JP6982704B2 - 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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- JP6982704B2 JP6982704B2 JP2021026929A JP2021026929A JP6982704B2 JP 6982704 B2 JP6982704 B2 JP 6982704B2 JP 2021026929 A JP2021026929 A JP 2021026929A JP 2021026929 A JP2021026929 A JP 2021026929A JP 6982704 B2 JP6982704 B2 JP 6982704B2
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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 (18)
- 椎体内のナビゲーション及び処置のために構成されたシステムであって、
近位ハンドル及び細長いチューブを備える導入器であって、前記細長いチューブは、前記近位ハンドルから前記導入器の遠位端まで延びるチャネルを備える、導入器と、
前記導入器の前記チャネル内に受け入れられるように構成される直線状スタイレットであって、前記導入器内に完全に設置されたときに、前記導入器の前記遠位端をわずかに超えて延在する鋭利先端付き遠位端を備える直線状スタイレットと、
前記直線状スタイレットを取り外した後に、前記導入器を通して挿入されるように構成される操向可能プローブであって、
近位ハンドル、
作動時に曲がるように構成されたスロット付き遠位部分を備える細長いチューブ、
双極ペアとして動作するように構成された一対の電極、及び
少なくとも1つの温度センサー、
を備える操向可能プローブと、
を備えるシステム。 - 前記スロット付き遠位部分は、複数のボスによって分離された複数の周方向逃げ付きセクションを備える、
請求項1に記載のシステム。 - 前記複数のボスは、前記導入器の前記チャネルの内径に対応する外径を有する、
請求項2に記載のシステム。 - 前記各ボスの直径は、前記チャネルの直径よりも小さくなっている、
請求項3に記載のシステム。 - 前記複数の周方向逃げ付きセクションは、前記操向可能プローブにおいて機械で形成されたリセスを備える、
請求項2から4のいずれか1項に記載のシステム。 - 前記リセスは、前記一対の電極を収容するように構成された一対のリセスを含む、
請求項5に記載のシステム。 - 前記一対のリセスの間において、前記操向可能プローブに形成された溝を更に備える、
請求項6に記載のシステム。 - 椎体内のナビゲーション及び処置のために構成されたシステムであって、
近位ハンドル及び細長いチューブを備える導入器であって、前記細長いチューブは、前記近位ハンドルから前記導入器の遠位端まで延びるチャネルを備える、導入器と、
前記導入器の前記チャネル内に受け入れられるように構成される直線状スタイレットであって、前記導入器内に完全に設置されたときに、前記導入器の前記遠位端をわずかに超えて延在する鋭利先端付き遠位端を備える直線状スタイレットと、
前記直線状スタイレットを取り外した後に、前記導入器を通して挿入されるように構成される操向可能無線周波数エネルギー送達プローブであって、
近位ハンドル、
作動時に曲がるように構成されたスロット付き遠位端部分を備える細長いチューブ、
2つ以上の電極、及び
温度センサー、
を備える操向可能無線周波数エネルギー送達プローブと、
を備えるシステム。 - 前記操向可能無線周波数エネルギー送達プローブは、鋭利遠位先端を含み、
前記操向可能無線周波数エネルギー送達プローブは、椎体内の神経を切除するのに十分な無線周波数エネルギーを送達するように構成され、かつ
前記導入器は、前記導入器の前記遠位端に開口部を備える、
請求項8に記載のシステム。 - 椎体内のナビゲーション及び処置のために構成されたシステムであって、
近位ハンドル及び細長いチューブを備える導入器であって、前記細長いチューブは、前記近位ハンドルから前記導入器の遠位端まで延びるチャネルを備える、導入器と、
前記導入器の前記チャネル内に受け入れられるように構成される直線状スタイレットであって、前記導入器内に完全に設置されたときに、前記導入器の前記遠位端をわずかに超えて延在する鋭利先端付き遠位端を備える直線状スタイレットと、
前記直線状スタイレットを取り外した後に、前記導入器を通して挿入されるように構成される操向可能無線周波数エネルギー送達プローブであって、
近位ハンドル、
操作者による前記操向可能無線周波数エネルギー送達プローブの前記近位ハンドルの作動部材の回転時に、標的処置位置に向かって曲がるように構成された関節式の遠位端部分を備える細長い管状部材、
2つ以上の電極、及び
温度センサー、
を備える操向可能無線周波数エネルギー送達プローブと、
を備えるシステム。 - 前記細長い管状部材の前記遠位端部分は、前記遠位端部分の横方向の曲げを容易にするように構成されたスロットを備え、
前記操向可能無線周波数エネルギー送達プローブは、鋭利遠位先端を含み、
前記操向可能無線周波数エネルギー送達プローブは、椎体内の神経を切除するのに十分な無線周波数エネルギーを送達するように構成され、かつ
前記導入器は、前記導入器の前記遠位端に開口部を備える、
請求項10に記載のシステム。 - 前記開口部は、半径方向開口部である、
請求項11に記載のシステム。 - 前記開口部は、軸方向開口部である、
請求項11に記載のシステム。 - 前記作動部材は、サムホイールを含む、
請求項11から13のいずれか1項に記載のシステム。 - 前記作動部材は、ノブを含む、
請求項11から13のいずれか1項に記載のシステム。 - 前記操向可能無線周波数エネルギー送達プローブの前記近位ハンドルは、前記遠位端部分についての湾曲のプリセット角度の印を備える、
請求項8から15のいずれか1項に記載のシステム。 - 前記開口部は、半径方向開口部である、
請求項9に記載のシステム。 - 前記開口部は、軸方向開口部である、
請求項9に記載のシステム。
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