JP7270606B2 - 医療デバイス - Google Patents
医療デバイス Download PDFInfo
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- JP7270606B2 JP7270606B2 JP2020510858A JP2020510858A JP7270606B2 JP 7270606 B2 JP7270606 B2 JP 7270606B2 JP 2020510858 A JP2020510858 A JP 2020510858A JP 2020510858 A JP2020510858 A JP 2020510858A JP 7270606 B2 JP7270606 B2 JP 7270606B2
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
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- 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
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- 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
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/06—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating caused by chemical reaction, e.g. moxaburners
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
-
- 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
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
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- 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
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
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- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
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- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00357—Endocardium
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- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
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- 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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
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- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/1253—Generators therefor characterised by the output polarity monopolar
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Physics & Mathematics (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Electromagnetism (AREA)
- Cardiology (AREA)
- Optics & Photonics (AREA)
- Surgical Instruments (AREA)
Description
11 ガイドワイヤ
15 医療デバイス
20 シャフト部
21 拡張体
22 維持処置要素
23 操作部
30 収納シース
31 アウターシャフト
33 牽引シャフト
35 先端部材
36 先端側シース
40 筐体
41 操作ダイヤル
42 変換機構
50 線材部
51 把持部
52 基端側把持部
53 先端側把持部
54 凸部
55 腕部
57 開口部
Claims (2)
- 長尺なシャフト部と、
前記シャフト部の先端部に設けられ径方向に拡縮可能な拡張体と、を有し、
前記拡張体は、前記シャフト部に連結された複数の線材部と、少なくとも1つの前記線材部によって形成され生体組織を把持する把持部とを有し、
前記把持部の基端側または先端側の少なくとも一方に、前記線材部に形成された、または前記複数の線材部によって形成された開口部を有し、
前記拡張体の拡張時に、前記把持部を形成する線材部が前記開口部に対向し、
前記把持部は、前記拡張体の径方向に谷形状であり、
前記開口部は、前記線材部が有する孔部により形成される、または、前記線材部が有する凹んだ形状により形成される医療デバイス。 - 前記把持部には維持処置要素が配置される請求項1に記載の医療デバイス。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2023071488A JP2023083559A (ja) | 2018-03-29 | 2023-04-25 | 医療デバイス |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2018064008 | 2018-03-29 | ||
JP2018064008 | 2018-03-29 | ||
PCT/JP2019/012690 WO2019189079A1 (ja) | 2018-03-29 | 2019-03-26 | 医療デバイス |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2023071488A Division JP2023083559A (ja) | 2018-03-29 | 2023-04-25 | 医療デバイス |
Publications (2)
Publication Number | Publication Date |
---|---|
JPWO2019189079A1 JPWO2019189079A1 (ja) | 2021-04-01 |
JP7270606B2 true JP7270606B2 (ja) | 2023-05-10 |
Family
ID=68058978
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020510858A Active JP7270606B2 (ja) | 2018-03-29 | 2019-03-26 | 医療デバイス |
JP2023071488A Pending JP2023083559A (ja) | 2018-03-29 | 2023-04-25 | 医療デバイス |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2023071488A Pending JP2023083559A (ja) | 2018-03-29 | 2023-04-25 | 医療デバイス |
Country Status (4)
Country | Link |
---|---|
US (1) | US20210007791A1 (ja) |
EP (1) | EP3777741B1 (ja) |
JP (2) | JP7270606B2 (ja) |
WO (1) | WO2019189079A1 (ja) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114390915A (zh) * | 2019-09-30 | 2022-04-22 | 泰尔茂株式会社 | 医疗设备 |
