える、
請求項13に記載のシステム。 - 前記処置デバイスは、双極RF処置デバイスを形成する一対のリング電極を備える、
請求項11から14のいずれか1項に記載のシステム。 - 前記スタイレットは、前記湾曲遠位端から前記直線状近位端まで延在する縦チャネルを備え、該チャネルは、前記一対のリング電極に結合された可撓性リードを収容するように構成される、
請求項15に記載のシステム。 - 前記ハンドルは、電力源を前記可撓性リードに結合させるためのコネクタを備える、
請求項16に記載のシステム。
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