JP6629904B2 - 多機能手術用アクセスシステム - Google Patents
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- JP6629904B2 JP6629904B2 JP2018059859A JP2018059859A JP6629904B2 JP 6629904 B2 JP6629904 B2 JP 6629904B2 JP 2018059859 A JP2018059859 A JP 2018059859A JP 2018059859 A JP2018059859 A JP 2018059859A JP 6629904 B2 JP6629904 B2 JP 6629904B2
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Classifications
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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
- A61B17/34—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
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- 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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
- A61B17/3496—Protecting sleeves or inner probes; Retractable tips
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
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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
- A61B2017/00982—General structural features
- A61B2017/00991—Telescopic means
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- 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
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- Materials For Medical Uses (AREA)
Description
本願は、全体として、医療用デバイスに関し、更に詳細には、開創器を含む手術用アクセスシステムに関する。
本明細書中に開示した実施例と同様の手術用アクセスシステムが、米国特許公開第2005/0241647A1号、米国特許公開第2007/0185387A1号、米国特許公開第2007/0149859A1号、及び米国特許公開第2007/0088202A1号に開示されている。出典を明示することにより、これらの特許公開に開示された全ての内容は本明細書の開示の一部とされる。
ポリエステル編製布及び布の一方の面に積層した50μm(2ミル)のポリウレタン層を含むポリウレタン積層布(PUL−2ミル シーブライト)についての耐穿刺性をFED−STD−101/2065に従って計測した。試験では、3.175mm(0.125インチ)の円形のシャフトを7.6cm×7.6cm(3インチ×3インチ)の布サンプルと毎分7.6cm(毎分3インチ)で接触する。試験を、円形のシャフトを布のポリエステル面と接触させて15個のサンプルについて行い、61.07N(13.73ポンド)の平均耐穿刺性を得た。ポリウレタン側について行った15回の試験の平均耐穿刺性は、53.56N(12.04ポンド)であった。
本開創器シースで使用した76μm(4ミル)のポリエーテルポリウレタンフィルム(ペレタン(ペレタン(PELLETHANE)は登録商標である)2363、ルブリゾール)の耐穿刺性を上文中に説明したのと同様に計測した。15回の試験についての平均値は12.46N(2.80ポンド)であった。
は登録商標である))、等、これらの配合物、コポリマー、積層材料、及び混合物が含まれる。適当な金属には、ステンレス鋼、ばね鋼、ニチノール、超弾性材料、アモルファス金属合金、等が含まれる。
、殺生物剤、等が含まれる。コーティング又は層の幾つかの実施例は、比較的滑らかな及び/又は低摩擦の表面を提供し、器具がシース150を損傷し難くする。
上述の内リングの幾つかの実施例では、シャフトは本体内に選択的に係止できる。これは、例えばラチェット及び爪を使用して、開口部及び/又は内腔/チャンネルを潰すことによって、ロックナットによって、ロックリングによって、摩擦によって、又はその他の方法によって行われる。図14に示す実施例では、内リング1430の平面図はほぼ円形である。他の実施例では、内リングは、上文中に説明した別の形状を有する。他の実施例は、複数の本体及びシャフトを含む。幾つかの実施例では、本体は二つの端部を持つ本体であり、即ち本体の各端は、シャフトを入れ子式に受け入れる寸法を備えている。シャフトもまた二つの端部を持つシャフトであり、即ちシャフトの各端を本体に挿入できる。外リングの幾つかの実施例は調節を同様に行うことができる。
102 近位端
104 遠位端
106 機器アクセスチャンネル
110 外アンカー即ち近位アンカー
130 内アンカー即ち遠位アンカー
150 可撓性シース
Claims (4)
- 組織開創器において、
近位端から遠位端まで延びる器具アクセスチャンネルを形成する長さ方向軸線と、
外リングと、
内周部と、外周部と、横断面と、を有する内リングと、
前記外リングと前記内リングとの間を延びる可撓性シースと、を含み、
前記器具アクセスチャンネルは、前記外リング、前記内リング、及び前記シースを通って延び、
前記内リングは、該内リングに組み立てられる複数の部品でできており、前記内リングの前記複数の部品の横断面の少なくとも一部は、平らである、組織開創器。 - 請求項1に記載の組織開創器において、
前記内リングの横断面は、外周部において平らである、組織開創器。 - 請求項1に記載の組織開創器において、
前記内リングの全横断面が、平らである、組織開創器。 - 請求項1に記載の組織開創器において、
前記内リングの内周部における横断面の厚さが、前記内リングの外周部における横断面の厚さよりも大きい、組織開創器。
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US23854009P | 2009-08-31 | 2009-08-31 | |
US61/238,540 | 2009-08-31 |
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JP2016020923A Division JP6643125B2 (ja) | 2009-08-31 | 2016-02-05 | 多機能手術用アクセスシステム |
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JP2019220155A Division JP7069100B2 (ja) | 2009-08-31 | 2019-12-05 | 多機能手術用アクセスシステム |
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JP2018114322A JP2018114322A (ja) | 2018-07-26 |
JP6629904B2 true JP6629904B2 (ja) | 2020-01-15 |
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JP2012527103A Active JP6247003B2 (ja) | 2009-08-31 | 2010-08-31 | 多機能手術用アクセスシステム |
JP2016020923A Active JP6643125B2 (ja) | 2009-08-31 | 2016-02-05 | 多機能手術用アクセスシステム |
JP2018059859A Active JP6629904B2 (ja) | 2009-08-31 | 2018-03-27 | 多機能手術用アクセスシステム |
JP2019220155A Active JP7069100B2 (ja) | 2009-08-31 | 2019-12-05 | 多機能手術用アクセスシステム |
JP2022075859A Active JP7374256B2 (ja) | 2009-08-31 | 2022-05-02 | 多機能手術用アクセスシステム |
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JP2012527103A Active JP6247003B2 (ja) | 2009-08-31 | 2010-08-31 | 多機能手術用アクセスシステム |
JP2016020923A Active JP6643125B2 (ja) | 2009-08-31 | 2016-02-05 | 多機能手術用アクセスシステム |
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JP2022075859A Active JP7374256B2 (ja) | 2009-08-31 | 2022-05-02 | 多機能手術用アクセスシステム |
Country Status (7)
Country | Link |
---|---|
US (5) | US9717522B2 (ja) |
EP (3) | EP3636183B1 (ja) |
JP (5) | JP6247003B2 (ja) |
AU (1) | AU2010286353B2 (ja) |
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JP2016093563A (ja) | 2016-05-26 |
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EP3636183B1 (en) | 2023-06-28 |
JP7374256B2 (ja) | 2023-11-06 |
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JP2013503022A (ja) | 2013-01-31 |
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US20220323106A1 (en) | 2022-10-13 |
US20200085467A1 (en) | 2020-03-19 |
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