JP7340531B2 - 膣鏡 - Google Patents
膣鏡 Download PDFInfo
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- JP7340531B2 JP7340531B2 JP2020544143A JP2020544143A JP7340531B2 JP 7340531 B2 JP7340531 B2 JP 7340531B2 JP 2020544143 A JP2020544143 A JP 2020544143A JP 2020544143 A JP2020544143 A JP 2020544143A JP 7340531 B2 JP7340531 B2 JP 7340531B2
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- 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
- A61B1/303—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 for the vagina, i.e. vaginoscopes
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- 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
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- 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
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- 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
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
-
- 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
- A61B1/00103—Constructional details of the endoscope body designed for single use
-
- 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
- A61B1/0011—Manufacturing of endoscope parts
-
- 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
- A61B1/00142—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 with means for preventing contamination, e.g. by using a sanitary sheath
- A61B1/00144—Hygienic packaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Reproductive Health (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Manufacturing & Machinery (AREA)
- Surgical Instruments (AREA)
- Rolls And Other Rotary Bodies (AREA)
- Devices That Are Associated With Refrigeration Equipment (AREA)
- Electrically Driven Valve-Operating Means (AREA)
- Absorbent Articles And Supports Therefor (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Instructional Devices (AREA)
- Endoscopes (AREA)
Description
対象の膣内への挿入のために遠位端で接続された少なくとも2つの長軸方向の分離要素を備えた膣用組立て体を備えた膣鏡が提供され、
膣鏡は、対象の膣壁を離して保持するように構成され、それにより、膣組織の少なくとも後方部分の検査および/または縫合を可能とされており、
前記膣用組立て体が、前膣壁を支持するように構成された前膣壁要素をさらに備え、
前記前膣壁要素が、挿入及び除去時にユーザにより把持されるよう構成された凹部を備える。
膣鏡から対象の膣内へと長軸方向の膣用組立て体を挿入するステップと、
係止要素を膣用組立て体と係合して、それにより膣用組立て体が横方向の分離力を創生して、対象の膣壁を分離して保持し、その間、該対象の検査および/または縫合のために膣壁の少なくとも後方部分の遮るもののない視野を提供するステップとを含む。
長軸方向の膣用組立て体を膣鏡から対象の膣内へと挿入することにより、膣用組立て体は横方向の分離力を創生して、対象の膣壁を分離して離して保持する間、該対象の検査および/または縫合のために膣壁の少なくとも後方部分の遮るもののない視野を提供する。
先に説明したような膣鏡を対象の膣内へ、先に説明したような方法を用いて挿入するステップと、
対象の膣組織における裂け目を縫合するステップと、を含む、方法が提供される。
前膣壁:膣の前壁であって、その後ろには対象の膀胱および尿道がある。
図1は、本発明による膣鏡の膣用組立て体の一実施形態を示す。この実施形態では、検鏡は、2つの部分、すなわち、膣用組立て体1と係止要素(この図では非表示)とからなる。膣用組立て体1は、2つの長軸方向の分離要素2、3を備え、それぞれは、係止要素を膣用組立て体と係合するための係合部6、7を有する近位基部要素4、5を有する。長軸方向の分離要素2、3は、遠位先端9で接続される。この実施形態では、膣用組立て体は、前膣壁を支持するための前膣壁要素8をさらに含む。
Claims (30)
- 膣鏡であって、
対象の膣内への挿入のために遠位端で接続された少なくとも2つの長軸方向の分離要素を備えた膣用組立て体を備えており、
