JP6542890B2 - 超音波内視鏡基準マーカ針スタイレットハンドルアセンブリ - Google Patents
超音波内視鏡基準マーカ針スタイレットハンドルアセンブリ Download PDFInfo
- Publication number
- JP6542890B2 JP6542890B2 JP2017529679A JP2017529679A JP6542890B2 JP 6542890 B2 JP6542890 B2 JP 6542890B2 JP 2017529679 A JP2017529679 A JP 2017529679A JP 2017529679 A JP2017529679 A JP 2017529679A JP 6542890 B2 JP6542890 B2 JP 6542890B2
- Authority
- JP
- Japan
- Prior art keywords
- safety catch
- handle
- guide sleeve
- catch mechanism
- mechanism according
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 239000003550 marker Substances 0.000 title claims description 128
- 238000002604 ultrasonography Methods 0.000 title description 11
- 230000007246 mechanism Effects 0.000 claims description 50
- 230000033001 locomotion Effects 0.000 claims description 14
- 239000000853 adhesive Substances 0.000 claims description 9
- 230000001070 adhesive effect Effects 0.000 claims description 9
- 210000003813 thumb Anatomy 0.000 claims description 7
- 238000003466 welding Methods 0.000 claims description 5
- 238000000034 method Methods 0.000 description 39
- 206010028980 Neoplasm Diseases 0.000 description 12
- 238000011282 treatment Methods 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 10
- 239000000463 material Substances 0.000 description 9
- 230000005855 radiation Effects 0.000 description 8
- 230000008901 benefit Effects 0.000 description 6
- 238000004519 manufacturing process Methods 0.000 description 6
- 230000008685 targeting Effects 0.000 description 6
- 238000012800 visualization Methods 0.000 description 6
- 238000000465 moulding Methods 0.000 description 5
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 238000002594 fluoroscopy Methods 0.000 description 4
- 238000002595 magnetic resonance imaging Methods 0.000 description 4
- 210000000496 pancreas Anatomy 0.000 description 4
- 238000001959 radiotherapy Methods 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 229910001220 stainless steel Inorganic materials 0.000 description 4
- 229910045601 alloy Inorganic materials 0.000 description 3
- 239000000956 alloy Substances 0.000 description 3
- 210000000988 bone and bone Anatomy 0.000 description 3
- 238000002725 brachytherapy Methods 0.000 description 3
- 230000001965 increasing effect Effects 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 230000007704 transition Effects 0.000 description 3
- 238000010146 3D printing Methods 0.000 description 2
- 206010061902 Pancreatic neoplasm Diseases 0.000 description 2
- 239000011324 bead Substances 0.000 description 2
- 239000000560 biocompatible material Substances 0.000 description 2
- 238000002788 crimping Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000001839 endoscopy Methods 0.000 description 2
- 230000005294 ferromagnetic effect Effects 0.000 description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 239000010931 gold Substances 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 229910052763 palladium Inorganic materials 0.000 description 2
- 201000002528 pancreatic cancer Diseases 0.000 description 2
