KR950702848A - 의료용 탐침장치 및 방법(medical probe device and method) - Google Patents

의료용 탐침장치 및 방법(medical probe device and method) Download PDF

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Publication number
KR950702848A
KR950702848A KR1019950700585A KR19950700585A KR950702848A KR 950702848 A KR950702848 A KR 950702848A KR 1019950700585 A KR1019950700585 A KR 1019950700585A KR 19950700585 A KR19950700585 A KR 19950700585A KR 950702848 A KR950702848 A KR 950702848A
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South Korea
Prior art keywords
medical probe
probe device
catheter
steellet
movement
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KR1019950700585A
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English (en)
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KR100273015B1 (ko
Inventor
디. 에드워즈 스튜어트
지. 랙스 로날드
에이치. 룬드퀴스트 잉게마르
알. 샤아키 휴우
Original Assignee
디. 에드워즈 스튜어트
비드아메드, 인코포레이티드(Vidamed, Inc.)
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Abstract

본 발명은, 측벽에서 하나 이상의 스틸릿 구멍(140)을 갖고 목포조직에 대해 사전 선택된 조절 가능한 각으로 스틸릿 구멍을 통해 그리고 개입조직을 통해 외향으로 가요성 스틸릿(17)을 향하게 하기 위한 스틸릿 가이드(16)을 갖는 스틸릿 가이드 하우징(50)을 갖은 카테테르로 이루어진 의료용 탐침 장치에 관한 것이다. 전체 카테테르 조립체는 구멍으로 부터 개입조직을 통해 목표 조직으로의 세로 운동을 위해 스틸릿 가이드 루멘내에 위치한 스틸릿 및 스틸릿 구멍과 연통하고 있는 스틸릿 가이드 루멘(61)을 포함한다. 스틸릿은 비-전도성 층(60)내서 포함된 전기 전도체일 수 있으며, 전기 전도체는 라디오주파 전극이다.

Description

의료용 탐침장치 및 방법(MEDICAL PROBE DEVICE AND METHOD)
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도는 치료를 위한 위치에서 본 발명의 장치의 한 구현에 의한 하부 남성 해부의 개략적횡단면도이다.
제2도는 다수의 연장된 스틸릿을 갖는 본 발명의 카테테르의 말단 하우징 부분의 측면도이다.
제3도는 제2도에 도시한 말단 하우징 부분의 단면도이다.
제4도는 본 발명의 카테테르의 대안적 구현의 횡단면도이다.
제5도는 본 발명에 따르는 RF 전극 스틸릿의 한 구현의 횡단면도이다.
제6도는 본 발명에 따르는 마이크로파 안테나 스틸릿의 한 구현의 횡단면도이다.

Claims (35)

