JPH0889583A - Method for guiding catheter for medical treatment - Google Patents
Method for guiding catheter for medical treatmentInfo
- Publication number
- JPH0889583A JPH0889583A JP6233253A JP23325394A JPH0889583A JP H0889583 A JPH0889583 A JP H0889583A JP 6233253 A JP6233253 A JP 6233253A JP 23325394 A JP23325394 A JP 23325394A JP H0889583 A JPH0889583 A JP H0889583A
- Authority
- JP
- Japan
- Prior art keywords
- catheter
- balloon
- magnet
- living body
- magnetic fluid
- 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.)
- Withdrawn
Links
Abstract
Description
【0001】[0001]
【産業上の利用分野】この発明は、医療用カテーテルの
誘導方法に関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for guiding a medical catheter.
【0002】[0002]
【従来の技術】従来、腸閉塞患者の腸管吸引や薬液の注
入に際しては、例えば実公平3−16681号公報に示すよう
な医療用カテーテルが使用されている。このカテーテル
は全長が2.5〜3.0mと非常に長く、全体がフレキシブル
となっているため、ほとんどの場合はガイドワイヤーに
よって生体内の臓器の所定位置ヘ誘導される。2. Description of the Related Art Conventionally, a medical catheter as disclosed in, for example, Japanese Utility Model Publication No. 3-16681, has been used for intestinal aspiration and injection of a drug solution in patients with ileus. Since this catheter has a very long length of 2.5 to 3.0 m and is entirely flexible, it is guided by a guide wire to a predetermined position of an organ in a living body in most cases.
【0003】[0003]
【発明が解決しようとする課題】ところで、前記のよう
なカテーテルにおいても、胃の上部で反転して、肛門側
への挿入が困難であつたり、胃と十二指腸との間にある
幽門部をうまく通過することができず、解決課題として
残ってしまっていた。また、前記カテーテルにおいて
は、十二指腸に達してから小腸の患部までは腸の蠕動運
動のみが前進させる力であったため、患部へ到達するま
での時間は、例え幽門部を一度で通過できたとしても長
くかかっており、緊急を要する場合には開腹し、手術の
必要が生じていた。さらに、誘導用ガイドワイヤーを挿
入する際に、胃壁や腸壁に傷をつけたり、或いは突き破
って外に出てしまうという事故も度々生じていた。However, even in the above-mentioned catheter, the catheter is inverted at the upper part of the stomach and it is difficult to insert it into the anus, and the pyloric region between the stomach and the duodenum is not easily removed. I couldn't go through, and it remained as a problem to be solved. Further, in the catheter, since the peristaltic movement of the intestine was the force to advance only after reaching the duodenum to the affected part of the small intestine, the time to reach the affected part is, even if it can pass through the pylorus part at one time. It took a long time, and in case of emergency, he had to open the abdomen and need surgery. Furthermore, when inserting the guide wire for guiding, there are often accidents in which the stomach wall and the intestinal wall are damaged or pierced to get out.
【0004】そこでこの発明は、前記のような従来の問
題点を解決し、生体内の臓器の所定位置まで確実に、か
つ短時間で誘導可能な医療用カテーテルの誘導方法を提
供することを目的とする。Therefore, the present invention has been made to solve the above-mentioned conventional problems and to provide a method for guiding a medical catheter that can reliably guide a predetermined position of an organ in a living body in a short time. And
【0005】[0005]
【課題を解決するための手段】前記の目的を達成するた
め、請求項1の発明の医療用カテーテルの誘導方法は、
カテーテルチューブ本体の先端部にバルーンを有する医
療用カテーテルを生体内の臓器に挿入して所定位置に留
置するに際し、挿入したカテーテルのバルーンに磁性流
体を注入して膨張させた後、この膨張したバルーン内の
磁性流体と生体の表面に配置した磁石との間に発生する
磁力を利用することによりカテーテルを所要位置へ誘導
することを特徴とする。請求項2の発明の医療用カテー
テルの誘導方法は、請求項1の発明の医療用カテーテル
の誘導方法において、磁石が永久磁石、電磁石、超伝導
磁石のいずれかとなっている。In order to achieve the above object, the method for guiding a medical catheter according to the invention of claim 1 comprises:
When inserting a medical catheter having a balloon at the tip of the catheter tube body into an organ in a living body and leaving it in place, injecting a magnetic fluid into the balloon of the inserted catheter to inflate the balloon, and then inflating the balloon It is characterized in that the catheter is guided to a required position by utilizing the magnetic force generated between the magnetic fluid in the inside and the magnet arranged on the surface of the living body. A medical catheter guiding method according to a second aspect of the present invention is the medical catheter guiding method according to the first aspect, wherein the magnet is a permanent magnet, an electromagnet, or a superconducting magnet.