- 210000000277 pancreatic duct Anatomy 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 210000004514 sphincter of oddi Anatomy 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 238000012285 ultrasound imaging Methods 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 238000007794 visualization technique Methods 0.000 description 2
- 206010056658 Pseudocyst Diseases 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 210000001953 common bile duct Anatomy 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 230000029087 digestion Effects 0.000 description 1
- 230000002183 duodenal effect Effects 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 238000001861 endoscopic biopsy Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 239000003302 ferromagnetic material Substances 0.000 description 1
- 210000003811 finger Anatomy 0.000 description 1
- -1 for example Substances 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 229910052741 iridium Inorganic materials 0.000 description 1
- GKOZUEZYRPOHIO-UHFFFAOYSA-N iridium atom Chemical compound [Ir] GKOZUEZYRPOHIO-UHFFFAOYSA-N 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 208000037841 lung tumor Diseases 0.000 description 1
- 230000005291 magnetic effect Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 229920000052 poly(p-xylylene) Polymers 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 238000002310 reflectometry Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 229910052702 rhenium Inorganic materials 0.000 description 1
- WUAPFZMCVAUBPE-UHFFFAOYSA-N rhenium atom Chemical compound [Re] WUAPFZMCVAUBPE-UHFFFAOYSA-N 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000010809 targeting technique Methods 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
Images
Classifications
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0069—Devices for implanting pellets, e.g. markers or solid medicaments
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
-
- 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
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B2090/363—Use of fiducial points
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3912—Body cavities
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3987—Applicators for implanting markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/20—Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
- A61M2005/2073—Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically preventing premature release, e.g. by making use of a safety lock
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dermatology (AREA)
- Surgical Instruments (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Radiation-Therapy Devices (AREA)
Description
本出願は、米国特許商標局に2014年12月3日に出願された米国仮特許出願第62/086,927号明細書に対する優先権を主張し、その全体が参照により本明細書に援用される。
Claims (20)
- 基準マーカ配備システム用のセーフティキャッチ機構であって、
中心縦軸およびハンドルルーメンを画定する細長い第1のハンドル部材と、
前記第1のハンドル部材に近位のガイドスリーブと、
前記ガイドスリーブに近位であり、かつ前記ガイドスリーブに隣接して可動式に係合された把持用ハンドルとを備え、
前記ガイドスリーブまたは前記把持用ハンドルのうちの一方は、その一部分にネジ付き面を含み、
前記ガイドスリーブまたは前記把持用ハンドルのうちの他方は、その一部分に、前記ネジ付き面のネジ山間に回転可能に係合するように構成され、かつそのような寸法にされた1つ以上の突出タブを含み、
セーフティキャッチ機構はさらに、前記把持用ハンドルに接続され、かつ前記ガイドスリーブおよび前記第1のハンドル部材の少なくとも一部分を通り、前記中心縦軸に沿ってまたはそれとほぼ位置合わせされて延在するスタイレットおよび、
前記ネジ付き面のネジ山間に配置された少なくとも1つのセーフティキャッチ構造とを備える、セーフティキャッチ機構。 - 前記少なくとも1つのセーフティキャッチ構造は、前記突出タブのうちの1つが前記少なくとも1つのセーフティキャッチ構造に接触し、および閾値未満の機械的な力が前記把持用ハンドルに加えられると、スタイレットの遠位運動に抵抗するように構成され、かつそのような寸法にされ、前記構成は、前記閾値を上回る機械的な力が、前記突出タブのうちの前記1つを前記少なくとも1つのセーフティキャッチ構造を越えて動かし、それにより、さらなるスタイレットの遠位運動を可能にすることを提供する、請求項1に記載のセーフティキャッチ機構。
