JP7074666B2 - 操縦可能なシースカテーテル及び使用方法 - Google Patents

操縦可能なシースカテーテル及び使用方法 Download PDF

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Publication number
JP7074666B2
JP7074666B2 JP2018521399A JP2018521399A JP7074666B2 JP 7074666 B2 JP7074666 B2 JP 7074666B2 JP 2018521399 A JP2018521399 A JP 2018521399A JP 2018521399 A JP2018521399 A JP 2018521399A JP 7074666 B2 JP7074666 B2 JP 7074666B2
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Japan
Prior art keywords
catheter
tip
actuator
feedback
guide
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JP2018521399A
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English (en)
Japanese (ja)
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JP2018534992A5 (enExample
JP2018534992A (ja
Inventor
フライゲル マーク
ディー ジェンキンス リチャード
ジェンセン ジョン
アール マッカーサー グレゴリー
ポール ジェンキンス リチャード
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Merit Medical Systems Inc
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Merit Medical Systems Inc
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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
    • 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
    • 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
    • A61B1/00066—Proximal part of endoscope body, 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
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • 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
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide wires
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00297—Means for providing haptic feedback
    • A61B2018/00309—Means for providing haptic feedback passive, e.g. palpable click when activating a button
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/581—Means for facilitating use, e.g. by people with impaired vision by audible feedback
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/582—Means for facilitating use, e.g. by people with impaired vision by tactile feedback
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2018521399A 2015-11-25 2016-11-22 操縦可能なシースカテーテル及び使用方法 Active JP7074666B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562260062P 2015-11-25 2015-11-25
US62/260,062 2015-11-25
PCT/US2016/063251 WO2017091542A1 (en) 2015-11-25 2016-11-22 Steerable sheath catheter and methods of use

Publications (3)

Publication Number Publication Date
JP2018534992A JP2018534992A (ja) 2018-11-29
JP2018534992A5 JP2018534992A5 (enExample) 2019-02-14
JP7074666B2 true JP7074666B2 (ja) 2022-05-24

Family

ID=58719980

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018521399A Active JP7074666B2 (ja) 2015-11-25 2016-11-22 操縦可能なシースカテーテル及び使用方法

Country Status (5)

Country Link
US (1) US10286183B2 (enExample)
EP (1) EP3380181A4 (enExample)
JP (1) JP7074666B2 (enExample)
CA (1) CA3003166C (enExample)
WO (1) WO2017091542A1 (enExample)

Families Citing this family (26)

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Publication number Priority date Publication date Assignee Title
US10232150B2 (en) 2010-03-11 2019-03-19 Merit Medical Systems, Inc. Body cavity drainage devices and related methods
US10029036B2 (en) 2014-06-27 2018-07-24 Merit Medical Systems, Inc. Placement tools for body cavity drainage devices and related methods
US9821097B2 (en) 2014-06-27 2017-11-21 Merit Medical Systems, Inc. Body cavity drainage devices including drainage tubes having inline portions and related methods
CA3003166C (en) 2015-11-25 2024-05-07 Merit Medical Systems, Inc. Steerable sheath catheter and methods of use
US11219746B2 (en) 2016-03-21 2022-01-11 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
JP6693861B2 (ja) * 2016-12-21 2020-05-13 日本ライフライン株式会社 医療機器用ハンドルおよび医療機器
US11110251B2 (en) * 2017-09-19 2021-09-07 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11559662B2 (en) 2018-04-13 2023-01-24 Merit Medical Systems, Inc. Steerable drainage devices
AU2020292273B2 (en) 2019-06-11 2023-08-03 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
EP3789071A1 (en) * 2019-09-03 2021-03-10 Creganna Unlimited Company A medical device handle for articulation of a catheter
JP2022548739A (ja) 2019-09-20 2022-11-21 イースト エンド メディカル エルエルシー 突刺部バルーンシールを有する改良された経中隔突刺システムを含む医療処置用の方向性バルーン経中隔挿入デバイス
WO2021067669A1 (en) * 2019-10-04 2021-04-08 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved handle
EP4138630A1 (en) * 2020-04-24 2023-03-01 Ambu A/S A handle for an endoscope
WO2021258113A1 (en) 2020-06-19 2021-12-23 Remedy Robotics, Inc. Systems and methods for guidance of intraluminal devices within the vasculature
CN112245767A (zh) * 2020-10-30 2021-01-22 广东脉搏医疗科技有限公司 一种可控弯导管
CN112717257B (zh) * 2020-12-31 2025-12-02 浙江乾合畅脉医疗科技有限公司 一种医用笔式手柄
US20220347437A1 (en) * 2021-05-03 2022-11-03 Oscor Inc. Deflectable peel away sheath
CN113332564B (zh) * 2021-05-21 2022-08-12 上海汇禾医疗科技有限公司 控弯标识装置
US20220379091A1 (en) * 2021-05-28 2022-12-01 Medtronic Vascular, Inc. Steerable catheter device
EP4364163A1 (en) 2021-07-01 2024-05-08 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
US12121307B2 (en) 2021-07-01 2024-10-22 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
US11707332B2 (en) 2021-07-01 2023-07-25 Remedy Robotics, Inc. Image space control for endovascular tools
US20230302256A1 (en) * 2022-03-25 2023-09-28 St. Jude Medical, Cardiology Division, Inc. Steerable Introducer With Slide Block Divider
EP4626337A1 (en) * 2022-11-30 2025-10-08 Medtronic Europe Sàrl Basivertebral nerve access tool, system, and method
CN117959560B (zh) * 2024-03-07 2024-08-27 深圳市凯思特医疗科技股份有限公司 一种经桡动脉的肾动脉造影导管及其使用方法

Citations (2)

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US20130184642A1 (en) 2011-12-22 2013-07-18 Joseph A. O'Donnell Steerable sheath handle pulley mechanism
JP2014516669A (ja) 2011-05-11 2014-07-17 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 多方向性カテーテル制御ハンドル

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US20170143940A1 (en) 2017-05-25
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