JP7337846B2 - 組織を穿刺するための装置及び方法 - Google Patents

組織を穿刺するための装置及び方法 Download PDF

Info

Publication number
JP7337846B2
JP7337846B2 JP2020562113A JP2020562113A JP7337846B2 JP 7337846 B2 JP7337846 B2 JP 7337846B2 JP 2020562113 A JP2020562113 A JP 2020562113A JP 2020562113 A JP2020562113 A JP 2020562113A JP 7337846 B2 JP7337846 B2 JP 7337846B2
Authority
JP
Japan
Prior art keywords
elongated
introducer
lancing device
tip
mandrel
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2020562113A
Other languages
English (en)
Japanese (ja)
Other versions
JP2021522905A (ja
JP2021522905A5 (enExample
Inventor
アーバンスキー，ジョン・ポール
ブロック ミラー，
マシュー グラベット，
アバウ‐マリー，ランド
マリア ルク，
アーマド カマル，
Original Assignee
ボストン サイエンティフィック メディカル デバイス リミテッド
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by ボストン サイエンティフィック メディカル デバイス リミテッド filed Critical ボストン サイエンティフィック メディカル デバイス リミテッド
Publication of JP2021522905A publication Critical patent/JP2021522905A/ja
Publication of JP2021522905A5 publication Critical patent/JP2021522905A5/ja
Priority to JP2023135327A priority Critical patent/JP7639079B2/ja
Application granted granted Critical
Publication of JP7337846B2 publication Critical patent/JP7337846B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61B18/1487—Trocar-like, i.e. devices producing an enlarged transcutaneous opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • 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
    • 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
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • 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
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • 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
    • 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
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1435—Spiral
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/3941—Photoluminescent markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3995—Multi-modality markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Robotics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
JP2020562113A 2018-05-08 2019-05-07 組織を穿刺するための装置及び方法 Active JP7337846B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2023135327A JP7639079B2 (ja) 2018-05-08 2023-08-23 組織を穿刺するための装置及び方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862668396P 2018-05-08 2018-05-08
US62/668,396 2018-05-08
PCT/IB2019/053751 WO2019215621A1 (en) 2018-05-08 2019-05-07 Apparatus and methods for puncturing tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2023135327A Division JP7639079B2 (ja) 2018-05-08 2023-08-23 組織を穿刺するための装置及び方法

Publications (3)

Publication Number Publication Date
JP2021522905A JP2021522905A (ja) 2021-09-02
JP2021522905A5 JP2021522905A5 (enExample) 2022-05-06
JP7337846B2 true JP7337846B2 (ja) 2023-09-04

Family

ID=68467981

Family Applications (5)

Application Number Title Priority Date Filing Date
JP2020562113A Active JP7337846B2 (ja) 2018-05-08 2019-05-07 組織を穿刺するための装置及び方法
JP2020562143A Active JP7203343B2 (ja) 2018-05-08 2019-05-07 組織を穿刺するための方法及びデバイス
JP2022200286A Active JP7682842B2 (ja) 2018-05-08 2022-12-15 組織を穿刺するための方法及びデバイス
JP2023135327A Active JP7639079B2 (ja) 2018-05-08 2023-08-23 組織を穿刺するための装置及び方法
JP2025080929A Pending JP2025113282A (ja) 2018-05-08 2025-05-14 組織を穿刺するための方法及びデバイス

Family Applications After (4)

Application Number Title Priority Date Filing Date
JP2020562143A Active JP7203343B2 (ja) 2018-05-08 2019-05-07 組織を穿刺するための方法及びデバイス
JP2022200286A Active JP7682842B2 (ja) 2018-05-08 2022-12-15 組織を穿刺するための方法及びデバイス
JP2023135327A Active JP7639079B2 (ja) 2018-05-08 2023-08-23 組織を穿刺するための装置及び方法
JP2025080929A Pending JP2025113282A (ja) 2018-05-08 2025-05-14 組織を穿刺するための方法及びデバイス

Country Status (9)

Country Link
US (3) US11497549B2 (enExample)
EP (4) EP3790488B1 (enExample)
JP (5) JP7337846B2 (enExample)
KR (2) KR20220093014A (enExample)
CN (2) CN112087977B (enExample)
AU (1) AU2019265782B2 (enExample)
BR (1) BR112020022839A2 (enExample)
CA (1) CA3099451A1 (enExample)
WO (2) WO2019215621A1 (enExample)

