JPWO2020036499A5 - - Google Patents

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JPWO2020036499A5
JPWO2020036499A5 JP2021507614A JP2021507614A JPWO2020036499A5 JP WO2020036499 A5 JPWO2020036499 A5 JP WO2020036499A5 JP 2021507614 A JP2021507614 A JP 2021507614A JP 2021507614 A JP2021507614 A JP 2021507614A JP WO2020036499 A5 JPWO2020036499 A5 JP WO2020036499A5
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Prior art keywords
cannula
surgical
heating element
gas
surgical cannula
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JP2021507614A
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JP2021533887A (en
JP7451493B2 (en
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Priority claimed from PCT/NZ2019/050101 external-priority patent/WO2020036499A1/en
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Priority to JP2024033610A priority Critical patent/JP2024075605A/en
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Claims (18)

手術用腔に送気ガスを供給するための、及び1つ以上の医療機器の挿入用の通路を提供するための手術用カニューレであって、
開口部を含むカニューレ上部筐体と、
前記カニューレ上部筐体から延びる長尺状シャフトであって、前記シャフトは、前記手術用腔に前記送気ガスを供給するための中空通路を画定し、前記通路はまた、医療機器を受け入れるように構成されている、長尺状シャフトと、
前記カニューレの長手方向軸線に沿って前記カニューレの少なくとも一部分上又は少なくとも一部分内に配置された加熱要素と、
を含み、
前記加熱要素は、前記カニューレ及び/又は前記医療機器の一部分を通過する前記送気ガスに熱を伝達し、前記送気ガス及び/又は前記機器の温度を上昇させ、前記送気ガスの結露を低減する及び/若しくは防止する並びに/又は前記医療機器上の結露を低減する及び/若しくは防止するように構成されている、
手術用カニューレ。
A surgical cannula for supplying insufflated gas to a surgical cavity and for providing a passageway for insertion of one or more medical devices, comprising:
a cannula upper housing including an opening;
an elongate shaft extending from the cannula upper housing, the shaft defining a hollow passageway for supplying the insufflation gas to the surgical cavity, the passageway also for receiving a medical instrument; an elongated shaft, comprising:
a heating element disposed on or within at least a portion of the cannula along the longitudinal axis of the cannula;
including
The heating element transfers heat to the insufflation gas passing through a portion of the cannula and/or the medical device to raise the temperature of the insufflation gas and/or the device and reduce condensation in the insufflation gas. configured to reduce and/or prevent and/or reduce and/or prevent condensation on the medical device;
surgical cannula.
手術用腔に送気ガスを供給するための、及び1つ以上の医療機器の挿入用の通路を提供するための手術用カニューレであって、
開口部を含むカニューレ上部筐体と、
前記カニューレ上部筐体から延びる長尺状シャフトであって、前記シャフトは、前記手術用腔に前記送気ガスを供給するための中空通路を画定し、前記通路はまた、医療機器を受け入れるように構成されている、長尺状シャフトと、
前記カニューレの長手方向軸線に沿って前記カニューレの少なくとも一部分上又は少なくとも一部分内に配置された加熱要素と、
を含み、
前記加熱要素は、前記カニューレ及び/又は前記機器を通過する前記送気ガスの温度を、露点を超えて上昇させ、前記ガスの結露を低減する及び/若しくは防止する並びに/又は前記医療機器上の結露を低減する及び/若しくは防止するように構成されている、
手術用カニューレ。
A surgical cannula for supplying insufflated gas to a surgical cavity and for providing a passageway for insertion of one or more medical devices, comprising:
a cannula upper housing including an opening;
an elongate shaft extending from the cannula upper housing, the shaft defining a hollow passageway for supplying the insufflation gas to the surgical cavity, the passageway also for receiving a medical instrument; an elongated shaft, comprising:
a heating element disposed on or within at least a portion of the cannula along the longitudinal axis of the cannula;
including
The heating element raises the temperature of the insufflation gas passing through the cannula and/or the device above a dew point to reduce and/or prevent condensation of the gas and/or on the medical device. configured to reduce and/or prevent condensation;
surgical cannula.
前記加熱要素は、前記長尺状シャフトの少なくとも一部の長さに延びる、請求項1または2に記載の手術用カニューレ。 A surgical cannula according to claim 1 or 2, wherein the heating element extends the length of at least a portion of the elongate shaft. 前記加熱要素は、前記長尺状シャフトの壁内に配置されている、請求項3に記載の手術用カニューレ。 The surgical cannula of Claim 3, wherein the heating element is positioned within the wall of the elongate shaft. 前記加熱要素は、前記加熱要素が送気ガス流路から外れるように、前記送気ガスから隔離されている、請求項1~4のいずれか一項に記載の手術用カニューレ。 The surgical cannula of any one of claims 1-4, wherein the heating element is isolated from the insufflation gas such that the heating element is out of the insufflation gas flow path. 前記加熱要素は、前記長尺状シャフトの前記中空通路又は前記カニューレ上部筐体の前記開口部の周りに少なくとも実質的に周方向に延びる、請求項1~5のいずれか一項に記載の手術用カニューレ。 The surgery of any one of claims 1-5, wherein the heating element extends at least substantially circumferentially around the hollow passageway of the elongate shaft or the opening of the cannula upper housing. cannula for. 前記加熱要素と電気連通する1つ以上の電線を含み、前記1つ以上の電線は、前記カニューレの壁に沿って及び/又は前記カニューレの壁を通って延びる、請求項1~6のいずれか一項に記載の手術用カニューレ。 