【0006】[0006]
【作用】前記のようであるから、バルーンを有する医療
用カテーテルは、生体内の臓器に挿入された後、バルー
ンに注入された磁性流体と生体の表面の磁石との間に発
生した磁力により所定位置へ誘導され、留置される。As described above, the medical catheter having a balloon is inserted into an organ in a living body and then a predetermined force is generated by the magnetic force generated between the magnetic fluid injected into the balloon and the magnet on the surface of the living body. It is guided to the position and placed.
【0007】[0007]
【実施例】図1はこの発明の一実施例を示す先端閉塞型
の医療用カテーテルで、(A)はその先端部分の一部破断
の正面図、(B)は後端部分の正面図、(C)は(A)のC−
C線の縦断側面図である。1は医療用カテーテル、2は
シリコーンゴム等から形成された所定長さのカテーテル
チューブ本体で、その先端部にはバルーン3が設けられ
ている。4はバルーン用ルーメンで、カテーテルチュー
ブ本体2の内腔(メインルーメン)5と平行に該本体の
軸方向に形成されている。6はバルーン用ルーメン4と
連通した細い分岐チューブで、このチューブ6のバルー
ン3を膨らませるためにバルーン用ルーメン4へ滅菌水
や生理食塩水等の液体又は空気を注入する図示しない注
入器を装着する端部7には一方弁(図示せず)が設けら
れている。8はカテーテルチューブ本体2の内腔5と連
通して形成された側孔である。DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 is a front obstruction type medical catheter showing an embodiment of the present invention, in which (A) is a partially cutaway front view of the distal end portion, and (B) is a front view of the rear end portion thereof. (C) is C-of (A)
It is a vertical side view of the C line. Reference numeral 1 is a medical catheter, 2 is a catheter tube main body made of silicone rubber or the like and having a predetermined length, and a balloon 3 is provided at the tip thereof. Reference numeral 4 denotes a balloon lumen, which is formed parallel to the inner lumen (main lumen) 5 of the catheter tube main body 2 in the axial direction of the main body. Reference numeral 6 denotes a thin branch tube communicating with the lumen 4 for the balloon, and is equipped with an injector (not shown) for injecting liquid such as sterilized water or physiological saline or air into the lumen 4 for the balloon in order to inflate the balloon 3 of the tube 6. A one-way valve (not shown) is provided at the end portion 7 to be opened. Reference numeral 8 is a side hole formed in communication with the inner lumen 5 of the catheter tube body 2.
【0008】この実施例の作用を図2により説明する。
図2において、10は生体、11は臓器、12は生体10の表面
に配置した永久磁石である。カテーテル1を臓器11の所
定位置に留置するには、図示のように臓器11に挿入され
たカテーテル1の分岐チューブ6の端部7に注入器を装
着し、バルーン用ルーメン4へ磁性流体を注入し、バル
ーン3を膨らませる。この磁性流体としては、例えば鉄
の微粉末を分散剤を用いて生理食塩水に分散させたもの
を5cc程度用いる。バルーン3がある程度膨らんだ後、
この磁性流体の注入により磁性体化したバルーン3に生
体10の表面からその腹壁を通して磁石12の吸引力(磁
力)を及ぼす。これにより図示のようにカテーテル1の
バルーン3が磁石12に吸引される状態となるので、この
状態で磁石12を胃や腸等の臓器、或いは血管の形状に合
わせて、例えば図示のように左側に移動すると、吸引さ
れたバルーン3が移動する磁石12に追随して矢印のよう
に移動し、所定位置へ誘導される。この誘導に際する生
体10内のカテーテル1のバルーン3の位置の確認・把握
は、磁性体化したバルーン3がX線に対して造影性を併
せもっているため、図示しないX線装置等により容易に
行えるし、MRI、超音波による確認も可能である。そ
して所定位置に達したら、磁石12を生体10の表面から外
すと、バルーン3に対する吸引力が解放される。The operation of this embodiment will be described with reference to FIG.