- 前記閾値の機械的な力は約1.5インチ−ポンドである、請求項2に記載のセーフティキャッチ機構。
- 制御された連続的な方法で遠位に配備するための複数の基準マーカを保持する基準マーカ配備針をさらに含み、前記スタイレットは、前記針のルーメンを通して配置され、かつ前記セーフティキャッチ構造により、前記基準マーカと接触することを有効ではあるが打ち勝つことが可能であるように防止される、請求項1〜3のいずれか一項に記載のセーフティキャッチ機構。
- 前記少なくとも1つのセーフティキャッチ構造は衝突戻り止めである、請求項1〜4のいずれか一項に記載のセーフティキャッチ機構。
- 前記衝突戻り止めは、円形面、球形面、矩形面、および角取りされた面からなる群から選択される幾何学的形状である、請求項5に記載のセーフティキャッチ機構。
- 前記把持用ハンドルは親指用リングを含む、請求項1〜6のいずれか一項に記載のセーフティキャッチ機構。
- 前記親指用リングはソフトタッチオーバーモールドを含む、請求項7に記載のセーフティキャッチ機構。
- 前記ネジ付き面は前記ガイドスリーブの近位部分上にあり、および前記ネジ山に係合する前記1つ以上の突出タブは前記把持用ハンドルの遠位部分上にある、請求項1〜8のいずれか一項に記載のセーフティキャッチ機構。
- 前記ネジ付き面は前記ガイドスリーブの外表面上にあり、および前記ネジ山に係合する前記1つ以上の突出タブは前記把持用ハンドルの内表面上にある、請求項9に記載のセーフティキャッチ機構。
- 前記把持用ハンドルは少なくとも2つのピースから形成される、請求項1〜10のいずれか一項に記載のセーフティキャッチ機構。
- 前記少なくとも2つのピースはカラーおよび親指用リングを含む、請求項11に記載のセーフティキャッチ機構。
- 前記少なくとも2つのピースは、接着剤、スナップフィット、溶接、および超音波溶接からなる群から選択される取付機構を使用して取り付けられる、請求項11または12に記載のセーフティキャッチ機構。
- 前記少なくとも2つのピースのうちの一方はリブを含み、および前記少なくとも2つのピースのうちの他方はノッチを含み、両方とも前記リブが前記ノッチに嵌るようなサイズにされている、請求項11〜13のいずれか一項に記載のセーフティキャッチ機構。
- 前記少なくとも2つのピースのうちの一方はリブを含み、および前記少なくとも2つのピースのうちの他方は凹部を含み、両方とも前記リブが前記凹部に嵌るようなサイズにされている、請求項11〜13のいずれか一項に記載のセーフティキャッチ機構。
- 前記ネジ付き面のネジ山間の前記少なくとも1つのセーフティキャッチ構造は、ネジ山の狭小セクションとして構成されている、請求項1〜15のいずれか一項に記載のセーフティキャッチ機構。
- 前記把持用ハンドルは、前記ガイドスリーブの上側に可動式に係合されている、請求項1〜16のいずれか一項に記載のセーフティキャッチ機構。
- 前記1つ以上の突出タブは、前記ネジ付き面に係合する周ネジとして構成されている、請求項1〜17のいずれか一項に記載のセーフティキャッチ機構。
- 基準マーカ配備システム用のセーフティキャッチ機構であって、
中心縦軸を有しかつガイドスリーブに取り付けられた細長い第1のハンドル部材と、
把持用ハンドルに取り付けられ、かつ前記ガイドスリーブおよび前記第1のハンドル部材の少なくとも一部分を通り、前記中心縦軸に沿ってまたはそれとほぼ位置合わせされて延在するスタイレットとを備え、
前記把持用ハンドルは、前記ガイドスリーブに可動式に係合され、
前記把持用ハンドルおよび前記ガイドスリーブは、それぞれ前記セーフティキャッチ機構の別の部分に係合する前記セーフティキャッチ機構の一部分を有し、
前記セーフティキャッチ機構は、少なくとも1つのセーフティキャッチ構造と、閾値を上回る機械的な力が少なくとも1つの突出タブを前記少なくとも1つのセーフティキャッチ構造を越えて動かすと、前記少なくとも1つのセーフティキャッチ構造の上を横切って横断するように構成され、かつそのような寸法にされた前記少なくとも1つの突出タブとを含む、セーフティキャッチ機構。 - スタイレット前進システムであって、
ハンドルルーメンを有する細長い第1のハンドル部材と、
前記第1のハンドル部材に近位のガイドスリーブと、
前記ガイドスリーブに可動式に係合された把持用ハンドルと、
前記把持用ハンドルに接続され、かつ前記ガイドスリーブおよび前記第1のハンドル部材の少なくとも一部分を通って延在するスタイレットと、
スタイレットの意図しない前進を防止する少なくとも1つのセーフティキャッチ手段とを備え、
前記セーフティキャッチ手段は、少なくとも1つの衝突戻り止めと、閾値を上回る機械的な力が少なくとも1つの突出タブを前記少なくとも1つの衝突戻り止めを越えて動かすと、前記少なくとも1つの衝突戻り止めの上を横切って横断するように構成され、かつそのような寸法にされた前記少なくとも1つの突出タブとを含む、スタイレット前進システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462086927P | 2014-12-03 | 2014-12-03 | |
US62/086,927 | 2014-12-03 | ||
PCT/US2015/062351 WO2016089667A1 (en) | 2014-12-03 | 2015-11-24 | Endoscopic ultrasound fiducial needle stylet handle assembly |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017537701A JP2017537701A (ja) | 2017-12-21 |
JP6542890B2 true JP6542890B2 (ja) | 2019-07-10 |
Family
ID=55024221
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017529679A Active JP6542890B2 (ja) | 2014-12-03 | 2015-11-24 | 超音波内視鏡基準マーカ針スタイレットハンドルアセンブリ |
Country Status (6)
Country | Link |
---|---|
US (1) | US10123848B2 (ja) |
EP (1) | EP3226786B1 (ja) |
JP (1) | JP6542890B2 (ja) |
CN (1) | CN107106208A (ja) |
AU (1) | AU2015355303B2 (ja) |
WO (1) | WO2016089667A1 (ja) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10123848B2 (en) * | 2014-12-03 | 2018-11-13 | Cook Medical Technologies Llc | EUS fiducial needle stylet handle assembly |