WO2021193761A1 (ja) * | 2020-03-27 | 2021-09-30 | テルモ株式会社 | 医療デバイスおよび拡張体の製造方法 |
WO2021193760A1 (ja) * | 2020-03-27 | 2021-09-30 | テルモ株式会社 | 医療デバイス |
JP2023056553A (ja) * | 2020-03-27 | 2023-04-20 | テルモ株式会社 | 医療デバイス |
US11622695B1 (en) | 2020-04-23 | 2023-04-11 | Shifamed Holdings, Llc | Intracardiac sensors with switchable configurations and associated systems and methods |
JP2023540220A (ja) | 2020-08-25 | 2023-09-22 | シファメド・ホールディングス・エルエルシー | 調整式心房間分流器と関連のシステム及び方法 |
WO2022045180A1 (ja) * | 2020-08-26 | 2022-03-03 | テルモ株式会社 | 医療デバイス |
EP4212116A4 (en) * | 2020-09-29 | 2024-02-14 | TERUMO Kabushiki Kaisha | MEDICAL DEVICE AND METHOD FOR CONTROLLING SAME |
JP2023175056A (ja) * | 2020-09-29 | 2023-12-12 | テルモ株式会社 | 医療デバイスおよびシャント形成方法 |
WO2022071170A1 (ja) * | 2020-09-30 | 2022-04-07 | テルモ株式会社 | 医療デバイスおよびシャント形成方法 |
EP4243915A1 (en) | 2020-11-12 | 2023-09-20 | Shifamed Holdings, LLC | Adjustable implantable devices and associated methods |
JPWO2022191075A1 (ja) * | 2021-03-08 | 2022-09-15 | ||
WO2023281888A1 (ja) * | 2021-07-09 | 2023-01-12 | テルモ株式会社 | 医療デバイス |
WO2023282335A1 (ja) * | 2021-07-09 | 2023-01-12 | テルモ株式会社 | 医療デバイスおよびシャント形成方法 |
JPWO2023281878A1 (ja) * | 2021-07-09 | 2023-01-12 |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2009512521A (ja) | 2005-10-24 | 2009-03-26 | エヌエムティー メディカル, インコーポレイティッド | 放射線不透過性生体吸収性オクルダ |
JP2012050538A (ja) | 2010-08-31 | 2012-03-15 | Terumo Corp | アブレーションデバイス |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5853422A (en) * | 1996-03-22 | 1998-12-29 | Scimed Life Systems, Inc. | Apparatus and method for closing a septal defect |
US5957920A (en) * | 1997-08-28 | 1999-09-28 | Isothermix, Inc. | Medical instruments and techniques for treatment of urinary incontinence |
US8906010B2 (en) * | 1998-02-19 | 2014-12-09 | Mederi Therapeutics, Inc. | Graphical user interface for association with an electrode structure deployed in contact with a tissue region |
US6699256B1 (en) * | 1999-06-04 | 2004-03-02 | St. Jude Medical Atg, Inc. | Medical grafting apparatus and methods |
US8343029B2 (en) * | 2007-10-24 | 2013-01-01 | Circulite, Inc. | Transseptal cannula, tip, delivery system, and method |
CA2827025C (en) | 2011-02-10 | 2020-09-01 | Dc Devices, Inc. | Apparatus and methods to create and maintain an intra-atrial pressure relief opening |
US20150011991A1 (en) * | 2013-07-03 | 2015-01-08 | St. Jude Medical, Cardiology Division, Inc. | Electrode Assembly For Catheter System |
EP3171786B1 (en) * | 2014-07-23 | 2020-05-13 | Corvia Medical, Inc. | Devices for treating heart failure |
JP2018064008A (ja) | 2016-10-12 | 2018-04-19 | ソニーセミコンダクタソリューションズ株式会社 | 半導体装置および半導体装置の製造方法、並びにpid保護装置 |
EP3649962A4 (en) * | 2017-07-04 | 2021-03-24 | Terumo Kabushiki Kaisha | MEDICAL DEVICE AND TREATMENT PROCESS |
-
2019
- 2019-03-26 WO PCT/JP2019/012690 patent/WO2019189079A1/ja unknown
- 2019-03-26 JP JP2020510858A patent/JP7270606B2/ja active Active
- 2019-03-26 EP EP19776229.7A patent/EP3777741B1/en active Active
-
2020
- 2020-09-28 US US17/034,078 patent/US20210007791A1/en active Pending
-
2023
- 2023-04-25 JP JP2023071488A patent/JP2023083559A/ja active Pending
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2009512521A (ja) | 2005-10-24 | 2009-03-26 | エヌエムティー メディカル, インコーポレイティッド | 放射線不透過性生体吸収性オクルダ |
JP2012050538A (ja) | 2010-08-31 | 2012-03-15 | Terumo Corp | アブレーションデバイス |
Also Published As
Publication number | Publication date |
---|---|
EP3777741B1 (en) | 2024-02-28 |
WO2019189079A1 (ja) | 2019-10-03 |
EP3777741A1 (en) | 2021-02-17 |
JP2023083559A (ja) | 2023-06-15 |
US20210007791A1 (en) | 2021-01-14 |
JPWO2019189079A1 (ja) | 2021-04-01 |
EP3777741A4 (en) | 2021-06-02 |
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