In FIG. 2, 10 is a living body, 11 is an organ, and 12 is a permanent magnet arranged on the surface of the living body 10. In order to leave the catheter 1 in place in the organ 11, as shown in the figure, an injector is attached to the end 7 of the branch tube 6 of the catheter 1 inserted in the organ 11, and a magnetic fluid is injected into the lumen 4 for the balloon. Then, the balloon 3 is inflated. As the magnetic fluid, for example, about 5 cc of fine iron powder dispersed in physiological saline using a dispersant is used. After the balloon 3 is inflated to some extent,
The attraction force (magnetic force) of the magnet 12 is applied from the surface of the living body 10 through the abdominal wall to the balloon 3 which is made magnetic by the injection of the magnetic fluid. As a result, the balloon 3 of the catheter 1 is attracted by the magnet 12 as shown in the figure. In this state, the magnet 12 is adjusted to the shape of the organ such as the stomach or intestine, or the blood vessel, for example, the left side as shown in the figure. When moved to, the sucked balloon 3 follows the moving magnet 12 and moves as shown by the arrow, and is guided to a predetermined position. The position of the balloon 3 of the catheter 1 in the living body 10 during this guidance can be confirmed and grasped easily by an X-ray device (not shown) or the like because the balloon 3 made of a magnetic material also has contrast properties for X-rays. In addition, it can be confirmed by MRI and ultrasonic waves. When the magnet 12 reaches the predetermined position, the magnet 12 is removed from the surface of the living body 10 to release the suction force on the balloon 3.
【0009】次に、前記の注入器によりバルーン3から
磁性流体を抜くとともに、抜いた後にすばやく液体又は
空気を注入してやり、再びバルーン3を膨らませる。こ
の場合の液体等の量は磁性流体よりも多く、バルーン3
が固定される量である。これによりカテーテル1は所定
位置に固定して留置される。Next, the magnetic fluid is removed from the balloon 3 by the above-mentioned injector, and after the removal, the liquid or air is quickly injected to inflate the balloon 3 again. In this case, the amount of liquid or the like is larger than that of the magnetic fluid, and the balloon 3
Is the fixed amount. As a result, the catheter 1 is fixed and placed at a predetermined position.
【0010】カテーテル1のバルーン3を誘導する磁石
12としては前記の永久磁石の他に電磁石や超伝導磁石を
用いてもよく、また誘導するために磁石12をその都度移
動するのではなく、複数個配置した磁石を順次磁化させ
て誘導させるようにしてもよいことは言うまでもない。A magnet for guiding the balloon 3 of the catheter 1.
An electromagnet or a superconducting magnet other than the above-mentioned permanent magnet may be used as the magnet 12, and instead of moving the magnet 12 each time in order to induce the magnet, a plurality of magnets are sequentially magnetized to induce the magnet. Needless to say, it is okay.
【0011】[0011]
【発明の効果】請求項1の発明は前記のようであって、
カテーテルチューブ本体の先端部にバルーンを有する医
療用カテーテルを生体内の臓器に挿入して所定位置に留
置するに際し、挿入したカテーテルのバルーンに磁性流
体を注入して膨張させた後、この膨張したバルーン内の
磁性流体と生体の表面に配置した磁石との間に発生する
磁力を利用することによりカテーテルを所要位置へ誘導
するので、従来のようなガイドワイヤーがなくとも各種
のカテーテルを生体内の臓器の所定位置まで確実に、か
つ短時間に誘導することができる。また、既存のバルー
ン付きカテーテルであれば、磁性流体と磁石さえ準備す
れば簡単に誘導が可能なので、実施が容易で、きわめて
実用的価値が高い。請求項2の発明は、カテーテルの誘
導を生体外から任意の磁石により行うことができるとい
う優れた効果がある。The invention of claim 1 is as described above,
When inserting a medical catheter having a balloon at the tip of the catheter tube body into an organ in a living body and leaving it in place, injecting a magnetic fluid into the balloon of the inserted catheter to inflate the balloon, and then inflating the balloon Since the catheter is guided to the required position by utilizing the magnetic force generated between the magnetic fluid inside the body and the magnet arranged on the surface of the living body, various catheters can be used for organs inside the living body without the conventional guide wire. It is possible to reliably guide the vehicle to a predetermined position in a short time. In addition, existing catheters with balloons can be easily guided as long as magnetic fluid and a magnet are prepared, so they are easy to carry out and have extremely high practical value. The invention of claim 2 has an excellent effect that the guide of the catheter can be performed from outside the body by an arbitrary magnet.
