JP6516129B2 - 外科的開創器 - Google Patents
外科的開創器 Download PDFInfo
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- JP6516129B2 JP6516129B2 JP2016500461A JP2016500461A JP6516129B2 JP 6516129 B2 JP6516129 B2 JP 6516129B2 JP 2016500461 A JP2016500461 A JP 2016500461A JP 2016500461 A JP2016500461 A JP 2016500461A JP 6516129 B2 JP6516129 B2 JP 6516129B2
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Description
(1) 身体内の奥深いアクセス入口の中に埋め込まれた神経組織を含む筋繊維を外科的に開創する(retracting)ための外科的装置であって、
ハンドル部分を含む近位端、及び身体内の組織を、前記組織のかなりの分断なしに操作するように構成される尖っていない開創先端具を有する遠位端を有する細長い開創器シャフトと、
前記細長い開創器シャフト上に配置され、かつ組織を照明するように構成される照明源と、
前記ハンドルに連結され、かつ前記照明源に動作可能に連結されるコネクタと、を備える、装置。
(2) 前記開創先端具の上に配置され、かつ前記開創先端具によって操作される組織の少なくとも1つの生理学的パラメータを感知するように構成されるセンサーを更に備える、実施態様1に記載の装置。
(3) 前記コネクタが、前記センサーに電気的に連結され、かつ前記センサーと外部の信号処理装置との間で信号を伝達するように構成される、実施態様2に記載の装置。
(4) 前記ハンドル部分内に配置され、かつ前記照明源及び前記センサーのうちの少なくとも1つに電力を提供するように構成される内部電源を更に備える、実施態様2に記載の装置。
(5) 前記尖っていない開創先端具が、骨表面に適合するように構成される凹面を有する、実施態様1に記載の装置。
(7) 前記細長い開創器シャフトが、少なくともその一部分を通って延在する管腔を有する、実施態様1に記載の装置。
(8) 前記コネクタが、前記管腔を通って延在する、実施態様7に記載の装置。
(9) 前記照明源が、少なくとも部分的に前記管腔内に配置される、実施態様7に記載の装置。
(10) 前記細長い開創器シャフトが、少なくともその一部分を通って延在する管腔を有し、かつ前記センサーが、少なくとも部分的に前記管腔内に配置される、実施態様2に記載の装置。
(12) 前記照明源が、光ファイバー照明システムを含む、実施態様1に記載の装置。
(13) 前記照明源が、発光ダイオードを含む、実施態様1に記載の装置。
(14) 前記尖っていない開創先端具が骨内に係止されるように構成される、実施態様1に記載の装置。
(15) 前記コネクタが、機械的な固定手段として作用する、実施態様1に記載の装置。
(17) 前記ハンドル部分内に配置され、かつ前記コネクタに連結される信号処理装置を更に備え、前記信号処理装置が、前記少なくとも1つの生理学的パラメータを監視し、前記パラメータが予め設定した範囲の外側であるとき、ユーザに連絡するように構成される、実施態様2に記載の装置。
(18) 前記細長い開創シャフトの少なくとも一部分が可鍛性である、実施態様1に記載の装置。
(19) 前記センサーが、前記細長い開創器シャフトの外面に積層される、実施態様2に記載の装置。
(20) 身体内の組織を開創するための外科的システムであって、
ハンドルと、
前記ハンドルから遠位に延在する細長いシャフトと、
前記細長いシャフトの遠位端に連結される支持リングと、
前記支持リングに取り外し可能に嵌合され、かつ組織を開創するように構成される複数のブレードと、
前記細長いシャフト及び前記支持リングのうちの少なくとも1つの上に配置され、かつ組織を照明するように構成される照明源と、を備える、システム。
(22) 前記複数のブレードが、前記支持リング上にスナップ嵌めされるように構成される、実施態様20に記載のシステム。
(23) 外科用キットであって、
近位端と、遠位端と、前記遠位端の周囲の区域を照明するための照明源と、を有する少なくとも1つの開創器であって、前記遠位端が、尖っていない切開先端具と、身体組織の少なくとも1つの生理学的パラメータを監視するための、前記尖っていない切開先端具の上に配置されるセンサーとを有する、開創器と、
前記少なくとも1つの開創器の前記尖っていない切開先端具の上に配置されるように構成される少なくとも1つのモジュール式の先端具と、