DE102016200131A1 (de) * | 2016-01-08 | 2016-04-07 | Rz-Medizintechnik Gmbh | Verfahren zum Herstellen eines chirurgischen Instruments |
US10660506B2 (en) * | 2017-05-02 | 2020-05-26 | Hoya Corporation | Adjustable endoscopic locks |
CN108209983A (zh) * | 2018-01-08 | 2018-06-29 | 王振宁 | 经肛手术切除系统 |
US11376144B2 (en) * | 2018-11-12 | 2022-07-05 | Cook Medical Technologies Llc | Systems and methods to position a prosthesis |
CN113301867B (zh) * | 2019-02-15 | 2024-07-09 | Devicor医疗产业收购公司 | 具有无菌导引件的标记物递送装置 |
KR20220137690A (ko) | 2020-02-04 | 2022-10-12 | 보스톤 싸이엔티픽 싸이메드 인코포레이티드 | 의료 기기 회전 조립체 및 그 사용 방법 |
CN117860355B (zh) * | 2024-03-13 | 2024-05-07 | 合肥徽瑞达医疗设备有限公司 | 腰麻穿刺针及制造方法 |
Family Cites Families (112)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2009393A (en) | 1930-06-12 | 1935-07-30 | Failla Gioacchino | Means for effecting therapeutic implantations |
US2239963A (en) | 1938-08-17 | 1941-04-29 | Ajax Tool And Die Company | Stapling machine |
US2269963A (en) | 1940-06-01 | 1942-01-13 | Wappler Frederick Charles | Implanting device |
US2620796A (en) | 1950-03-06 | 1952-12-09 | American Scient Lab Inc | Pellet injector |
US3470834A (en) | 1968-03-08 | 1969-10-07 | Dennison Mfg Co | Fastener attaching device |
US3820545A (en) | 1973-03-26 | 1974-06-28 | K Jefferts | Tag implanting machine |
US3815798A (en) | 1973-05-21 | 1974-06-11 | B Lavitch | Button fastener |
GB1525841A (en) | 1976-05-18 | 1978-09-20 | Hundon Forge Ltd | Drug implanters |
US4105030A (en) | 1977-01-03 | 1978-08-08 | Syntex (U.S.A.) Inc. | Implant apparatus |
US4086914A (en) | 1977-02-11 | 1978-05-02 | Edwin Bailey Moore | Implant injector |
US4646740A (en) | 1981-02-23 | 1987-03-03 | Edward Weck & Co., Inc. | Automatic hemoclip applier |
US4451254A (en) | 1982-03-15 | 1984-05-29 | Eli Lilly And Company | Implant system |
EP0093101A3 (en) | 1982-04-22 | 1984-12-05 | Bengt Gustavsson | A device for introducing a catheter into a blood vessel |
GB8424436D0 (en) | 1984-09-27 | 1984-10-31 | Pratt Int Ltd Burnerd | Surgical appliance |
US4807628A (en) | 1985-04-26 | 1989-02-28 | Edward Weck & Company, Inc. | Method and apparatus for storing, dispensing, and applying surgical staples |
US5047038A (en) | 1985-07-01 | 1991-09-10 | Edward Weck Incorporated | Automatic hemostatic clip applier |
US4648542A (en) | 1985-11-01 | 1987-03-10 | Senmed, Inc. | Disposable stapler |
US4700692A (en) | 1985-12-23 | 1987-10-20 | Baumgartner George C | Surgical implantation method and apparatus |
US4661103A (en) | 1986-03-03 | 1987-04-28 | Engineering Development Associates, Ltd. | Multiple implant injector |
US5002548A (en) | 1986-10-06 | 1991-03-26 | Bio Medic Data Systems, Inc. | Animal marker implanting system |
US5024727A (en) | 1986-10-06 | 1991-06-18 | Bio Medic Data Systems, Inc. | Method of forming an animal marker implanting system |
NZ226230A (en) | 1987-09-18 | 1991-01-29 | Schering Agrochemicals Ltd | Implant gun for use with cartridge of strip form |
US5281197A (en) | 1992-07-27 | 1994-01-25 | Symbiosis Corporation | Endoscopic hemostatic agent delivery system |
CA2106720C (en) | 1992-09-23 | 1997-12-16 | Charles L. Deschenes | Needle for use as part of a plastic fastener dispensing tool |