  1. 축벽에서 하나 이상의 스틸릿 구멍을 갖고 스틸렌 구멍을 통해 그리고 개입조직을 통해 가요성 스틸릿을 외향으로 목포 조직으로 향하게 하기 위한 가이드 수단을 갖는 스틸릿 가이드 하우징을 포함하는 탈침 말단 및 제어 말단을 갖은 카테테르로 이루어지는 의료용 탐침 장치로서, 스틸릿은 RF 전극, 마이크로파 안테나, 유체 공급 또는 흡인용 튜브를 갖은 캐뉼라, 또는 관찰, 온도검파 또는 레이져 치료용 섬유 광학체로 이루어짐을 특징으로 하는 의료용 탐침 장치.
  2. 제1항에 있어서, 측면에서 하나 이상의 스틸릿 구멍을 갖고 하나 이상의 스틸릿 구멍을 통해 그리고 개입조직을 통해 가용성 스틸릿을 외향으로 목표조직으로 향하게 하기 위한 스틸릿 가이드 수단을 갖은 탐침 말단 및 제어 말단을 갖는 카테테르로 이루어지며, 스틸릿은 상기 스틸릿 가이드 수단중 적어도 하나에 위치하고, 비-전도성 슬리브내에 포함된 전기 전도체로 이루어지며, 전기 전도체는 라디오 주파 전극임을 특징으로 하는 의료용 탑침 장치.
  3. 제2항에 있어서, 전극이 축방향 루멘이 연장된 튜브임을 특징으로 하는 의료용 탐침 장치.
  4. 제2항에 있어서, 전기 전도체가 고도로 가요성인 금속임을 특징으로 하는 의료용 탐침 장치.
  5. 제4항에 있어서, 전기 고도로 가요성인 금속이 니켈-타탄 합금임을 특징으로 하는 의료용 탐침 장치.
  6. 제2항에 있어서, 비-전도성 슬리브는 리딩 팁, 경질 근위 제어 단면, 및 리딩 팁으로 부터 경질 근위 제어 단면까지 연장된 가요성 부분으로 이루어져서, 슬리브가 곡면 경로를 통해 축방향 배향으로 부터, 스틸릿 구멍을 통해 외향으로 연장한 배향으로 연장될 수 있음을 특징으로 하는 의료용 탐침 장치.
  7. 제6항에 있어서, 리딩 팁이 이것의 말단을 향해 수렴될 때까지 내향으로 점점 가늘어짐을 특징으로 하는 의료용 탐침 장치.
  8. 제7항에 있어서, 가요성 부분이 나사선 코일 또는 와이어 브레이드로 이루어짐을 특징으로 하는 의료용 탐침 장치.
  9. 제8항에 있어서, 가요성 부분이 외부 비-전도성 재료 중에 포함된 전도성 재료로 만들어짐을 특징으로 하는 의료용 탐침 장치.
  10. 제2항에 있어서, 전기 전도체가 날카로운 블레이드 팁을 가짐을 특징으로 하는 의료용 탐침 장치.
  11. 제10항에 있어서, 날카로운 블레이드 팁의 원위 부분이 쇼율더를 규정하고, 슬리브의 원의 말단의 쇼율더의 두께를 상당히 초과하지 않는 직경을 갖는 팁 쪽으로 내향으로 점점 가늘어짐을 특징으로 하는 의료용 탐침 장치.
  12. 제2항에 있어서, 비-전도성 슬리브가 전기 전도체 상에 세로 운동을 위해 설로 설치되어, 목표 조직에서 전기 전도체 표면의 선택된 부분을 노출시킴을 특징으로 하는 의료용 탐침 장치.
  13. 제12항에 있어서, 인체에서 스탈릿의 위치를 표시하는 신호를 방출시키기 위해 비전도성 슬리브의 원위 말단상에 설치된 초음파 응답기 수단을 포함함을 특징으로 하는 의료용 탐침 장치.
  14. 제12항에 있어서, 카테테르의 제어 말단에 부착된 제어 핸들, 비-전도성 슬리브에 부착된 비-전도성 슬리브 수단, 및 전기 전도체가 부착되어 포함된 전기 전도체 운동 수단을 포함하며, 비-전도성 슬리브 운동 수단은 스틸릿 가이드 수단에서 비-전도성 슬리브의 수동 운동을 세로 운동으로 전환시키기 위한 수단으로 이루어지고, 전기 전도체 운동 수단은 비-전도성 슬리브에서 전기 전도체의 수동 운동을 세로 운동으로 전환시키기 위한 수단으로 이루어지고, 비-전도성 슬리브 운동 수단 및 전기 전도체 운동 수단이 그 위에서의 운동을 위해 핸들과 맞물려 있음을 특징으로 의료용 탐침 장치.
  15. 제14항에 있어서, 비-전도성 슬리브 운동 수단 및 전기 전도체 운동 수단이 분리된 운동 및 연동된 운동둘 모두를 위해 핸들 상에 위치한 분리된 인접 수동 운동 수단을 포함함을 특징으로 하는 의료용 탐침 장치.
  16. 제14항에 있어서, 제어 핸들은 이것의 벽을 통해 2개 이상의 평행한 세로 슬롯을 갖고, 수동 운동 수단은 각각, 하우징의 내부에서 세로 슬롯 중 하나를 통해 연장한 컨넥터까지 연장한 슬라이드에 연결된 핑거 맞물림 표면을 포함하며, 컨넥터는 각각의 비-전도성 슬리브 또는 전기 전도체에 부착됨을 특징으로 하는 의료용 탐침 장치.
  17. 제1항에 있어서, 스탈릿 가이드 하우징이 하우징의 중심축에 수직인 평면에 위치한 스틸릿 구멍 중 2개를 포함함을 특징으로 하는 의료용 탐침 장치.
  18. 제1항에 있어서, 초음파 반사 수단 및 초음파 응답 수단이, 인체중의 카테테르의 위치를 표시하는 신호를 제공하기 위해 카테테르의 원위 말단에 위치함을 특징으로 하는 의료용 탐침 장치.
  19. 제1항에 있어서, 가이드 하우징에 인접한 조직에서 온도를 표시하기 위해 스탈릿 가이드 하우징상에 온도 감지 수단이 설치됨을 특징으로 하는 의료용 탐침 장치.
  20. 제1항에 있어서, 슬리브의 원위 말단에서 조직의 온도를 표시하기 위해 비전도성 슬리브의 원위 말단에 온도 감지 수단이 설치됨을 특징으로 하는 의료용 탐침 장치.
  21. 제1항에 있어서, 스틸릿 가이드 수단이 스틸릿 구멍에서 카테테르내의 축방향 배향으로 부터 곡면 위치를 통한 측면 배향까지 스틸릿 경로를 규정함을 특징으로 하는 의료용 탐침 장치.
