JP7412333B2 - 低侵襲の組織吸引のための手術器具 - Google Patents
低侵襲の組織吸引のための手術器具 Download PDFInfo
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- 239000013307 optical fiber Substances 0.000 claims description 37
- 230000003287 optical effect Effects 0.000 claims description 18
- 208000002177 Cataract Diseases 0.000 claims description 17
- 230000002262 irrigation Effects 0.000 claims description 16
- 238000003973 irrigation Methods 0.000 claims description 16
- 230000006378 damage Effects 0.000 claims description 15
- 230000005855 radiation Effects 0.000 claims description 13
- 230000007246 mechanism Effects 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 5
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- 229910052594 sapphire Inorganic materials 0.000 claims description 2
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Laser Surgery Devices (AREA)
- Materials For Medical Uses (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
Description
本開示は、2017年9月27日に出願された“Surgical instrument for minimally invasive aspiration of tissue”と題された米国仮特許出願第62/564,019号からの優先権を主張し、その全体が参照により本明細書において援用される。
Claims (10)
- 水晶体組織内の白内障を破壊するための装置であって、
ハウジングと、
パルスレーザ放射源と、
前記ハウジング内に少なくとも部分的に収容される光導波路であり、前記光導波路は、可撓性の光ファイバを含み、前記光導波路は、白内障の破壊を引き起こすために前記パルスレーザ放射を送るように構成され、前記パルスレーザ放射源から前記パルスレーザ放射を受けるために、その近位端において前記パルスレーザ放射源に結合可能である光導波路と、
前記装置の吸引及び洗浄チャネル内に置かれる流量センサ又は圧力センサのうち少なくとも1つであり、制御システムに結合される流量センサ又は圧力センサのうち少なくとも1つと、
前記ハウジングの遠位端に対する前記光導波路の位置を制御可能に変えるために前記光導波路に結合された駆動機構であり、持続的な閉塞を示す前記制御システムによって受けられる前記圧力センサからの真空圧又は前記流量センサからの流量のうち少なくとも1つに応答して前記ハウジング内で縦方向に前記光ファイバを振動させるように前記制御システムによって制御される駆動機構と、
を含む装置。 - 前記光ファイバの位置を感知する光音響センサをさらに含む、請求項1に記載の装置。
- 前記光ファイバの位置を感知するエンコーダをさらに含む、請求項1乃至2のいずれか一項に記載の装置。
- 前記レーザ放射のパルスレートは、選択されたより低い約5Hzの周波数によって調節され、その結果、より低い真空速度とのバランスが取れたより高いレーザパワーを可能にする、請求項1乃至3のいずれか一項に記載の装置。
- 前記光ファイバは、サファイア、ダイヤモンド、ZBLAN、又はYAGから選択された材料で作られている、請求項1乃至4のいずれか一項に記載の装置。
- 前記可撓性の光ファイバの遠位端は、湾曲しているか、先細りしているか、又は角度が付けられている、請求項1乃至5のいずれか一項に記載の装置。
- 前記可撓性の光ファイバは、赤外透過の光学材料から作られている、請求項1乃至6のいずれか一項に記載の装置。
- 前記駆動機構は、リニアモータ、回転モータによって駆動されるリニア移動機構、又はボイスコイルアクチュエータである、請求項1乃至7のいずれか一項に記載の装置。
- そこを通って前記光ファイバが延びる再利用可能なレーザ送達部分、及び、そこから光ファイバ先端部が延びる取り外し可能な先端部ハンドルを前記ハウジングは含み、前記取り外し可能な先端部ハンドルは、前記再利用可能なレーザ送達部分に着脱可能に固定することができる、請求項1乃至8のいずれか一項に記載の装置。
- 前記光ファイバは、ファイバコネクタを有する遠位端を有し、前記光ファイバ先端部は、前記ファイバコネクタに結合する近位端を有する、請求項9に記載の装置。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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JP2023133188A JP2023164846A (ja) | 2017-09-27 | 2023-08-18 | 低侵襲の組織吸引のための手術器具 |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762564019P | 2017-09-27 | 2017-09-27 | |
US62/564,019 | 2017-09-27 | ||
PCT/CA2018/051186 WO2019060987A1 (en) | 2017-09-27 | 2018-09-21 | SURGICAL INSTRUMENT FOR MINIMALLY INVASIVE TISSUE ASPIRATION |
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JP2023133188A Division JP2023164846A (ja) | 2017-09-27 | 2023-08-18 | 低侵襲の組織吸引のための手術器具 |
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JP2020534924A JP2020534924A (ja) | 2020-12-03 |
JP7412333B2 true JP7412333B2 (ja) | 2024-01-12 |
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JP2020517355A Active JP7412333B2 (ja) | 2017-09-27 | 2018-09-21 | 低侵襲の組織吸引のための手術器具 |
JP2023133188A Pending JP2023164846A (ja) | 2017-09-27 | 2023-08-18 | 低侵襲の組織吸引のための手術器具 |
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Country Status (8)
Country | Link |
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US (2) | US10925769B2 (ja) |
EP (1) | EP3661467B1 (ja) |
JP (2) | JP7412333B2 (ja) |
CN (2) | CN114886662A (ja) |
AU (1) | AU2018340882B2 (ja) |
CA (1) | CA3070882A1 (ja) |
TW (2) | TWI808997B (ja) |
WO (1) | WO2019060987A1 (ja) |
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US20200107960A1 (en) * | 2018-10-05 | 2020-04-09 | Alcon Inc. | Occlusion sensing in ophthalmic laser probes |
WO2023026448A1 (ja) * | 2021-08-26 | 2023-03-02 | オリンパス株式会社 | 灌流デバイス及び灌流方法 |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020013572A1 (en) | 2000-05-19 | 2002-01-31 | Berlin Michael S. | Delivery system and method of use for the eye |
JP2003130796A (ja) | 2001-06-28 | 2003-05-08 | Fuji Photo Film Co Ltd | 生化学解析用データの生成方法およびそれに用いるスキャナ |
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US20140052113A1 (en) | 2012-08-17 | 2014-02-20 | Carl Zeiss Meditec Ag | Instrument system and procedure for phacoemulsification |
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JP2023164846A (ja) | 2023-11-14 |
WO2019060987A1 (en) | 2019-04-04 |
TWI808997B (zh) | 2023-07-21 |
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TW201929795A (zh) | 2019-08-01 |
CA3070882A1 (en) | 2019-04-04 |
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EP3661467B1 (en) | 2024-03-06 |
EP3661467A1 (en) | 2020-06-10 |
US10925769B2 (en) | 2021-02-23 |
AU2018340882B2 (en) | 2023-12-07 |
TW202337411A (zh) | 2023-10-01 |
CN111093573A (zh) | 2020-05-01 |
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