US5607436A (en) | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
DE9403161U1 (de) | 1994-02-25 | 1994-04-21 | Süddeutsche Feinmechanik GmbH, 63607 Wächtersbach | Kanüle |
WO1996008208A1 (en) | 1994-09-16 | 1996-03-21 | Biopsys Medical, Inc. | Methods and devices for defining and marking tissue |
JP2913372B2 (ja) | 1994-12-16 | 1999-06-28 | 株式会社コーテックス | 係止片取付機用中空針 |
US5713828A (en) | 1995-11-27 | 1998-02-03 | International Brachytherapy S.A | Hollow-tube brachytherapy device |
AU1331497A (en) | 1995-12-18 | 1997-07-14 | Kerisma Medical Products, L.L.C. | Fiberoptic-guided interstitial seed manual applicator and seed cartridge |
US5860909A (en) | 1996-10-18 | 1999-01-19 | Mick Radio Nuclear Instruments, Inc. | Seed applicator for use in radiation therapy |
FR2762517B1 (fr) | 1997-04-25 | 1999-07-16 | Ordicam Rech Et Dev | Aiguille et seringue d'injection sous-cutanee de puce transpondeur |
US6004320A (en) | 1997-09-19 | 1999-12-21 | Oratec Interventions, Inc. | Clip on electrocauterizing sheath for orthopedic shave devices |
US6197324B1 (en) | 1997-12-18 | 2001-03-06 | C. R. Bard, Inc. | System and methods for local delivery of an agent |
AU2973999A (en) | 1998-02-25 | 1999-09-15 | Tracenet Technologies, Inc. | Transponder insertion device and method |
US6347241B2 (en) | 1999-02-02 | 2002-02-12 | Senorx, Inc. | Ultrasonic and x-ray detectable biopsy site marker and apparatus for applying it |
WO2000004953A2 (en) | 1998-07-20 | 2000-02-03 | Cook Urological Inc. | Brachytherapy device including an anti-static handle |
US6220248B1 (en) | 1998-10-21 | 2001-04-24 | Ethicon Endo-Surgery, Inc. | Method for implanting a biopsy marker |
US7983734B2 (en) | 2003-05-23 | 2011-07-19 | Senorx, Inc. | Fibrous marker and intracorporeal delivery thereof |
US7651505B2 (en) | 2002-06-17 | 2010-01-26 | Senorx, Inc. | Plugged tip delivery for marker placement |
US6725083B1 (en) | 1999-02-02 | 2004-04-20 | Senorx, Inc. | Tissue site markers for in VIVO imaging |
DK1185200T3 (da) | 1999-06-05 | 2008-04-07 | Wilson Cook Medical Inc | Kendetegn til en endoskopisk, medicinsk anordning |
US6283948B1 (en) | 1999-07-13 | 2001-09-04 | Ethicon, Inc. | Trocar obturator having grooved passageway |
US6267718B1 (en) | 1999-07-26 | 2001-07-31 | Ethicon, Endo-Surgery, Inc. | Brachytherapy seed cartridge |
US6221003B1 (en) | 1999-07-26 | 2001-04-24 | Indigo Medical, Incorporated | Brachytherapy cartridge including absorbable and autoclaveable spacer |
US6264599B1 (en) | 1999-08-10 | 2001-07-24 | Syntheon, Llc | Radioactive therapeutic seeds having fixation structure |
US7615076B2 (en) | 1999-10-20 | 2009-11-10 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
US6402677B1 (en) | 1999-12-17 | 2002-06-11 | C.R. Bard, Inc. | Brachytherapy seed needle with window |
US6450938B1 (en) | 2000-03-21 | 2002-09-17 | Promex, Llc | Brachytherapy device |
GB0011581D0 (en) | 2000-05-15 | 2000-07-05 | Nycomed Amersham Plc | Grooved brachytherapy |
US20040097780A1 (en) | 2000-12-15 | 2004-05-20 | Kawasumi Laboratories, Inc. | Cartridge for marker delivery device and marker delivery device |
WO2003002181A2 (en) | 2001-06-29 | 2003-01-09 | A.B. Korkor Medical, Inc. | Catheter introducer having an expandable tip |
