JP6712355B2 - 操縦可能なカテーテルにおける遠位側ワイヤ固定 - Google Patents
操縦可能なカテーテルにおける遠位側ワイヤ固定 Download PDFInfo
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- JP6712355B2 JP6712355B2 JP2019502714A JP2019502714A JP6712355B2 JP 6712355 B2 JP6712355 B2 JP 6712355B2 JP 2019502714 A JP2019502714 A JP 2019502714A JP 2019502714 A JP2019502714 A JP 2019502714A JP 6712355 B2 JP6712355 B2 JP 6712355B2
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/0011—Manufacturing of endoscope parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/0029—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0144—Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
- A61M2025/015—Details of the distal fixation of the movable mechanical means
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1084—Balloon catheters with special features or adapted for special applications having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Mechanical Engineering (AREA)
- Manufacturing & Machinery (AREA)
- Electromagnetism (AREA)
- Otolaryngology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
本出願は、すべて2016年7月28日に出願され、各々が全体として参照により本明細書に援用される米国仮特許出願第62/367,910号明細書、同第62/367,918号明細書、同第62/367,938号明細書、同第62/367,951号明細書および同第62/367,959号明細書に対する優先権を主張する、特許協力条約の下で出願された通常の特許出願である。
Claims (13)
- 操縦可能なカテーテルであって、前記操縦可能なカテーテル内におけるワイヤの確実な取付を含み、前記確実な取付は、
長尺状のカテーテル本体であって、
近位端、遠位端、および前記近位端と前記遠位端との間の中間カテーテル本体長さと、
前記カテーテル本体を通して長手方向に延びる少なくとも第1の制御ワイヤ内腔と
を含む長尺状のカテーテル本体と、
前記第1の制御ワイヤ内腔を通して長手方向に配置された少なくとも第1の長尺状ワイヤと、
第1の粘度を有する第1の接着剤であって、前記第1の制御ワイヤ内腔の遠位長さ内に実質的に配置され、かつ前記ワイヤを前記第1の制御ワイヤ内腔の遠位長さに固定し、少なくとも、前記ワイヤの長手方向部分は、ほぐれているかまたは他に少なくとも部分的にばらばらになっている、第1の接着剤と、
前記第1の制御ワイヤ内腔内に実質的に配置され、かつ前記ワイヤを前記第1の制御ワイヤ内腔に固定する第2の接着剤であって、前記第1の粘度より低い第2の粘度を有し、前記第1の接着剤の遠位側に配置された第2の接着剤と、
を含む、
操縦可能なカテーテル。 - 前記第1の制御ワイヤ内腔の最遠位長さは、前記第1の制御ワイヤ内腔のより遠位側でない長さよりも大きい内径を含む、請求項1に記載の操縦可能なカテーテル。
- 前記少なくとも第1の制御ワイヤ内腔と前記カテーテル本体の外部との間の流体連通を提供する第1の側穴をさらに含み、前記第1の側穴は、前記カテーテル本体の長手方向側面を通して延びる、請求項1又は2に記載の操縦可能なカテーテル。
- 前記少なくとも第1の制御ワイヤ内腔と前記カテーテル本体の外部との間の流体連通を提供する第2の側穴をさらに含み、前記第2の側穴は、前記第1の側穴の遠位側の位置において前記カテーテル本体を通して延びる、請求項3に記載の操縦可能なカテーテル。
- 前記第1の接着剤は、前記第1の側穴に隣接してかつそれに接触して配置される、請求項3または4に記載の操縦可能なカテーテル。
- 請求項1に記載の操縦可能なカテーテルの前記確実な取付を形成する方法であって、
前記ワイヤの遠位長手方向部分を前記第1の制御ワイヤ内腔の遠位端に案内し、かつ前記ワイヤの最遠位末端をほぐすかまたは他に少なくとも部分的にばらばらにするステップであって、前記最遠位末端は、ほぐすかまたは他に少なくとも部分的にばらばらにする前記ステップ後、前記第1の制御ワイヤ内腔の最遠位端部末端長さ内におよび/またはそれに直接隣接して配置される、ステップと、
前記ワイヤを前記第1の制御ワイヤ内腔内に取り付けかつ固定するように、前記第1の接着剤を前記第1の制御ワイヤ内腔内に案内するステップと、
前記第1の制御ワイヤ内腔の前記最遠位端部末端長さ内の前記ワイヤの前記ほぐれているかまたは他に少なくとも部分的にばらばらになっている最遠位部分を分散させかつそれを確実に係合させるように、第1の接着剤よりも低い粘度を有する第2の接着剤を、前記第1の制御ワイヤ内孔内に案内するステップと、
を含む方法。 - 前記第1の制御ワイヤ内腔の最遠位長さを、前記第1の制御ワイヤ内腔のより遠位側でない長さの内径よりも大きい内径に拡張させるステップをさらに含む、請求項6に記載の方法。
- 第1の穴および第2の穴を、両方とも前記カテーテル本体を通して形成し、前記第1の制御ワイヤ内腔への連通路を提供するステップを含む、請求項6または7に記載の方法。
- 前記第1の接着剤を案内する前記ステップは、前記第2の穴を塞ぐことなく、前記ワイヤを前記第1の制御ワイヤ内腔内に取り付けかつ固定するように、前記第1の接着剤を、前記第1の穴を通して前記第1の制御ワイヤ内腔内に案内することを含み、
前記第2の接着剤を案内する前記ステップは、前記第2の接着剤を前記第2の穴を通して前記第1の制御ワイヤ内腔内に案内することを含む、請求項8に記載の方法。 - 前記第2の接着剤は、前記ワイヤの前記長手方向部分がほぐれているかまたは他に少なくとも部分的にばらばらになっている少なくとも内腔長さにおいて前記第1の制御ワイヤ内腔を占める、請求項9に記載の方法。