前記開創器が身体内に配置されるときに、前記開創器の前記近位端において前記開創器を支持するように構成される少なくとも1つの支持リングと、を備える、キット。
Claims (17)
- 身体内の奥深いアクセス入口の中に埋め込まれた神経組織を含む筋繊維を外科的に開創するための外科的装置であって、
ハンドル部分を含む近位端、及び身体内の組織を、前記組織のかなりの分断なしに操作するように構成される尖っていない開創先端具を有する遠位端を有する細長い開創器シャフトと、
前記細長い開創器シャフト上に配置され、かつ組織を照明するように構成される照明源と、
前記ハンドル部分に連結され、かつ前記照明源に動作可能に連結されるコネクタと、
前記開創先端具の上に配置され、かつ前記開創先端具によって操作される組織の少なくとも1つの生理学的パラメータを感知するように構成されるセンサーと、
信号処理装置と、
電源であって、電力が、前記電源から供給され、かつ前記信号処理装置へと供給され、前記信号処理装置が、前記コネクタを通じて、前記センサー及び前記照明源のうちの少なくとも1つに電力を供給する、電源と、を備え、
前記センサーによって監視されているパラメータが、予め設定した範囲外であるとき、前記信号処理装置が、前記照明源を起動させてユーザに警報を発するように構成され、
前記照明源、前記コネクタ、前記信号処理装置、及び前記電源がすべて、前記細長い開創器シャフト内に配置されている、外科的装置。 - 前記電源が、前記ハンドル部分内に配置されている、請求項1に記載の外科的装置。
- 前記尖っていない開創先端具が、骨表面に適合するように構成される凹面を有する、請求項1に記載の外科的装置。
- 前記細長い開創器シャフトが、前記細長い開創器シャフトに形成される少なくとも1つの屈曲部を有して非直線的であり、これにより、前記尖っていない開創先端具が、前記ハンドル部分の中心長手方向軸を横断する中心長手方向軸に沿って延在する、請求項1に記載の外科的装置。
- 前記細長い開創器シャフトが、少なくともその一部分を通って延在する管腔を有する、請求項1に記載の外科的装置。
- 前記コネクタが、前記管腔を通って延在する、請求項5に記載の外科的装置。
- 前記照明源が、少なくとも部分的に前記管腔内に配置される、請求項5に記載の外科的装置。
- 前記細長い開創器シャフトが、少なくともその一部分を通って延在する管腔を有し、かつ前記センサーが、少なくとも部分的に前記管腔内に配置される、請求項1に記載の外科的装置。
- 前記照明源が、前記開創先端具に近接して近位に配置される、請求項1に記載の外科的装置。
- 前記照明源が、光ファイバー照明システムを含む、請求項1に記載の外科的装置。
- 前記照明源が、発光ダイオードを含む、請求項1に記載の外科的装置。
- 前記尖っていない開創先端具が骨内に係止されるように構成される、請求項1に記載の外科的装置。
- 前記センサーが、温度、圧力、血中酸素濃度、神経伝導度、又はこれらの組合せから成る群から選択される少なくとも1つの生理学的パラメータを感知するように構成される、請求項1に記載の外科的装置。
- 前記細長い開創シャフトの少なくとも一部分が可鍛性である、請求項1に記載の外科的装置。
- 前記センサーが、前記細長い開創器シャフトの外面に積層される、請求項1に記載の外科的装置。
- 外科用キットであって、
近位端と、遠位端と、前記遠位端の周囲の区域を照明するための照明源と、を有する少なくとも1つの開創器であって、前記遠位端が、尖っていない切開先端具と、身体組織の少なくとも1つの生理学的パラメータを監視するための、前記尖っていない切開先端具の上に配置されるセンサーとを有し、
前記少なくとも1つの開創器が、信号処理装置及び電源を更に含み、電力が、前記電源から供給され、かつ前記信号処理装置へと供給され、前記信号処理装置が、コネクタを通じて、前記センサー及び前記照明源のうちの少なくとも1つに電力を供給し、
前記照明源、前記コネクタ、前記センサー、前記信号処理装置、及び前記電源がすべて、前記少なくとも1つの開創器内に配置されている、開創器と、
前記少なくとも1つの開創器の前記尖っていない切開先端具の上に配置されるように構成される少なくとも1つのモジュール式の先端具と、
前記開創器が身体内に配置されるときに、前記開創器の前記近位端において前記開創器を支持するように構成される少なくとも1つの支持リングと、を備え、
前記センサーによって監視されているパラメータが、予め設定した範囲外であるとき、前記信号処理装置が、前記照明源を起動させてユーザに警報を発するように構成されている、外科用キット。 - 前記照明源が、色を閃光させる、点滅させる、消す、又は変化させることによって、ユーザに警報を発するように構成されている、請求項1に記載の外科的装置。
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