US6569077B2 (en) | 2001-07-11 | 2003-05-27 | Bruno Schmidt | Dimpled seed implant needle |
US6786858B2 (en) | 2001-11-02 | 2004-09-07 | Ideamatrix, Inc. | Delivery system and method for interstitial radiotherapy using hollow seeds |
US7280865B2 (en) | 2001-12-20 | 2007-10-09 | Accuray Incorporated | Anchored fiducial apparatus and method |
GB0200444D0 (en) | 2002-01-10 | 2002-02-27 | Owen Mumford Ltd | Improvements relating to medical injection devices |
US6837844B1 (en) | 2002-05-14 | 2005-01-04 | Med-Tec Iowa, Inc. | Seed cartridge for radiation therapy |
US20070265582A1 (en) | 2002-06-12 | 2007-11-15 | University Of Southern California | Injection Devices for Unimpeded Target Location Testing |
US20030233126A1 (en) | 2002-06-12 | 2003-12-18 | Alfred E. Mann Institute For Biomedical Engineering | Injection devices and methods for testing implants |
US7041048B2 (en) | 2002-10-16 | 2006-05-09 | Sourcetech Medical, Llc | Apparatus and method for dose administration in brachytherapy |
US20060036158A1 (en) | 2003-11-17 | 2006-02-16 | Inrad, Inc. | Self-contained, self-piercing, side-expelling marking apparatus |
US6889833B2 (en) | 2002-12-30 | 2005-05-10 | Calypso Medical Technologies, Inc. | Packaged systems for implanting markers in a patient and methods for manufacturing and using such systems |
US7247160B2 (en) | 2002-12-30 | 2007-07-24 | Calypso Medical Technologies, Inc. | Apparatuses and methods for percutaneously implanting objects in patients |
US6796935B1 (en) | 2003-03-20 | 2004-09-28 | Michael Savino | Multiple seed implanter |
US7214206B2 (en) | 2003-04-03 | 2007-05-08 | Valera Pharmaceuticals, Inc. | Implanting device and method of using same |
US20040260199A1 (en) | 2003-06-19 | 2004-12-23 | Wilson-Cook Medical, Inc. | Cytology collection device |
WO2005004730A1 (en) * | 2003-06-19 | 2005-01-20 | Wilson-Cook Medical, Inc. | Handle for medical devices, and medical device assemblies including a handle |
US7001341B2 (en) | 2003-08-13 | 2006-02-21 | Scimed Life Systems, Inc. | Marking biopsy sites |
US7465279B2 (en) | 2004-03-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Marker device and method of deploying a cavity marker using a surgical biopsy device |
US20050267319A1 (en) | 2004-05-12 | 2005-12-01 | White Jack C | Brachytherapy seed loader and containers |
US9638770B2 (en) | 2004-05-21 | 2017-05-02 | Devicor Medical Products, Inc. | MRI biopsy apparatus incorporating an imageable penetrating portion |
US20090209804A1 (en) | 2004-07-23 | 2009-08-20 | Calypso Medical Technologies, Inc. | Apparatuses and methods for percutaneously implanting objects in patients |
US7361135B2 (en) | 2004-08-24 | 2008-04-22 | C R Bard, Inc | Brachytherapy system for dispensing medication |
US7588528B2 (en) | 2004-08-24 | 2009-09-15 | C. R. Bard, Inc. | Brachytherapy apparatus for dispensing medication |
US7335155B2 (en) | 2004-09-14 | 2008-02-26 | Boston Scientific Scimed, Inc. | Unitary formulation delivery device |
US8060183B2 (en) | 2004-10-13 | 2011-11-15 | Suros Surgical Systems, Inc. | Site marker visible under multiple modalities |
US20060173236A1 (en) | 2005-01-14 | 2006-08-03 | White Jack C | Brachytherapy magazine seed indicator |