Families Citing this family (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9668881B1 (en) 2013-03-15 2017-06-06 Surgentec, Llc Bone graft delivery system and method for using same
US12551237B2 (en) 2017-11-01 2026-02-17 University Of Maryland, Baltimore Apparatus and method for septal punch
US12263314B2 (en) * 2019-03-20 2025-04-01 Canon U.S.A., Inc. Imaging catheter with radiopaque markers
USD963855S1 (en) * 2019-09-04 2022-09-13 Boston Scientific Medical Device Limited Electrosurgical device with a curve
USD950727S1 (en) * 2019-09-04 2022-05-03 Baylis Medical Company Inc. Medical device with a curve with a proximal curve indicator
US20210220620A1 (en) * 2020-01-22 2021-07-22 Baylis Medical Company Inc. Medical guidewire assembly having identification device
US20230172658A1 (en) * 2020-04-09 2023-06-08 Boston Scientific Medical Device Limited Catheter and perforation system including catheter
JP2023523707A (ja) 2020-04-22 2023-06-07 ボストン サイエンティフィック メディカル デバイス リミテッド シースアセンブリ及び／又はダイレータアセンブリ
EP4149379A4 (en) * 2020-05-11 2024-06-19 Boston Scientific Medical Device Limited ELECTROSURGICAL DEVICE WITH AUTOMATIC SHUT-OFF
US20210353356A1 (en) * 2020-05-14 2021-11-18 Singlepass Transsepat, Inc. Tubular large bore transseptal crossing sheath
AU2021291158B2 (en) * 2020-06-17 2023-11-30 Boston Scientific Medical Device Limited Electroanatomical mapping system
US12599338B2 (en) 2020-06-19 2026-04-14 Boston Scientific Medical Device Limited Deflectable elongated guidewire assembly
JP7571275B2 (ja) * 2020-07-08 2024-10-22 ボストン サイエンティフィック メディカル デバイス リミテッド 医療装置のシステム及び心膜穿刺の方法
US12321072B2 (en) 2020-07-09 2025-06-03 Lg Chem, Ltd. Optical device
WO2022013791A1 (en) * 2020-07-17 2022-01-20 Baylis Medical Company Inc. System and method for pericardial puncture
WO2022034441A1 (en) * 2020-08-12 2022-02-17 Baylis Medical Company Inc. System of medical devices and method for pericardial puncture
WO2022046777A1 (en) 2020-08-25 2022-03-03 Cross Vascular, Inc. Transseptal crossing system
EP4208115A4 (en) * 2020-09-04 2024-10-02 Boston Scientific Medical Device Limited Guidewire having guidewire markers
JP7633388B2 (ja) * 2020-09-10 2025-02-19 ボストン サイエンティフィック メディカル デバイス リミテッド スタイレット、スタイレットを含むシステム、及びスタイレットを使用して医療処置を実行するための方法
CA3196411A1 (en) * 2020-09-22 2022-03-31 Boston Scientific Medical Device Limited Medical puncture device
CN116744849A (zh) * 2021-01-12 2023-09-12 波士顿科学医疗设备有限公司 微导管
CN116916994B (zh) * 2021-02-22 2026-04-17 株式会社钟化 穿刺设备
US20220370121A1 (en) * 2021-05-20 2022-11-24 Biosense Webster (Israel) Ltd. Tissue puncture using high articulation microcatheter and electrically active guidewire
WO2023023568A1 (en) * 2021-08-19 2023-02-23 Percassist, Inc. Pericardial access and anchor systems
IL314065A (en) * 2022-01-06 2024-09-01 Us Health Systems and methods for cutting tissues
CN119031954A (zh) * 2022-03-17 2024-11-26 波士顿科学医疗设备有限公司 增强型扩张器
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US20230380890A1 (en) * 2022-05-26 2023-11-30 Biosense Webster (Israel) Ltd. Transseptal tissue puncture apparatuses, systems, and methods
US20240032985A1 (en) * 2022-07-28 2024-02-01 Boston Scientific Medical Device Limited Method for determining puncture entry location using electroanatomic mapping
US20240090919A1 (en) * 2022-09-15 2024-03-21 Boston Scientific Medical Device Limited Apparatus and method for tissue puncture during pericardiocentesis
US20240099768A1 (en) * 2022-09-22 2024-03-28 Biosense Webster (Israel) Ltd. Two-segment deflectin catheter with side exit guidwire lumen
US12490963B2 (en) 2022-12-27 2025-12-09 Transmural Systems Llc Tissue cutting systems and methods
WO2024145059A1 (en) 2022-12-27 2024-07-04 Transmural Systems Llc Tissue cutting systems and methods
JP2026501602A (ja) 2022-12-27 2026-01-16 トランスミューラル システムズ エルエルシー カテーテル及びアクチュエータシステム及び方法
CN120676915A (zh) 2022-12-28 2025-09-19 阿特拉弗斯医疗股份有限公司 用于给组织结构穿孔的方法、系统和装置
CN121368459A (zh) * 2023-06-01 2026-01-20 爱德华兹生命科学公司 心包空间通路
WO2024253965A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Layered core insulated guidewire
CN121463915A (zh) * 2023-07-07 2026-02-03 波士顿科学医学有限公司 具有内部电极的电解剖标测设备
US20250041021A1 (en) * 2023-08-04 2025-02-06 Boston Scientific Medical Device Limited Positional markers for catheter wires
AU2024338448A1 (en) * 2023-09-05 2026-03-19 Protaryx Medical Inc. Apparatus and method for septal penetration
CN119214754B (zh) * 2024-09-29 2025-09-26 苏州康多机器人有限公司 一种智能穿刺装置及手术机器人