7. Any of claims 1-6, comprising one or more wires in electrical communication with the heating element, the one or more wires extending along and/or through the wall of the cannula. A surgical cannula according to claim 1. 前記加熱要素は、加湿器のコントローラ、独立コントローラ、又は気腹器のコントローラによって電力供給される、請求項1~7のいずれか一項に記載の手術用カニューレ。 A surgical cannula according to any preceding claim, wherein the heating element is powered by a humidifier controller, an independent controller, or a pneumoperitoneum controller. 前記長尺状シャフトは、第2の中空通路を含む、請求項1~8のいずれか一項に記載の手術用カニューレ。 The surgical cannula of any one of claims 1-8, wherein the elongate shaft includes a second hollow passageway. 前記第2の中空通路の周りに延びる第2の加熱要素を含む、又は前記第2の中空通路は、前記中空通路からオフセットし、前記加熱要素の一部分に隣接している、請求項9に記載の手術用カニューレ。 10. The method of claim 9, including a second heating element extending around the second hollow passageway, or wherein the second hollow passageway is offset from the hollow passageway and adjacent to a portion of the heating element. surgical cannula. 前記長尺状シャフトは複数の内腔を含む、請求項1~8のいずれか一項に記載の手術用カニューレ。 The surgical cannula of any one of claims 1-8, wherein the elongate shaft includes a plurality of lumens. 前記加熱要素は、前記複数の内腔のうち1つ以上の内腔内に配置され、前記1つ以上の内腔を通過するガスを加熱する、請求項11に記載の手術用カニューレ。 The surgical cannula of claim 11, wherein the heating element is disposed within one or more lumens of the plurality of lumens to heat gas passing through the one or more lumens. 前記長尺状シャフトは2つの内腔を含み、前記加熱要素は、両内腔内にそれぞれ配置された第1の加熱要素及び第2の加熱要素を含む、請求項12に記載の手術用カニューレ。 13. The surgical cannula of claim 12, wherein the elongate shaft includes two lumens and the heating elements include first and second heating elements respectively disposed within both lumens. . 前記第1の加熱要素は送気ガスを加熱し、前記第2の加熱要素は、排出されるガス及び/又はスモークを加熱する、請求項13に記載の手術用カニューレ。 14. The surgical cannula of claim 13, wherein the first heating element heats insufflation gas and the second heating element heats expelled gas and/or smoke. 前記カニューレ上又は前記カニューレ内に配置されたフィルタ、または前記手術用カニューレに取り外し可能に結合された又は前記手術用カニューレに内蔵されたフィルタモジュールを含む、請求項1~14のいずれか一項に記載の手術用カニューレ。 15. Any one of claims 1 to 14, including a filter disposed on or within the cannula, or a filter module removably coupled to or contained within the surgical cannula. Surgical cannula as described. 前記加熱要素は、前記フィルタを加熱するために配置されている、または前記フィルタモジュールと接触して配置されているか又は前記フィルタモジュール内に延びる、請求項15に記載の手術用カニューレ。 16. The surgical cannula of claim 15, wherein the heating element is arranged to heat the filter, or is arranged in contact with or extends into the filter module. 手術用腔に送気ガスを供給するための手術システムであって、
前記送気ガスを提供するように構成されたガス供給部と流体連通し、前記ガス供給部から受け取った前記送気ガスを加湿するように構成された加湿器と、
請求項1~16のいずれか一項に記載の手術用カニューレと、
前記加湿器と前記手術用カニューレとの間に延びるように構成され、前記加湿器と前記手術用カニューレとそれぞれ流体連通するように構成されたガス送達チューブと、
を含み、
前記ガス送達チューブは、前記加湿器と前記手術用カニューレとそれぞれ電気連通するように構成され、
前記ガス送達チューブは前記送気ガスを前記手術用カニューレに誘導し、電流を前記加湿器から前記手術用カニューレ内の前記加熱要素に誘導するように構成されている、
手術システム。
A surgical system for supplying insufflated gas to a surgical cavity, comprising:
a humidifier in fluid communication with a gas supply configured to provide the insufflation gas and configured to humidify the insufflation gas received from the gas supply;
a surgical cannula according to any one of claims 1 to 16;
a gas delivery tube configured to extend between the humidifier and the surgical cannula and configured to be in fluid communication with the humidifier and the surgical cannula, respectively;
including
the gas delivery tube is configured to be in electrical communication with the humidifier and the surgical cannula, respectively;
the gas delivery tube is configured to direct the insufflation gas to the surgical cannula and to direct electrical current from the humidifier to the heating element within the surgical cannula;
surgical system.
前記手術システムは、前記ガス供給部を備える、請求項17に記載の手術システム。 18. The surgical system of claim 17, wherein said surgical system comprises said gas supply.
JP2021507614A 2018-08-17 2019-08-16 Heated surgical cannula for delivering gas to the patient Active JP7451493B2 (en)

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US201862719557P 2018-08-17 2018-08-17
US62/719,557 2018-08-17
PCT/NZ2019/050101 WO2020036499A1 (en) 2018-08-17 2019-08-16 Heated surgical cannula for providing gases to a patient

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JP2021533887A JP2021533887A (en) 2021-12-09
JPWO2020036499A5 true JPWO2020036499A5 (en) 2022-11-15
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US (1) US20210322684A1 (en)
EP (1) EP3836857A4 (en)
JP (2) JP7451493B2 (en)
AU (1) AU2019322229A1 (en)
TW (1) TWI842732B (en)
WO (1) WO2020036499A1 (en)

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