JP7234124B2 - 経皮デバイス交換 - Google Patents

経皮デバイス交換 Download PDF

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Publication number
JP7234124B2
JP7234124B2 JP2019548328A JP2019548328A JP7234124B2 JP 7234124 B2 JP7234124 B2 JP 7234124B2 JP 2019548328 A JP2019548328 A JP 2019548328A JP 2019548328 A JP2019548328 A JP 2019548328A JP 7234124 B2 JP7234124 B2 JP 7234124B2
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Prior art keywords
catheter
base
medical device
guidewire
distal
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Japanese (ja)
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JP2020508802A5 (https=
JP2020508802A (ja
Inventor
スティーブン ジェイ． ブラッカー、
クリストファー ザープス、
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コリンダス、インコーポレイテッド
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • 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
    • A61M25/0113—Mechanical advancing means, e.g. catheter dispensers
    • 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
    • A61M25/0116—Steering means as part of the catheter or advancing means; Markers for positioning self-propelled, e.g. autonomous robots
    • 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
    • A61M25/0169—Exchanging a catheter while keeping the guidewire in place
    • 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
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/28—Clamping means for squeezing flexible tubes, e.g. roller clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/303—Surgical robots specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
    • 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
    • A61M2025/09125—Device for locking a guide wire in a fixed position with respect to the catheter or the human body
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/062—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof used with a catheter

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Robotics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
JP2019548328A 2017-03-06 2018-03-06 経皮デバイス交換 Active JP7234124B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762467815P 2017-03-06 2017-03-06
US62/467,815 2017-03-06
PCT/US2018/021150 WO2018165162A1 (en) 2017-03-06 2018-03-06 Percutaneous device exchange

Publications (3)

Publication Number Publication Date
JP2020508802A JP2020508802A (ja) 2020-03-26
JP2020508802A5 JP2020508802A5 (https=) 2021-04-15
JP7234124B2 true JP7234124B2 (ja) 2023-03-07

Family

ID=63447960

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019548328A Active JP7234124B2 (ja) 2017-03-06 2018-03-06 経皮デバイス交換

Country Status (5)

Country Link
US (3) US11633575B2 (https=)
EP (1) EP3592414A4 (https=)
JP (1) JP7234124B2 (https=)
CN (2) CN116271427A (https=)
WO (1) WO2018165162A1 (https=)

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US20210045824A1 (en) 2019-08-15 2021-02-18 Auris Health, Inc. Axial motion drive devices, systems, and methods for a robotic medical system
JP7488641B2 (ja) * 2019-11-15 2024-05-22 塚本 隆二 カテーテルワイヤ固定具及びこれを用いた医療用具
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US12419703B2 (en) 2022-08-01 2025-09-23 Imperative Care, Inc. Robotic drive system for achieving supra-aortic access
US12564414B2 (en) 2022-08-01 2026-03-03 Imperative Care, Inc. Method of supra-aortic access for a neurovascular procedure
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US20230048388A1 (en) 2021-08-12 2023-02-16 Imperative Care, Inc. Robotically driven interventional device
US12564458B2 (en) 2022-08-01 2026-03-03 Imperative Care, Inc. Method of robotically driving a multi catheter assembly above the aortic arch
EP4151174A1 (en) 2021-09-15 2023-03-22 Caranx Medical SAS Device for inserting and exchanging a surgical instrument
CN114177482A (zh) * 2021-11-23 2022-03-15 生一科技(北京)有限公司 管腔介入系统
WO2023093578A1 (zh) * 2021-11-23 2023-06-01 生一科技(北京)有限公司 医用管丝输送机构和管腔介入系统
CN114177487B (zh) * 2021-11-23 2025-06-17 生一科技(北京)有限公司 全交换球囊系统
CN115517768A (zh) * 2022-01-29 2022-12-27 深圳市爱博医疗机器人有限公司 一种介入手术辅助装置
CN115517767A (zh) * 2022-01-29 2022-12-27 深圳市爱博医疗机器人有限公司 一种介入医疗器械辅助装置
US20240041480A1 (en) 2022-08-02 2024-02-08 Imperative Care, Inc. Multi catheter system with integrated fluidics management
CN115154853B (zh) * 2022-08-08 2024-04-19 深圳爱博合创医疗机器人有限公司 导管导丝递送的方法及对导管导丝进行递送的驱动装置
JP2026500622A (ja) 2022-12-01 2026-01-08 インペラティブ ケア インコーポレイテッド ロボットカテーテル駆動システムのためのコントローラ
US20240181208A1 (en) 2022-12-01 2024-06-06 Imperative Care, Inc. Anti-buckling telescoping segments
US12433702B2 (en) 2022-12-01 2025-10-07 Imperative Care, Inc. Telescoping drive table
US12377206B2 (en) 2023-05-17 2025-08-05 Imperative Care, Inc. Fluidics control system for multi catheter stack
CN121586597A (zh) 2023-05-31 2026-02-27 因普瑞缇夫护理公司 通过无菌区域屏障的磁连接
USD1102447S1 (en) 2023-11-30 2025-11-18 Imperative Care, Inc. Display screen or portion thereof with graphical user interface
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JP2011519678A (ja) 2008-05-06 2011-07-14 コリンダス インコーポレイテッド カテーテルシステム
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CN205832390U (zh) 2016-04-08 2016-12-28 叶益聪 一种u型止血阀

Also Published As

Publication number Publication date
US12357797B2 (en) 2025-07-15
CN110913940B (zh) 2023-04-28
US11633575B2 (en) 2023-04-25
EP3592414A4 (en) 2021-01-13
US20250312574A1 (en) 2025-10-09
EP3592414A1 (en) 2020-01-15
CN116271427A (zh) 2023-06-23
US20230226327A1 (en) 2023-07-20
CN110913940A (zh) 2020-03-24
JP2020508802A (ja) 2020-03-26
WO2018165162A1 (en) 2018-09-13
US20200282186A1 (en) 2020-09-10

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