JP2014525781A - 腎盂を通した腎神経の脱神経 - Google Patents
腎盂を通した腎神経の脱神経 Download PDFInfo
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- A61B2018/00404—Blood vessels other than those in or around the heart
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- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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Abstract
Description
Claims (20)
- 患者の腎臓内の腎神経の機能を阻害するための装置であって、
前記腎臓の内部に導入されるように適合される、シャフトと、
前記腎臓の内部から、腎盂壁を通して、前記腎盂壁内および前記腎臓内の腎血管を囲繞する腎神経に対して、エネルギーを交換する、または活性物質を送達するように適合される、前記シャフト上のエフェクタと
を備える、装置。 - 前記エフェクタは、前記腎臓内で拡張され、腎盂の内壁に係合し得る、拡張可能部材を備える、請求項1に記載の装置。
- 前記エフェクタは、前記腎盂の内部を占有するように膨張するように適合される、柔軟性バルーンを備える、請求項2に記載の装置。
- 前記エフェクタは、乳頭、実質、および錐体を含む、前記腎盂を越える前記腎臓の領域内へのエネルギーの交換または活性物質の送達を制限するように適合される、請求項1〜3のいずれか一項に記載の装置。
- 前記エフェクタはさらに、エネルギー伝達構造を前記拡張可能部材の外部表面上に備える、請求項1〜4のいずれか一項に記載の装置。
- 前記エネルギー伝達構造は、電極または電極アレイを備える、請求項5に記載の装置。
- 前記エフェクタは、エネルギー伝達構造を前記拡張可能部材内に備える、請求項1〜6のいずれか一項に記載の装置。
- 前記エネルギー伝達構造は、超音波変換器、マイクロ波変換器、または対流熱源を備える、請求項7に記載の装置。
- 前記エフェクタは、前記腎盂壁を通して、前記腎盂壁内および前記腎血管を囲繞する神経に、高周波エネルギーを送達するための電極を備える、請求項1〜8のいずれか一項に記載の装置。
- 前記エフェクタは、前記腎盂壁を通して、前記腎盂壁内および前記腎血管を囲繞する神経に、マイクロ波エネルギーを送達するためのアンテナを備える、請求項1〜9のいずれかに記載の装置。
- 前記エフェクタは、前記腎盂壁を通して、前記腎盂壁内および前記腎血管を囲繞する神経に、超音波エネルギーを送達するための変換器を備える、請求項1〜10のいずれか一項に記載の装置。
- 前記超音波変換器は、高密度焦点式超音波アレイである、請求項11に記載の装置。
- 前記超音波変換器は、非集束式である、請求項11に記載の装置。
- 前記エフェクタは、前記腎盂壁を通して、前記腎盂壁内および前記腎血管を囲繞する神経に、熱エネルギーを送達するための対流熱源を備える、請求項1〜13のいずれか一項に記載の装置。
- 前記対流熱源は、膨張可能構造および前記膨張可能構造を膨張させるための加熱流体源を備える、請求項14に記載の装置。
- 前記エフェクタは、前記腎盂壁を通して、前記腎盂壁内および前記腎血管を囲繞する神経を冷却するために、熱を抽出するための対流冷却源を備える、請求項1〜15のいずれか一項に記載の装置。
- 前記対流冷却源は、膨張可能構造および前記膨張可能構造を膨張させるための冷却流体源を備える、請求項16に記載の装置。
- 前記エフェクタは、放射線放射源を備える、請求項1〜17のいずれか一項に記載の装置。
- 前記放射線放射源は、放射性同位体または電子放射線源を備える、請求項10に記載の装置。
- 前記エフェクタは、組織穿通電極を備える、請求項1〜19のいずれか一項に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201161506976P | 2011-07-12 | 2011-07-12 | |
US61/506,976 | 2011-07-12 | ||
PCT/US2012/046511 WO2013010009A1 (en) | 2011-07-12 | 2012-07-12 | Renal nerve denervation via the renal pelvis |
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JP2014525781A true JP2014525781A (ja) | 2014-10-02 |
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JP2014520333A Pending JP2014525781A (ja) | 2011-07-12 | 2012-07-12 | 腎盂を通した腎神経の脱神経 |
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US (4) | US10357302B2 (ja) |
EP (1) | EP2731531B1 (ja) |
JP (1) | JP2014525781A (ja) |
CN (1) | CN103987334A (ja) |
WO (1) | WO2013010009A1 (ja) |
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2012
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- 2012-07-12 JP JP2014520333A patent/JP2014525781A/ja active Pending
- 2012-07-12 CN CN201280044271.6A patent/CN103987334A/zh active Pending
- 2012-07-12 US US13/547,486 patent/US10357302B2/en active Active
- 2012-07-12 WO PCT/US2012/046511 patent/WO2013010009A1/en active Application Filing
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2019
- 2019-06-18 US US16/444,217 patent/US10786295B2/en active Active
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2020
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EP2731531A4 (en) | 2014-12-31 |
EP2731531B1 (en) | 2018-02-14 |
US20130178824A1 (en) | 2013-07-11 |
US10786295B2 (en) | 2020-09-29 |
EP2731531A1 (en) | 2014-05-21 |
CN103987334A (zh) | 2014-08-13 |
WO2013010009A1 (en) | 2013-01-17 |
US20230218331A1 (en) | 2023-07-13 |
US10357302B2 (en) | 2019-07-23 |
US20190350632A1 (en) | 2019-11-21 |
US20200405368A1 (en) | 2020-12-31 |
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