【図1】この発明の一実施例を示す先端閉塞型の医療用
カテーテルで、(A)はその先端部分の一部破断の正面
図、(B)は後端部分の正面図、(C)は(A)のC−C線の
縦断側面図である。FIG. 1 is a front-closed medical catheter showing an embodiment of the present invention, in which (A) is a partially cutaway front view of the distal end portion, (B) is a front view of the rear end portion thereof, and (C). [Fig. 3] is a vertical sectional side view taken along line CC of Fig. 7A.
【図2】同上の作用説明図である。FIG. 2 is an explanatory diagram of an operation of the above.
1 医療用カテーテル 2 カテーテルチューブ本体 3 バルーン 4 バルーン用ルーメン 5 内腔 6 分岐チューブ 7 端部 8 側孔 10 生体 11 臓器 12 永久磁石 1 Medical Catheter 2 Catheter Tube Main Body 3 Balloon 4 Balloon Lumen 5 Lumen 6 Branch Tube 7 End 8 Side Hole 10 Living Body 11 Organ 12 Permanent Magnet
フロントページの続き (72)発明者 小磯 敦 愛知県名古屋市千種区仲田2丁目14−16 富士システムズ株式会社名古屋支店内Front Page Continuation (72) Inventor Atsushi Koiso 2-14-16 Nakata, Chikusa-ku, Nagoya-shi, Aichi Fuji Systems Co., Ltd. Nagoya Branch
Claims (2)
ーンを有する医療用カテーテルを生体内の臓器に挿入し
て所定位置に留置するに際し、挿入したカテーテルのバ
ルーンに磁性流体を注入して膨張させた後、この膨張し
たバルーン内の磁性流体と生体の表面に配置した磁石と
の間に発生する磁力を利用することによりカテーテルを
所要位置へ誘導することを特徴とする医療用カテーテル
の誘導方法。1. When a medical catheter having a balloon at the distal end of a catheter tube body is inserted into an organ in a living body and left in place at a predetermined position, a magnetic fluid is injected into the balloon of the inserted catheter to inflate it. A method for guiding a medical catheter, characterized in that the catheter is guided to a required position by utilizing a magnetic force generated between the magnetic fluid in the expanded balloon and a magnet arranged on the surface of the living body.