- 前記第2の穴は、前記第1の穴の遠位側に配置される、請求項10に記載の方法。
- 最遠位末端をほぐすかまたは他に少なくとも部分的にばらばらにする前記ステップは、各ワイヤをツールで把持し、かつ前記ツールを前記ワイヤの前記最遠位末端に沿ってかつそれを越えて引っ張ることを含む、請求項6〜11のいずれか一項に記載の方法。
- 前記第1の制御ワイヤ内腔は、少なくとも前記第1の制御ワイヤ内腔の最遠位末端長さに沿って均一な一定の内径を有する、請求項6に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662367951P | 2016-07-28 | 2016-07-28 | |
US62/367,951 | 2016-07-28 | ||
PCT/US2017/043072 WO2018022421A1 (en) | 2016-07-28 | 2017-07-20 | Distal wire securement in steerable catheter |
Publications (2)
Publication Number | Publication Date |
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JP2019525806A JP2019525806A (ja) | 2019-09-12 |
JP6712355B2 true JP6712355B2 (ja) | 2020-06-17 |
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JP2019502714A Active JP6712355B2 (ja) | 2016-07-28 | 2017-07-20 | 操縦可能なカテーテルにおける遠位側ワイヤ固定 |
Country Status (7)
Country | Link |
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US (1) | US10463835B2 (ja) |
EP (1) | EP3490656A1 (ja) |
JP (1) | JP6712355B2 (ja) |
KR (1) | KR102215952B1 (ja) |
CN (1) | CN109562244A (ja) |
AU (1) | AU2017301399B2 (ja) |
WO (1) | WO2018022421A1 (ja) |
Families Citing this family (8)
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AU2017301669B2 (en) * | 2016-07-28 | 2019-07-18 | Cook Medical Technologies Llc | Steerable catheter with wire-tensioning mechanism |
EP3513706A1 (en) * | 2018-01-19 | 2019-07-24 | Ambu A/S | A method for fixation of a wire portion of an endoscope, and an endoscope |
US10646104B1 (en) * | 2018-10-29 | 2020-05-12 | G.I. View Ltd. | Disposable endoscope |
US20200316349A1 (en) * | 2019-04-03 | 2020-10-08 | Fraser M. Smith | Micro-Camera Guide Wire |
KR102355952B1 (ko) | 2020-01-03 | 2022-01-25 | 부산대학교병원 | 정밀 시술을 위한 모터 구동식 카테터 조향 기구 및 이를 이용한 정밀 시술을 위한 모터 구동식 카테터 조향 방법 |
EP4090223A1 (en) * | 2020-01-15 | 2022-11-23 | Entellect Medical Holdings | Endoscope control handle with a steering assembly |
WO2021249601A1 (en) * | 2020-06-08 | 2021-12-16 | Ambu A/S | A sliding motion transfer member for an endoscope |
GB2610642B (en) * | 2021-09-14 | 2023-12-27 | I Q Endoscopes Ltd | Endoscopy system & elements thereof |
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- 2017-07-20 JP JP2019502714A patent/JP6712355B2/ja active Active
- 2017-07-20 WO PCT/US2017/043072 patent/WO2018022421A1/en unknown
- 2017-07-20 EP EP17746311.4A patent/EP3490656A1/en active Pending
- 2017-07-20 US US15/655,037 patent/US10463835B2/en active Active
- 2017-07-20 CN CN201780046379.1A patent/CN109562244A/zh active Pending
- 2017-07-20 AU AU2017301399A patent/AU2017301399B2/en active Active
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US10463835B2 (en) | 2019-11-05 |
KR102215952B1 (ko) | 2021-02-16 |
JP2019525806A (ja) | 2019-09-12 |
EP3490656A1 (en) | 2019-06-05 |
CN109562244A (zh) | 2019-04-02 |
WO2018022421A1 (en) | 2018-02-01 |
KR20190029692A (ko) | 2019-03-20 |
AU2017301399B2 (en) | 2019-05-16 |
AU2017301399A1 (en) | 2019-02-07 |
US20180028786A1 (en) | 2018-02-01 |
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