JP7470829B2 - 組織切除のためのデバイス及びシステム - Google Patents
組織切除のためのデバイス及びシステム Download PDFInfo
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- 238000002271 resection Methods 0.000 claims description 190
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
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- A61B1/313—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 introducing through surgical openings, e.g. laparoscopes
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- A61B17/115—Staplers for performing anastomosis in a single operation
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
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- Optics & Photonics (AREA)
- Pathology (AREA)
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- Physiology (AREA)
- Surgical Instruments (AREA)
Description
Claims (15)
- 体管腔内の組織を切除するためのデバイスにおいて、
一定の軸に沿って延び、切除されるべく選択された組織の近位の体管腔の壁に沿った近位位置に対して固定するための本体と、
前記本体の遠位に配置され、前記切除されるべく選択された組織の遠位の体管腔の壁に沿った遠位位置に対して固定するためのキャップであって、前記本体と前記キャップは、互いに相対して軸方向に移動可能に結合される、キャップと、
前記切除されるべく選択された組織に係合して、係合された前記組織を前記デバイス内に径方向内向きに引っ張るための組織捕捉装置と、
係合された前記組織を周方向に閉じるための組織閉鎖装置と、
閉じられた前記組織の径方向内側の組織を切除するための組織切除装置と、を備え、
前記組織切除装置は外側シャフトに配置され、前記キャップは内側シャフトに配置され、前記内側シャフトが前記外側シャフトに相対移動可能であることに応答して、前記組織切除装置は前記キャップから伸長可能である、デバイス。 - 前記組織捕捉装置は、軸方向に延びるポスト、機械的ファスナー、組織に取り付け可能な拡張可能で収縮可能なリング、又は組織に取り付け可能な機械的ファスナーを有するバルーンからなる群から選択される機械的把持装置である、請求項1に記載のデバイス。
- 前記組織捕捉装置は、前記デバイスの周りに周方向に延びる、請求項1に記載のデバイス。
- 前記組織捕捉装置は、吸引装置を含む、請求項1に記載のデバイス。
- 前記吸引装置は、前記本体又は前記キャップの少なくとも一方の周りに周方向に延びる、請求項4に記載のデバイス。
- 前記組織捕捉装置は、前記デバイスの内部の周りに周方向に延びる、請求項1に記載のデバイス。
- 前記組織捕捉装置は、前記デバイスの外部の周りに周方向に延びる、請求項1に記載のデバイス。
- 前記組織捕捉装置は、組織を捕捉するように軸方向に延びる、請求項1に記載のデバイス。
- 前記組織閉鎖装置は、複数のステープルを含む、請求項1に記載のデバイス。
- 前記組織切除装置は、組織を切除するように軸方向に延びる、請求項1に記載のデバイス。
- 前記組織切除装置は、ブレードを含む、請求項1に記載のデバイス。
- 前記組織切除装置は、組織を切除するように前記キャップから延びる、請求項1に記載のデバイス。
- 前記本体と前記キャップは、内視鏡が通過できるように構成されている、請求項1に記載のデバイス。
- 体管腔内の組織を切除するためのシステムにおいて、
組織を切除するためのデバイスであって、
一定の軸に沿って延び、切除されるべく選択された組織の近位の体管腔の壁に沿った近位位置に対して固定するための本体と、
前記本体の遠位に配置され、前記切除されるべく選択された組織の遠位の体管腔の壁に沿った遠位位置に対して固定するためのキャップであって、前記本体と前記キャップは、互いに相対して軸方向に移動可能に結合される、キャップと、
前記切除されるべく選択された組織に係合して、係合された前記組織を前記デバイス内に径方向内向きに引っ張るための組織捕捉装置と、
係合された前記組織を周方向に閉じるための組織閉鎖装置と、
閉じられた前記組織の径方向内側の組織を切除するための組織切除装置と、を備えるデバイスと、
前記切除されるべく選択された組織に相対した、体管腔内の前記デバイスの配備を視覚化するための視覚化装置と、を備え、
前記組織切除装置は外側シャフトに配置され、前記キャップは内側シャフトに配置され、前記内側シャフトが前記外側シャフトに相対移動可能であることに応答して、前記組織切除装置は前記キャップから伸長可能である、システム。 - 前記本体と前記キャップは、前記視覚化装置が通過できるように構成されている、請求項14に記載のシステム。
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US201862675681P | 2018-05-23 | 2018-05-23 | |
US62/675,681 | 2018-05-23 | ||
PCT/US2019/033590 WO2019226814A1 (en) | 2018-05-23 | 2019-05-22 | Devices and systems for tissue resection |
JP2020545517A JP7431166B2 (ja) | 2018-05-23 | 2019-05-22 | 組織切除のためのデバイス、システム、及び方法 |
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JP2023005579A Active JP7470829B2 (ja) | 2018-05-23 | 2023-01-18 | 組織切除のためのデバイス及びシステム |
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US (2) | US11419624B2 (ja) |
EP (1) | EP3796849A1 (ja) |
JP (2) | JP7431166B2 (ja) |
KR (1) | KR102583753B1 (ja) |
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WO2022189934A1 (en) * | 2021-03-11 | 2022-09-15 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11717300B2 (en) * | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11642131B2 (en) * | 2021-05-17 | 2023-05-09 | Covidien Lp | Devices and methods for shortening a rectal stump during a lower anterior resection procedure |
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CN114081558B (zh) * | 2021-11-12 | 2023-06-16 | 苏州贝诺医疗器械有限公司 | 一种防组织褶皱的直线型电动吻合器 |
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