  22. 제21항에 있어서, 곡면 부분이 스틸릿 가이드에서 스틸릿의 슬라이딩 전개를 허용하기에 충분한 반경을 갖고, 바람직한 각으로의 전개동안 스틸릿을 굴절시킴을 특징으로 하는 의료용 탐침 장치.
  23. 제22항에 있어서, 곡면 부분이 0.5cm 이하의 반경을 가짐을 특징으로 하는 의료용 탐침 장치.
  24. 제22항에 있어서, 스틸릿 가이드 수단이 스틸릿 구멍으로 부터 멀리 일정 방향으로 연장한 제1곡면 부분, 및 제1곡면 부분으로 부터 계속되고 스틸릿 구멍까지 연장한 제2곡면 수단을 갖는 스틸릿 경로를 규정함을 특징으로 하는 의료용 탐침 장치.
  25. 제21항에 있어서, 스틸릿 가이드 수단이 180℃ 이하의 각을 형성하는 중심각을 갖는 스틸릿 구멍에서 카테테르내의 평행한 축방향 배향으로 부터 곡면 부분을 통해 측면 배향까지의 적어도 2개의 비-교차 스틸릿 경로를 규정함을 특징으로 하는 의료용 탐침 장치.
  26. 제25항에 있어서, 각이 180℃ 미만임을 특징으로 하는 의료용 탐침 장치.
  27. 제25항에 있어서, 각이 90℃ 미만임을 특징으로 하는 의료용 탐침 장치.
  28. 제1항에 있어서, 절제하려는 목표조직을 통해 전극으로 부터 통하는 전류를 끌어 당기기에 적합한 적어도 하나의 접지판과 조합하여 있음을 특징으로 하는 의료용 탐침 장치.
  29. 제21항에 있어서, 스틸릿 가이드 수단이 카테테르의 축에 대해 90°간격의 방향으로 외향으로 연장된 스틸릿 구멍에서, 카테테르내의 평행한 축방향 배향으로 부터 곡면 부분을 측면 배향까지의 적어도 4개의 비-교차 스틸릿 경로를 규정함을 특징으로 하는 의료용 탐침 장치.
  30. 제1항에 있어서, 카테테르의 원의 부분이 이것의 근의 부분보다 더 가요성이어서, 곡면 도관을 통한 통과를 조장함을 특징으로 하는 의료용 탐침 장치.
  31. 제30항에 있어서, 카테테르의 더 가요성인 부분이 나사선 코일, 와이어 브레이드, 또는 매끄러운 외부층을 갖는 슬롯 튜브로 이루어짐을 특징으로 하는 의료용 탐침 장치.
  32. 제1항에 있어서, 카테테르의 제어 말단에 부착된 제어 핸들, 및 스틸릿 가이드 수단에서 스틸릿의 세로 운동을 의해 스틸릿에 부착되고 핸들을 맞물리는 스틸릿 운동수단을 포함함을 특징으로 하는 의료용 탐침 장치.
  33. 제32항에 있어서, 스틸릿 운동수단이 스틸릿 가이드 수단에서 스틸릿의 수동운동을 세로 운동으로 전환시키기 위해 수동 맞물림 수단으로 이루어짐을 특징으로 하는 의료용 탐침 장치.
  34. 제1항에 있어서, 스틸릿이 스틸릿 가이드 하우징의 중심축에 대해 90°내지 160°의 카테테르 하우징의 중심각으로 평면을 통해 평면으로 일정각도로 외향으로 이용함을 특징으로 하는 의료용 탐침 장치.
  35. 제35항에 있어서, 카테테르가 이를 통해 연장된 팽창 유체 전달 루멘과 연통하여 있는 하나 이상의 팽창성 벌룬을 포함함을 특징으로 하는 의료용 탐침 장치.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019950700585A 1992-08-12 1993-08-11 의료용 탐침장치 및 방법 KR100273015B1 (ko)

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US6610054B1 (en) 2003-08-26
US5599294A (en) 1997-02-04
ATE132046T1 (de) 1996-01-15
ES2134295T3 (es) 1999-10-01
US5964727A (en) 1999-10-12
TW234695B (ko) 1994-11-21
GB9303060D0 (en) 1993-03-31
GB2269538B (en) 1996-10-09
IN182704B (ko) 1999-06-26
CA2226484C (en) 2000-12-12
GB2269538A (en) 1994-02-16
FR2694700A1 (fr) 1994-02-18
US6852091B2 (en) 2005-02-08
KR100273015B1 (ko) 2000-12-01
US6129726A (en) 2000-10-10
DE4305663A1 (de) 1994-02-17
EP0611314A1 (en) 1994-08-24
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US5531676A (en) 1996-07-02
US20020183740A1 (en) 2002-12-05
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EP0893101B1 (en) 2004-04-07
US5800378A (en) 1998-09-01
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FI950584A (fi) 1995-04-04
AU4999893A (en) 1994-03-15
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US5536240A (en) 1996-07-16
CA2121032A1 (en) 1994-03-03
EP0611314A4 (en) 1994-09-14
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US5366490A (en) 1994-11-22
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