JP7026645B2 - 凝血塊の排出及び視覚化装置及び使用方法 - Google Patents
凝血塊の排出及び視覚化装置及び使用方法 Download PDFInfo
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Description
本出願は、2016年3月17日に出願された米国仮特許出願第62/309,918号及び2017年3月10日に出願された米国仮特許出願第62/470,095号に基づく優先権を主張するものであり、これらの開示内容は、その全てを本明細書に組み込むものとする。これらに対して優先権を持つかこれらを優先権の基礎とする関連するすべての出願は、参照として、その全てを本明細書に組み込むものとする。
ハンドピースと、
ハンドルに固定された近位端と、遠位端との間の長手方向軸に沿って延びる細長い本体と、
組織及び/又は凝血塊を視覚化するように構成された細長い本体に沿って、又はその中に配置された視覚化要素と、
細長い管状体の少なくとも一部分に沿って長さ方向に伸びる内腔であって、内腔を通して凝固物を除去するために吸引及び/又は灌注を行うように構成された内腔と、
を具備する。
統合された凝血塊排出装置を患者の脳内の凝血塊に隣接する位置に送り込むステップであって、前記凝血塊排出装置は、近位端と遠位端との間で長手方向軸に沿って伸びる細長い本体を具備し、前記遠位端は、前記凝血塊に隣接して配置されることを特徴とし、
凝血塊排出装置に組み込まれ、細長い本体に沿って、又は細長い本体内に配置された視覚化要素を利用して、組織及び/又は凝血塊を視覚化するステップと、
前記凝血塊排出装置の遠位端又はその近くの開口を通して、吸引及び/又は灌注を利用して凝血塊を除去するステップと、
を具備することができる。
。
(光学イントロデューサ及び別個の凝血塊排出装置を利用するシステム及び方法)
(取外し可能な非外傷性先端を有する凝血塊排出装置を利用するシステム及び方法)
(統合されたイントロデューサ/凝血塊排出装置を使用するシステム及び方法)
(膨張可能なバルーンを有する統合されたイントロデューサ/凝血塊排出装置を使用するシステム及び方法)
(内視鏡を、イントロデューサを収容するのに適合させるためのシステム及び方法)
(凝血塊排出装置の別の例)
Claims (10)
- 近位端及び遠位端を有する細長い本体であって、前記細長い本体は、1つ以上の内腔を具備し、前記1つ以上の内腔は、前記細長い本体の長さ方向の少なくとも一部に沿って延びる排出内腔を具備し、前記細長い本体は、前記細長い本体の遠位端又は遠位端の近くで、前記排出内腔と流体連通する遠位開口を具備する、細長い本体と、
患者の内部で捉えた画像を送信するために前記細長い本体の遠位端又はその近傍に配置された視覚化要素と、
前記排出内腔内に取り外し可能に挿入され、前記遠位開口を閉鎖するように構成された栓子と、
を具備し、
前記細長い本体の遠位端の少なくとも一部は、前記細長い本体の遠位端を通じて前記視覚化要素により視覚化が可能となるように、少なくとも部分的に透明であることを特徴とする排出装置。 - 前記栓子が前記排出内腔内に取り外し可能に挿入され、前記遠位開口を閉鎖したとき、前記排出装置は、非外傷性先端を形成することを特徴とする、請求項1に記載の排出装置。
- 前記排出内腔は、患者の内部領域で吸引を行うように構成されていることを特徴とする、請求項1又は請求項2に記載の排出装置。
- 前記細長い本体が、患者の内部領域に灌注用流体を送り込むように構成された灌注内腔を具備することを特徴とする、請求項1乃至請求項3のいずれか1項に記載の排出装置。
- 前記細長い本体は、前記視覚化要素に灌注流体を送り込むように構成された灌注内腔を具備することを特徴とする、請求項1乃至請求項4のいずれか1項に記載の排出装置。
- 前記細長い本体は、患者の内部領域に光を照射するように構成された照明要素をさらに具備することを特徴とする、請求項1乃至請求項5のいずれか1項に記載の排出装置。
- 前記細長い本体は、内腔と遠位端に配置された先端とを有する実質的に管状の本体を備え、前記先端は、前記管状の本体の周囲の一部から、実質的に前記管状の本体の長手方向軸に沿って整列して前記管状の本体の遠位端の遠位に配置されている点まで伸びるように構成されていることを特徴とする、請求項1乃至請求項6のいずれか1項に記載の排出装置。
- 前記先端は、患者の内部領域から前記排出内腔に向かって組織を掬い取るように構成されていることを特徴とする、請求項7に記載の排出装置。
- 前記栓子の前記遠位端は、概ねドーム形又は円錐形の形状を有する先端を具備することを特徴とする、請求項1乃至請求項8のいずれか1項に記載の排出装置。
- 第1の視覚化要素及び第2の視覚化要素を具備し、前記第1の視覚化要素及び第2の視覚化要素のうちの一方が前記細長い本体内に配置され、前記第1の視覚化要素及び第2の視覚化要素のうちの他の一方が、前記細長い本体の先端に配置されていることを特徴とする、請求項1乃至請求項9のいずれか1項に記載の排出装置。
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BR112018068833A2 (pt) | 2019-01-22 |
JP2019515762A (ja) | 2019-06-13 |
CN109152584B (zh) | 2022-03-04 |
CN109152584A (zh) | 2019-01-04 |
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US10716585B2 (en) | 2020-07-21 |
US20210000495A1 (en) | 2021-01-07 |
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