JP7664857B2 - 組織クリッピング装置 - Google Patents

組織クリッピング装置 Download PDF

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Publication number
JP7664857B2
JP7664857B2 JP2021571299A JP2021571299A JP7664857B2 JP 7664857 B2 JP7664857 B2 JP 7664857B2 JP 2021571299 A JP2021571299 A JP 2021571299A JP 2021571299 A JP2021571299 A JP 2021571299A JP 7664857 B2 JP7664857 B2 JP 7664857B2
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Japan
Prior art keywords
insertion section
capsule
bushing
control wire
bend
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
JP2021571299A
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English (en)
Japanese (ja)
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JP2022535011A (ja
Inventor
ビラロボス、ゴンサロ ホセ サエンス
ライアン、ショーン
モンテネグロ、エステバン ソラーノ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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Publication of JP2022535011A publication Critical patent/JP2022535011A/ja
Priority to JP2023111327A priority Critical patent/JP2023143906A/ja
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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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • A61B1/0053—Constructional details of control elements, e.g. handles using distributed actuators, e.g. artificial muscles
    • 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057—Constructional details of force transmission elements, e.g. control wires
    • 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
    • A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736—Gastroscopes
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B1/00098—Deflecting means for inserted tools
    • 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
    • A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Surgical Instruments (AREA)
JP2021571299A 2019-07-29 2020-07-07 組織クリッピング装置 Active JP7664857B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2023111327A JP2023143906A (ja) 2019-07-29 2023-07-06 組織クリッピング装置

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962879874P 2019-07-29 2019-07-29
US62/879,874 2019-07-29
PCT/US2020/041072 WO2021021397A1 (en) 2019-07-29 2020-07-07 Tissue clipping device

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2023111327A Division JP2023143906A (ja) 2019-07-29 2023-07-06 組織クリッピング装置

Publications (2)

Publication Number Publication Date
JP2022535011A JP2022535011A (ja) 2022-08-04
JP7664857B2 true JP7664857B2 (ja) 2025-04-18

Family

ID=71948735

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2021571299A Active JP7664857B2 (ja) 2019-07-29 2020-07-07 組織クリッピング装置
JP2023111327A Pending JP2023143906A (ja) 2019-07-29 2023-07-06 組織クリッピング装置

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2023111327A Pending JP2023143906A (ja) 2019-07-29 2023-07-06 組織クリッピング装置

Country Status (8)

Country Link
US (1) US20210030425A1 (enExample)
EP (2) EP3927254B1 (enExample)
JP (2) JP7664857B2 (enExample)
KR (2) KR102688422B1 (enExample)
CN (2) CN119606447A (enExample)
AU (2) AU2020321811B2 (enExample)
CA (1) CA3134682A1 (enExample)
WO (1) WO2021021397A1 (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102018208555A1 (de) 2018-05-30 2019-12-05 Kardion Gmbh Vorrichtung zum Verankern eines Herzunterstützungssystems in einem Blutgefäß, Verfahren zum Betreiben und Herstellverfahren zum Herstellen einer Vorrichtung und Herzunterstützungssystem
DE102018211297A1 (de) 2018-07-09 2020-01-09 Kardion Gmbh Herzunterstützungssystem und Verfahren zur Überwachung der Integrität einer Haltestruktur eines Herzunterstützungssystems
JP3249585U (ja) * 2022-02-25 2024-12-25 マイクロ－テック （ナンジン） カンパニー リミテッド 血管止血用の医療器具
EP4510944A1 (en) * 2022-09-27 2025-02-26 Boston Scientific Scimed Inc. Locking feature for hemostasis clip

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5820546A (en) 1996-05-13 1998-10-13 Asahi Kogaku Kogyo Kabushiki Kaisha Guiding device for treatment accessories of an endoscope
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US20180140300A1 (en) 2016-11-22 2018-05-24 Boston Scientific Limited Hemostasis Reloadable Clip Release Mechanism

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3344934A1 (de) * 1983-12-13 1985-06-20 Richard Wolf Gmbh, 7134 Knittlingen Endoskop mit distal ablenkbarem hilfsinstrument
CA2114222A1 (en) * 1991-08-28 1993-03-18 Kenneth R. Brennen Steerable stylet and manipulative handle assembly
US8216256B2 (en) * 1999-04-09 2012-07-10 Evalve, Inc. Detachment mechanism for implantable fixation devices
US6921361B2 (en) * 2000-07-24 2005-07-26 Olympus Corporation Endoscopic instrument for forming an artificial valve
US7094245B2 (en) * 2001-10-05 2006-08-22 Scimed Life Systems, Inc. Device and method for through the scope endoscopic hemostatic clipping
WO2005032381A2 (en) * 2003-09-30 2005-04-14 Scimed Life Systems, Inc. Through the scope tension member release clip
US20050261711A1 (en) * 2004-05-24 2005-11-24 Olympus Corporation Treatment method and endoscope apparatus
US8679097B2 (en) * 2005-12-20 2014-03-25 Orthodynamix Llc Method and devices for minimally invasive arthroscopic procedures
EP1991106A1 (en) * 2006-03-03 2008-11-19 Wilson-Cook Medical Inc. Endoscopic elevator apparatus
WO2007136829A1 (en) * 2006-05-19 2007-11-29 Conmed Endoscopic Technologies, Inc. Steerable medical instrument
US9084621B2 (en) * 2006-12-01 2015-07-21 Boston Scientific Scimed, Inc. Guide tube systems and methods
CN103260531B (zh) * 2010-10-11 2016-04-27 库克医学技术有限责任公司 具有可拆卸可枢转夹爪的医疗装置
CN104486985B (zh) * 2013-02-15 2017-03-08 奥林巴斯株式会社 活检系统
EP3226952A1 (en) * 2014-12-01 2017-10-11 Koninklijke Philips N.V. Pre-curved steerable catheter with pull-wires for dexterous deflection control
WO2017095626A1 (en) * 2015-12-03 2017-06-08 Boston Scientific Scimed, Inc. Electrocautery hemostasis clip

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5820546A (en) 1996-05-13 1998-10-13 Asahi Kogaku Kogyo Kabushiki Kaisha Guiding device for treatment accessories of an endoscope
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US20180140300A1 (en) 2016-11-22 2018-05-24 Boston Scientific Limited Hemostasis Reloadable Clip Release Mechanism

Also Published As

Publication number Publication date
CA3134682A1 (en) 2021-02-04
KR102810433B1 (ko) 2025-05-21
CN113939237A (zh) 2022-01-14
WO2021021397A1 (en) 2021-02-04
EP4374767A3 (en) 2024-07-31
AU2020321811B2 (en) 2023-07-27
KR20240116584A (ko) 2024-07-29
CN119606447A (zh) 2025-03-14
US20210030425A1 (en) 2021-02-04
JP2023143906A (ja) 2023-10-06
KR102688422B1 (ko) 2024-07-29
AU2020321811A1 (en) 2021-09-23
AU2023204406A1 (en) 2023-08-03
KR20210134726A (ko) 2021-11-10
EP3927254B1 (en) 2024-03-27
JP2022535011A (ja) 2022-08-04
EP3927254A1 (en) 2021-12-29
EP4374767A2 (en) 2024-05-29
CN113939237B (zh) 2025-05-20

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