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060206131A1 (en) 2005-03-11 2006-09-14 Baylis Medical Company Inc. Method for introducing materials into a body
JP2016509945A (ja) 2013-03-14 2016-04-04 ベイリス メディカル カンパニー インコーポレイテッドＢａｙｌｉｓ Ｍｅｄｉｃａｌ Ｃｏｍｐａｎｙ Ｉｎｃ． ルーメンを有する電気外科手術デバイス
JP2017225829A (ja) 2011-12-29 2017-12-28 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 身体組織に対するアブレーション・カテーテルの結合の最適化ならびにカテーテルによって形成される破壊部の評価のためのシステム

Family Cites Families (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5368581A (en) 1976-12-01 1978-06-19 Hitachi Ltd Semiconductor device
US5688269A (en) * 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5312401A (en) * 1991-07-10 1994-05-17 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US6030371A (en) * 1996-08-23 2000-02-29 Pursley; Matt D. Catheters and method for nonextrusion manufacturing of catheters
US20010051790A1 (en) * 1998-12-16 2001-12-13 Parker Fred T. Finishing technique for a guiding catheter
US6270476B1 (en) 1999-04-23 2001-08-07 Cryocath Technologies, Inc. Catheter
US6478793B1 (en) * 1999-06-11 2002-11-12 Sherwood Services Ag Ablation treatment of bone metastases
US6306132B1 (en) * 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
NO20010184A (no) * 2001-01-11 2002-04-22 Medinnova As Anordning for lokalisering av fossa ovalis
JP2004057815A (ja) * 2002-06-07 2004-02-26 Olympus Corp 内視鏡用処置具装置
JP4511935B2 (ja) * 2002-08-24 2010-07-28 サブラマニアム シー． クリシュナン 経中隔穿刺装置
US10493259B2 (en) * 2003-01-21 2019-12-03 Baylis Medical Company Inc. Medical apparatus for fluid communication
US7270662B2 (en) * 2004-01-21 2007-09-18 Naheed Visram Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device
US20040143262A1 (en) * 2003-01-21 2004-07-22 Baylis Medical Company Inc. Surgical perforation device and method with pressure monitoring and staining abilities
US8721634B2 (en) * 2005-07-21 2014-05-13 Covidien Lp Apparatus and method for ensuring thermal treatment of a hollow anatomical structure
US8308720B2 (en) * 2007-01-02 2012-11-13 Baylis Medical Company Inc. Cardiac electrosurgery
US9179932B2 (en) * 2007-01-02 2015-11-10 Baylis Medical Company Inc. Cardiac electrosurgery
US8155756B2 (en) * 2007-02-16 2012-04-10 Pacesetter, Inc. Motion-based optimization for placement of cardiac stimulation electrodes
US8900214B2 (en) 2007-03-30 2014-12-02 Onset Medical Corporation Expandable trans-septal sheath
US8500697B2 (en) * 2007-10-19 2013-08-06 Pressure Products Medical Supplies, Inc. Transseptal guidewire
EP2268214A1 (en) 2008-03-11 2011-01-05 UMC Utrecht Holding B.V. Device and method for transseptal puncturing
JP5689412B2 (ja) * 2008-05-16 2015-03-25 エシコン・エルエルシーEthicon, LLC コード化された異種機能性縫合糸及び方法
BRPI1014683B1 (pt) 2009-03-03 2020-01-07 Mani, Inc. Stent
US9980818B2 (en) * 2009-03-31 2018-05-29 Edwards Lifesciences Corporation Prosthetic heart valve system with positioning markers
US9072872B2 (en) 2010-10-29 2015-07-07 Medtronic, Inc. Telescoping catheter delivery system for left heart endocardial device placement