前記膣鏡が、前記対象の膣壁を離して保持するように構成され、それにより、膣組織の少なくとも後方部分の検査および/または縫合を可能とされており、
前記膣用組立て体が、前膣壁を支持するように構成された前膣壁要素をさらに備え、
前記前膣壁要素が、挿入及び除去時にユーザにより把持されるよう構成された凹部を備える、膣鏡。 - 前記前膣壁要素が、前記膣用組立て体の遠位端で接続され、前記遠位端から近位方向に延在する請求項1に記載の膣鏡。
- 前記前膣壁要素が、舌の形状である請求項1又は請求項2に記載の膣鏡。
- 前記前膣壁要素が、平坦化して丸みを帯びた形状である請求項3に記載の膣鏡。
- 前記前膣壁要素が、前記前膣壁を支持するように構成されるように弾性材料から作製される、請求項1~4のいずれか1項に記載の膣鏡。
- 前記膣鏡が、前記膣の側壁を少なくとも部分的に露出するように構成されている、請求項1~5のいずれか1項に記載の膣鏡。
- 前記膣用組立て体が前記膣内へと挿入された後に、前記膣外の皮膚の上に載るように構成された近位基部要素をさらに備える請求項1~6のいずれか1項に記載の膣鏡。
- 前記近位基部要素が、前記膣用組立て体が前記膣内に挿入された後、前記膣外の前記皮膚上に載ることができるように、前記分離要素から外向きに平坦化し湾曲している請求項7に記載の膣鏡。
- 前記近位基部要素が、前記膣用組立て体が前記膣内に挿入された後、前記膣外の前記皮膚の上に載ることができるように平坦化し、横方向に延在している、請求項7に記載の膣鏡。
- 前記近位基部要素が、前記分離要素の近位端に配置される請求項7~9のいずれか1項に記載の膣鏡。
- 前記近位基部要素が、大陰唇および小陰唇に対して載り、分離し、離れて保持するように構成される、請求項7~10のいずれか1項に記載の膣鏡。
- 前記膣鏡の表面の少なくとも一部に取り付け可能または恒久的に取り付けられた軟質の詰め物材料をさらに備える請求項1~11のいずれか1項に記載の膣鏡。
- 前記詰め物材料が、前記膣用組立て体が前記膣内へと挿入された後に、前記膣外の皮膚の上に載るように構成された近位基部要素に配置されている請求項12に記載の膣鏡。
- 前記詰め物材料が、前記分離要素に配置されている、請求項12に記載の膣鏡。
- 前記膣鏡の表面の少なくとも一部に取り付け可能なまたは恒久的に取り付けられた吸収性材料をさらに備える請求項1~14のいずれか1項に記載の膣鏡。
- 前記吸収性材料が、前記分離要素の内側に取り付けられているか、または取り付け可能である、請求項15に記載の膣鏡。
- 前記膣用組立て体が、前記膣内への挿入後に前記前膣壁を支持するように構成される請求項1~16のいずれか1項に記載の膣鏡。
- 前記膣用組立て体は、前記前膣壁要素が、膀胱によって前記対象の前記前膣壁に対してかかる圧力を支持するように構成される、請求項17に記載の膣鏡。
- 前記膣鏡が少なくとも部分的に弾性材料から製造される請求項1~18のいずれか1項に記載の膣鏡。
- 前記膣鏡が、全体的に弾性材料から製造される請求項1~19のいずれか1項に記載の膣鏡。
- 前記膣鏡が、金属、もしくはナイロン、またはポリエチレン(PE)、ポリプロピレン(PP)、ポリスチレン(PS)およびポリ塩化ビニル(PVC)などのプラスチック材料から製造される、請求項1~19のいずれか1項に記載の膣鏡。
- 前記膣用組立て体の表面の少なくとも一部が、前記膣用組立て体の材料とは異なる材料によってコーティングされる請求項1~21のいずれか1項に記載の膣鏡。
- 前記膣用組立て体の表面の少なくとも一部が、流体またはゲルでコーティングされる、請求項1~22のいずれか1項に記載の膣鏡。
- 前記膣用組立て体または膣鏡全体が使い捨て可能である請求項1~23のいずれか1項に記載の膣鏡。
- 前記膣用組立て体が、膣内への挿入のために横方向に圧縮されることができるように弾性を有するように構成された、請求項1~24のいずれか1項に記載の膣鏡。
- 1つ以上の照明、1つ以上のカメラ、および1つ以上の吸引管から選択される追加の装備の取り付けのために構成される請求項1~25のいずれか1項に記載の膣鏡。
- 軟質の詰め物および流体吸収性の詰め物から選択される1つ以上の恒久的なまたは取り外し可能なパッドをさらに備える、請求項1~26のいずれか1項に記載の膣鏡。
- 検鏡が様々な解剖学的構造に適切に適合するような所定のサイズで提供される、請求項1~27のいずれか1項に記載のいくつかの前記膣鏡を備えた膣鏡のセット。
- 単回使用のための無菌の事前包装された部品キットの形態で請求項1~27のいずれか1項に記載の膣鏡を備える、部品キット。
- 請求項1~27のいずれか1項に記載の膣鏡を、射出成形または付加製造を介して製造する方法。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP17200995.3 | 2017-11-10 | ||
EP17200995 | 2017-11-10 | ||
EP18176417 | 2018-06-07 | ||
EP18176417.6 | 2018-06-07 | ||
PCT/EP2018/080842 WO2019092222A1 (en) | 2017-11-10 | 2018-11-09 | Vaginal speculum |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2021502206A JP2021502206A (ja) | 2021-01-28 |
JPWO2019092222A5 JPWO2019092222A5 (ja) | 2022-09-21 |
JP7340531B2 true JP7340531B2 (ja) | 2023-09-07 |
Family
ID=64172520
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2020544143A Active JP7340531B2 (ja) | 2017-11-10 | 2018-11-09 | 膣鏡 |
Country Status (12)
Country | Link |
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US (2) | US10694935B2 (ja) |
EP (2) | EP4223210A1 (ja) |
JP (1) | JP7340531B2 (ja) |
KR (1) | KR102552209B1 (ja) |