US7577473B2 (en) | 2005-02-03 | 2009-08-18 | Bard Peripheral Vascular, Inc. | Apparatus for subcutaneous placement of an imaging marker |
WO2006105353A2 (en) | 2005-03-31 | 2006-10-05 | Cytyc Corporation | Internal biopsy marking |
ES2539578T3 (es) | 2005-08-10 | 2015-07-02 | C.R. Bard, Inc. | Dispositivo de biopsia de múltiples muestras e inserción única con diversos sistemas de transporte |
ATE555737T1 (de) | 2005-08-11 | 2012-05-15 | Navotek Medical Ltd | Lokalisation einer radioaktiven quelle |
EP1926520B1 (en) | 2005-09-19 | 2015-11-11 | Varian Medical Systems, Inc. | Apparatus and methods for implanting objects, such as bronchoscopically implanting markers in the lung of patients |
US7875041B2 (en) | 2005-09-28 | 2011-01-25 | Olympus Medical Systems Corp. | Suturing method for penetrating hole |
US9615851B2 (en) | 2005-11-11 | 2017-04-11 | Waveform Technologies, Inc. | Method and apparatus for insertion of a sensor |
WO2007067889A1 (en) | 2005-12-08 | 2007-06-14 | Eli Lilly And Company | Dose indicating assembly of a pharmaceutical injection device |
US7927271B2 (en) | 2006-05-17 | 2011-04-19 | C.R. Bard, Inc. | Endoscope tool coupling |
US20080033286A1 (en) | 2006-08-02 | 2008-02-07 | Civco Medical Instruments Co., Inc. | Fiducial marker for imaging localization and method of using the same |
US7945307B2 (en) | 2006-08-04 | 2011-05-17 | Senorx, Inc. | Marker delivery system with obturator |
US20080287782A1 (en) | 2007-03-26 | 2008-11-20 | Maeghan Traboulsi | Radiation Therapy Marking Pen and Method |
US8323300B2 (en) | 2007-06-04 | 2012-12-04 | Svip 8 Llc | Tissue anchorable devices |
US20090105584A1 (en) | 2007-10-18 | 2009-04-23 | Civco Medical Instruments Co., Inc. | Fiducial marker deployment system using single stick neeedle and method of use |
US8360951B2 (en) | 2007-10-23 | 2013-01-29 | Theragenics Corporation | Point of care radioactive material stranding system |
JP5618835B2 (ja) | 2008-02-05 | 2014-11-05 | クック メディカル テクノロジーズ エルエルシーCook Medical Technologies Llc | 細長い医療装置を内視鏡と関連して方向付けるためのアダプタを備えるアダプタシステム |
US20100331677A1 (en) | 2008-04-25 | 2010-12-30 | The Johns Hopkins University | Marker delivery system |
US7942843B2 (en) | 2008-08-18 | 2011-05-17 | Navotek Medical Ltd. | Implantation device for soft tissue markers and other implants |
US20100063392A1 (en) | 2008-09-08 | 2010-03-11 | Olympus Medical Systems Corp. | Ultrasound-guided ablation method and ultrasound-guided ablation system |
AU2010241934B2 (en) | 2009-04-30 | 2014-01-16 | Cook Medical Technologies Llc | System and method for fiducial deployment |
US20110028831A1 (en) | 2009-07-30 | 2011-02-03 | Kent James P | Permanently visible implantable fiduciary tissue marker |
US8371443B2 (en) | 2009-09-22 | 2013-02-12 | Devicor Medical Products, Inc. | Biopsy marker delivery device |
US9072542B2 (en) | 2009-12-18 | 2015-07-07 | Cook Medical Technologies Llc | System and method for fiducial deployment |
AU2010332069B2 (en) * | 2009-12-18 | 2013-10-17 | Cook Medical Technologies Llc | System and method for fiducial deployment |
EP3556297A1 (en) | 2010-05-19 | 2019-10-23 | Cook Medical Technologies, LLC | Devices for sealing bodily openings |
WO2011163511A1 (en) * | 2010-06-23 | 2011-12-29 | Tcb Medical Devices, Llc | Injector for auto-injection of medication and associated method of use |