いずれかである請求項1記載の医療用カテーテルの誘導
方法。2. The method for guiding a medical catheter according to claim 1, wherein the magnet is a permanent magnet, an electromagnet, or a superconducting magnet.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP6233253A JPH0889583A (en) | 1994-09-28 | 1994-09-28 | Method for guiding catheter for medical treatment |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP6233253A JPH0889583A (en) | 1994-09-28 | 1994-09-28 | Method for guiding catheter for medical treatment |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH0889583A true JPH0889583A (en) | 1996-04-09 |
Family
ID=16952181
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP6233253A Withdrawn JPH0889583A (en) | 1994-09-28 | 1994-09-28 | Method for guiding catheter for medical treatment |
Country Status (1)
Country | Link |
---|---|
JP (1) | JPH0889583A (en) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002538888A (en) * | 1999-03-15 | 2002-11-19 | イノベイションズ インコーポレーテッド | Intravesical balloon |
JP2016522021A (en) * | 2013-04-22 | 2016-07-28 | ユニバーシティ・オブ・メリーランド・ボルティモアUniversity Of Maryland, Baltimore | Bonding ultrasonic device and method of use |
US10349817B2 (en) * | 2017-01-12 | 2019-07-16 | Endostart S.r.l. | Method for introducing colonoscope using endoscopic guide |
JP2021525593A (en) * | 2018-06-01 | 2021-09-27 | コープテック エルエルシー | Systems, devices and methods for performing percutaneous tracheostomy |
US11259838B2 (en) | 2016-04-05 | 2022-03-01 | University Of Maryland, Baltimore | Method and apparatus for coaptive ultrasound gastrostomy |
US11278189B2 (en) | 2017-01-12 | 2022-03-22 | Endostart S.r.l. | Endoscopic guide including anchoring head that accommodates a magnetic or ferromagnetic agent |
US11612546B2 (en) | 2018-04-27 | 2023-03-28 | CoapTech, Inc. | Systems, apparatus, and methods for placing a guidewire for a gastrostomy tube |
-
1994
- 1994-09-28 JP JP6233253A patent/JPH0889583A/en not_active Withdrawn
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002538888A (en) * | 1999-03-15 | 2002-11-19 | イノベイションズ インコーポレーテッド | Intravesical balloon |
JP2020062448A (en) * | 2013-04-22 | 2020-04-23 | ユニバーシティ・オブ・メリーランド・ボルティモアUniversity Of Maryland, Baltimore | Coaptive ultrasound devices and methods of use |
JP2016522021A (en) * | 2013-04-22 | 2016-07-28 | ユニバーシティ・オブ・メリーランド・ボルティモアUniversity Of Maryland, Baltimore | Bonding ultrasonic device and method of use |
US10219778B2 (en) | 2013-04-22 | 2019-03-05 | University Of Maryland, Baltimore | Coaptation ultrasound devices and methods of use |
JP2022122971A (en) * | 2013-04-22 | 2022-08-23 | ユニバーシティ・オブ・メリーランド・ボルティモア | Coaptation ultrasound devices and methods of use |
US10383595B2 (en) | 2013-04-22 | 2019-08-20 | University Of Maryland, Baltimore | Coaptation ultrasound devices and methods of use |
US11259838B2 (en) | 2016-04-05 | 2022-03-01 | University Of Maryland, Baltimore | Method and apparatus for coaptive ultrasound gastrostomy |
US10349817B2 (en) * | 2017-01-12 | 2019-07-16 | Endostart S.r.l. | Method for introducing colonoscope using endoscopic guide |
JP2020505087A (en) * | 2017-01-12 | 2020-02-20 | エンドスタート・ソチエタ・ア・レスポンサビリタ・リミタータENDOSTART S.r.l. | Endoscope guides, especially for colonoscopy, and systems for endoscopes equipped with such guides |
US11278189B2 (en) | 2017-01-12 | 2022-03-22 | Endostart S.r.l. | Endoscopic guide including anchoring head that accommodates a magnetic or ferromagnetic agent |
RU2768574C2 (en) * | 2017-01-12 | 2022-03-24 | Ендостарт С.Р.Л. | Endoscopic guide probe, in particular for colonoscopy, and an endoscopy system comprising such a guide probe |
CN110121288A (en) * | 2017-01-12 | 2019-08-13 | 恩度起点有限责任公司 | Endoscope guiding piece, it is especially useful in colonoscopy, and endoscopic system is used for comprising this guiding piece |
CN110121288B (en) * | 2017-01-12 | 2023-02-17 | 恩度起点有限责任公司 | Endoscopic guide, in particular for colonoscopy, and system for endoscopy comprising such a guide |
US11612546B2 (en) | 2018-04-27 | 2023-03-28 | CoapTech, Inc. | Systems, apparatus, and methods for placing a guidewire for a gastrostomy tube |
JP2021525593A (en) * | 2018-06-01 | 2021-09-27 | コープテック エルエルシー | Systems, devices and methods for performing percutaneous tracheostomy |
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Legal Events
Date | Code | Title | Description |
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A300 | Withdrawal of application because of no request for examination |
Free format text: JAPANESE INTERMEDIATE CODE: A300 Effective date: 20020115 |