CN (1) | CN111386065B (ja) |
AU (1) | AU2018365331B2 (ja) |
CA (1) | CA3081641C (ja) |
DK (1) | DK3706615T3 (ja) |
ES (1) | ES2952277T3 (ja) |
FI (1) | FI3706615T3 (ja) |
MX (1) | MX2020004818A (ja) |
WO (1) | WO2019092222A1 (ja) |
Families Citing this family (16)
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US9913577B2 (en) | 2010-09-28 | 2018-03-13 | Obp Medical Corporation | Speculum |
US10420538B2 (en) | 2015-02-05 | 2019-09-24 | Obp Medical Corporation | Illuminated surgical retractor |
US9867602B2 (en) | 2015-02-05 | 2018-01-16 | Obp Medical Corporation | Illuminated surgical retractor |
US10881387B2 (en) | 2015-06-03 | 2021-01-05 | Obp Medical Corporation | Retractor |
US10939899B2 (en) | 2015-06-03 | 2021-03-09 | Obp Medical Corporation | End cap assembly for retractor and other medical devices |
US10952712B2 (en) | 2015-06-03 | 2021-03-23 | Obp Medical Corporation | Retractor |
US10722621B2 (en) | 2016-07-11 | 2020-07-28 | Obp Medical Corporation | Illuminated suction device |
EP3654859A4 (en) | 2017-07-18 | 2020-12-02 | Obp Medical Corporation | MINIMALLY INVASIVE CONTACTLESS (MINT) PROCEDURE FOR EXTRACTION OF THE VENA SAPHENA MAGNA (VSM) AND VENOUS HYDRODISSECTOR AND RETRACTOR FOR USE DURING THE MINT PROCEDURE |
US10278572B1 (en) | 2017-10-19 | 2019-05-07 | Obp Medical Corporation | Speculum |
EP4223210A1 (en) * | 2017-11-10 | 2023-08-09 | Hegenbergerspeculum APS | Device |
US10799229B2 (en) | 2018-02-20 | 2020-10-13 | Obp Medical Corporation | Illuminated medical devices |
USD911521S1 (en) | 2019-02-19 | 2021-02-23 | Obp Medical Corporation | Handle for medical devices including surgical retractors |
USD904607S1 (en) | 2019-05-07 | 2020-12-08 | Obp Medical Corporation | Nasal retractor |
GB201906562D0 (en) * | 2019-05-09 | 2019-06-26 | Hegenbergerspeculum Aps | Devices |
US10959609B1 (en) | 2020-01-31 | 2021-03-30 | Obp Medical Corporation | Illuminated suction device |
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CA3081641C (en) | 2023-11-28 |
RU2020115577A (ru) | 2021-12-10 |
JP2021502206A (ja) | 2021-01-28 |
EP3706615A1 (en) | 2020-09-16 |
AU2018365331A1 (en) | 2020-05-21 |
EP4223210A1 (en) | 2023-08-09 |
CA3081641A1 (en) | 2019-05-16 |
AU2018365331B2 (en) | 2023-04-06 |
FI3706615T3 (fi) | 2023-08-08 |
WO2019092222A1 (en) | 2019-05-16 |
BR112020009251A2 (pt) | 2020-10-20 |
CN111386065A (zh) | 2020-07-07 |
US20190365217A1 (en) | 2019-12-05 |
MX2020004818A (es) | 2020-10-08 |
CN111386065B (zh) | 2023-09-29 |
DK3706615T3 (da) | 2023-08-14 |
RU2020115577A3 (ja) | 2022-02-24 |
EP3706615B1 (en) | 2023-05-10 |
KR20200086701A (ko) | 2020-07-17 |
US20200275832A1 (en) | 2020-09-03 |
ES2952277T3 (es) | 2023-10-30 |
US10694935B2 (en) | 2020-06-30 |
KR102552209B1 (ko) | 2023-07-07 |
US11937790B2 (en) | 2024-03-26 |
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