CA2824058A1 (en) * 2011-01-10 2012-07-19 Spotlight Technology Partners Llc Apparatus and methods for accessing and treating a body cavity, lumen, or ostium
CN202300672U (zh) 2011-10-26 2012-07-04 德尔福（上海）动力推进系统有限公司 集成进气压力传感器的电喷控制装置
US9821145B2 (en) * 2012-03-23 2017-11-21 Pressure Products Medical Supplies Inc. Transseptal puncture apparatus and method for using the same
US8961550B2 (en) * 2012-04-17 2015-02-24 Indian Wells Medical, Inc. Steerable endoluminal punch
WO2014025394A1 (en) * 2012-08-09 2014-02-13 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
US10321953B2 (en) * 2012-10-25 2019-06-18 Medtronic Holding Company Sàrl Surgical mapping tools and methods
US20140180072A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation System and Method for Precisely Locating an Intravascular Device
CN103908729B (zh) * 2012-12-28 2016-12-28 米特拉利根公司 能量辅助组织穿刺装置及其使用方法
US9693820B2 (en) 2013-03-15 2017-07-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System for detecting catheter electrodes entering into and exiting from an introducer
CA3220441A1 (en) * 2013-03-15 2015-09-17 Boston Scientific Medical Device Limited Electrosurgical device having a distal aperture
EP2967746B1 (en) * 2013-03-15 2019-05-08 Baylis Medical Company Inc. Electrosurgical device having a distal aperture
US9775643B2 (en) 2013-05-08 2017-10-03 Clph, Llc Catheters and dilators for trans-septal procedures and methods for making and using them
TWI527811B (zh) * 2013-05-09 2016-04-01 吉李德科學股份有限公司 作爲溴結構域抑制劑的苯並咪唑衍生物
WO2015019132A1 (en) 2013-08-07 2015-02-12 Baylis Medical Company Inc. Methods and devices for puncturing tissue
WO2015061734A1 (en) 2013-10-25 2015-04-30 Creganna-Tactx Medical Improved transseptal crossing needle device
EP2881058B1 (en) * 2013-12-09 2018-02-14 Chenes LLC Cooled RF electrode
US10864041B2 (en) * 2014-01-29 2020-12-15 Baylis Medical Company Inc. Side-port catheter
BR112016022204B1 (pt) * 2014-03-24 2022-05-24 Baylis Medical Company Inc Aparelho médico para comunicação por fluido
CN107072636A (zh) * 2014-08-21 2017-08-18 皇家飞利浦有限公司 用于穿通闭塞的装置和方法
US11027104B2 (en) * 2014-09-04 2021-06-08 Silk Road Medical, Inc. Methods and devices for transcarotid access
US9993266B2 (en) * 2014-09-13 2018-06-12 Indian Wells Medical, Inc. Steerable endoluminal punch
WO2016160348A1 (en) * 2015-03-31 2016-10-06 SPIRATION, INC., d/b/a OLYMPUS RESPIRATORY AMERICA Catheter access device
EP3346898B1 (en) * 2015-09-09 2021-04-28 Baylis Medical Company Inc. Needle for epicardial access comprising an insulation, an exposed tip and a side port
JP2017067469A (ja) 2015-09-28 2017-04-06 ソニー株式会社 情報処理装置、情報処理方法およびコンピュータプログラム
CA3012709C (en) * 2016-03-18 2022-07-12 Teleflex Innovations S.A.R.L. Pacing guidewire
CN106725643A (zh) * 2016-06-22 2017-05-31 苏州茵络医疗器械有限公司 用于血管腔内手术的破膜器
US12207836B2 (en) 2016-11-01 2025-01-28 Boston Scientific Medical Device Limited Methods and devices for puncturing tissue

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060206131A1 (en) 2005-03-11 2006-09-14 Baylis Medical Company Inc. Method for introducing materials into a body
JP2017225829A (ja) 2011-12-29 2017-12-28 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 身体組織に対するアブレーション・カテーテルの結合の最適化ならびにカテーテルによって形成される破壊部の評価のためのシステム
JP2016509945A (ja) 2013-03-14 2016-04-04 ベイリス メディカル カンパニー インコーポレイテッドＢａｙｌｉｓ Ｍｅｄｉｃａｌ Ｃｏｍｐａｎｙ Ｉｎｃ． ルーメンを有する電気外科手術デバイス

Also Published As

Publication number Publication date
EP3790488A4 (en) 2022-05-04
US11497549B2 (en) 2022-11-15
WO2019215618A1 (en) 2019-11-14
JP2021522905A (ja) 2021-09-02
JP2025113282A (ja) 2025-08-01
JP2021523772A (ja) 2021-09-09
BR112020022839A2 (pt) 2021-04-20
AU2019265782A1 (en) 2020-11-26
KR20220093014A (ko) 2022-07-04
EP4555954A3 (en) 2025-07-23
CN114145817A (zh) 2022-03-08
AU2019265782B2 (en) 2024-12-12
EP3790487A1 (en) 2021-03-17
US20210068892A1 (en) 2021-03-11
EP3790487A4 (en) 2022-06-08
JP7203343B2 (ja) 2023-01-13
EP3790488B1 (en) 2025-06-25
KR20200142095A (ko) 2020-12-21
CA3099451A1 (en) 2019-11-14
US20230040020A1 (en) 2023-02-09
US20210228268A1 (en) 2021-07-29
CN112087977A (zh) 2020-12-15
JP7682842B2 (ja) 2025-05-26
EP4252689A3 (en) 2024-02-28
EP3790487B1 (en) 2023-08-23
EP4252689A2 (en) 2023-10-04
KR102463750B1 (ko) 2022-11-04
JP2023153314A (ja) 2023-10-17
JP2023021358A (ja) 2023-02-10
EP4555954A2 (en) 2025-05-21
JP7639079B2 (ja) 2025-03-04
EP3790488A1 (en) 2021-03-17
CN112087977B (zh) 2021-10-26
WO2019215621A1 (en) 2019-11-14

Similar Documents

Publication Publication Date Title
JP7639079B2 (ja) 組織を穿刺するための装置及び方法
US20240032991A1 (en) Apparatus and methods for puncturing tissue
JP7432663B2 (ja) 心外膜アクセスシステムおよび方法
US11298184B2 (en) Electrosurgical pericardial puncture
US12213727B2 (en) Method for single pass large bore transseptal crossing
US9179932B2 (en) Cardiac electrosurgery
WO2013101632A1 (en) Devices, systems, and methods for tissue crossings
US20200352647A1 (en) Electrosurgical Pericardial Puncture
US20260108295A1 (en) Apparatus and methods for tissue ablation
EP3991774B1 (en) Catheter introducer
US20240407705A1 (en) Shaped dilator for transseptal puncture and electroanatomical mapping
US20240350170A1 (en) Coiled wire electrode
US20250195137A1 (en) Open-tipped radiofrequency perforation device
US20240350193A1 (en) Electrosurgical pericardial puncture
WO2026097033A1 (en) Systems and methods for an ablation catheter for intramyocardial ablation
EP4340759A1 (en) Tumor ablation tools and techniques
CN122055116A (zh) 能够承受rf能量的柔性不透射线导管末端

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20220421

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20220421

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20230104

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20230322

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20230411

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230705

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20230725

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20230823

R150 Certificate of patent or registration of utility model

Ref document number: 7337846

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150