AR086255A1 (es) | 2011-05-06 | 2013-11-27 | Sanofi Aventis Deutschland | Conjunto para un dispositivo de administracion de farmacos y dispositivo de administracion de farmacos |
US8838208B2 (en) | 2011-06-28 | 2014-09-16 | Cook Medical Technologies Llc | Fiducial deployment needle system |
US20130006101A1 (en) | 2011-06-28 | 2013-01-03 | Mchugo Vincent | System for fiducial deployment |
WO2013055568A1 (en) | 2011-10-13 | 2013-04-18 | Cook Medical Technologies Llc | Engaged fiducials and system for deployment |
EP2719355A3 (en) * | 2012-10-11 | 2014-05-21 | Cook Medical Technologies LLC | Clutched-gear handle for fiducial deployment |
WO2014133777A1 (en) | 2013-02-26 | 2014-09-04 | Cook Medical Technologies Llc | Ratchet-slide handle and system for fiducial deployment |
JP6283128B2 (ja) * | 2014-06-09 | 2018-02-21 | クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニーCook Medical Technologies Llc | 基準マーカ留置のためのねじ駆動式ハンドルおよびシステム |
JP6323312B2 (ja) | 2014-11-26 | 2018-05-16 | パナソニックIpマネジメント株式会社 | 非接触給電システム |
US10123848B2 (en) * | 2014-12-03 | 2018-11-13 | Cook Medical Technologies Llc | EUS fiducial needle stylet handle assembly |
-
2015
- 2015-11-24 US US14/950,184 patent/US10123848B2/en active Active
- 2015-11-24 WO PCT/US2015/062351 patent/WO2016089667A1/en active Application Filing
- 2015-11-24 AU AU2015355303A patent/AU2015355303B2/en active Active
- 2015-11-24 EP EP15816564.7A patent/EP3226786B1/en active Active
- 2015-11-24 JP JP2017529679A patent/JP6542890B2/ja active Active
- 2015-11-24 CN CN201580072975.8A patent/CN107106208A/zh active Pending
Also Published As
Publication number | Publication date |
---|---|
US20160166330A1 (en) | 2016-06-16 |
EP3226786B1 (en) | 2022-05-25 |
AU2015355303A1 (en) | 2017-06-22 |
EP3226786A1 (en) | 2017-10-11 |
US10123848B2 (en) | 2018-11-13 |
WO2016089667A1 (en) | 2016-06-09 |
JP2017537701A (ja) | 2017-12-21 |
AU2015355303B2 (en) | 2018-11-01 |
CN107106208A (zh) | 2017-08-29 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6302573B2 (ja) | プランジャ駆動式コレットハンドル及びフィデューシャル配備用システム | |
JP6542890B2 (ja) | 超音波内視鏡基準マーカ針スタイレットハンドルアセンブリ | |
EP2967642B1 (en) | Ratchet-slide handle and system for fiducial deployment | |
US9072542B2 (en) | System and method for fiducial deployment | |
EP3151764B1 (en) | Screw-driven handles and systems for fiducial deployment | |
CA2784486C (en) | System and method for fiducial deployment | |
EP2719355A2 (en) | Clutched-gear handle for fiducial deployment | |
JP2012525215A5 (ja) |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20170725 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20170725 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20180531 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20180605 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20180829 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20190115 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20190415 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20190521 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20190613 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6542890 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |