JP2015518752A - 無線周波数穿孔装置 - Google Patents
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- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- A61B2218/002—Irrigation
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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Abstract
Description
−チューブ状構成要素16の外面を加熱することによる溶接、
−接着剤またはエポキシ、
−チューブ状構成要素16を覆う、またはバンド付近の外面の機械的変形(クリンピング)、
−内部溶接(非常に小さい溶接機、または光ファイバーレーザー溶接システムによる)、
−締り嵌め(サイズが大きすぎるリング形状のバンドマーカー6を適所に押し込む)、
−焼かん合(熱によって外側チューブ(チューブ状構成要素16)を膨張させ、かつ内部バンドマーカー6を、冷却することにより収縮させて、バンドマーカーを適所に摺動させ、かつ内部バンドマーカーが暖まる間に外側チューブを冷却させる)、
−適合性材料による外部/内部磁石、および
−チューブの内径および内部構成要素の外径にねじ山をつけ(チューブの軸に平行に)、その後嵌め込むことによる。
Claims (92)
- 近位端部および遠位端部を有する金属性の細長い部材であって、前記細長い部材は、実質的に前記近位端部と前記遠位端部との間に延在するルーメンを規定し、かつ前記ルーメンからの少なくとも1つの開口部を規定する、細長い部材と;
マーカー位置で前記細長い部材に関連付けられ、かつ、使用時、前記ルーメンを通る流体の流れが実質的に妨害されないように構成された造影用マーカーであって、前記マーカー位置における前記機器の外径が、前記マーカー位置に隣接する前記機器の前記外径に実質的に等しい造影用マーカーと
を含む医療機器。 - 前記マーカー位置が前記少なくとも1つの開口部から遠位にある、請求項1に記載の医療機器。
- 前記造影用マーカーが、前記マーカー位置において前記細長い部材の壁に埋め込まれている、請求項1に記載の医療機器。
- 前記造影用マーカーが前記マーカー位置において前記細長い部材の壁の内表面に結合されている、請求項1に記載の医療機器。
- 前記遠位端部が機能的先端部を含み、および前記機能的先端部が前記造影用マーカーを含む、請求項2に記載の医療機器。
- 前記機能的先端部が、導電性材料で構成され、かつエネルギーを伝達するように動作可能である、請求項5に記載の医療機器。
- 前記機能的先端部が電気エネルギーを伝達するように動作可能である、請求項6に記載の医療機器。
- 前記機能的先端部が、前記無線周波数の範囲内の周波数を有する電気エネルギーを伝達するように動作可能である、請求項7に記載の医療機器。
- 前記造影用マーカーがドーム形部分を含み、および前記造影用マーカーが、前記細長い部材の前記遠位端部において前記ルーメンを閉塞する、請求項2に記載の医療機器。
- 前記造影用マーカーが、前記細長い部材の前記壁の内表面に埋め込まれ、それにより、前記マーカー位置における前記ルーメンの直径が、前記マーカー位置に隣接する前記ルーメンの前記直径に少なくとも等しく、それにより、使用時、前記ルーメンを通る流体の流れが前記造影用マーカーによって実質的に妨害されない、請求項3に記載の医療機器。
- 前記造影用マーカーが、前記細長い部材の前記壁の外面に埋め込まれ、前記機器の前記外径が前記マーカーにより拡大しない、請求項3に記載の医療機器。
- 前記細長い部材の外面が、前記造影用マーカーを含む溝を規定する、請求項3に記載の医療機器。
- さらに、前記溝内に配置された充填剤を含む、請求項12に記載の医療機器。
- 前記壁の前記内表面が溝を規定し、および前記造影用マーカーが、前記溝内に含まれる係留要素であり、それにより、前記造影用マーカーが、流れる流体によって運び去られないようにする一方、前記造影用マーカーが前記溝内で制限された距離移動できるようにする、請求項10に記載の医療機器。
- 前記造影用マーカーが末端部によって保持される、請求項10または11に記載の医療機器。
- 前記細長い部材が第1の細長い部材の構成要素および第2の細長い部材の構成要素で構成され、および前記第1の細長い部材の構成要素および前記第2の細長い部材の構成要素が連結し、それにより、前記造影用マーカーをそれらの間に保持する、請求項10または11に記載の医療機器。
- 前記内表面に結合された前記造影用マーカーが、乱流を制限する、丸みを帯びた端部を規定し、それにより、流体の流れの妨害を最小限にする、請求項4に記載の医療機器。
- 前記造影用マーカーが、前記細長い部材の前記内表面に堆積された材料を含む、請求項4に記載の医療機器。
- 前記造影用マーカーが、堆積層マーカーを形成するように噴霧堆積された材料で構成されている、請求項18に記載の医療機器。
- 前記造影用マーカーが複数の横断要素を含む、請求項4に記載の医療機器。
- 前記複数の横断要素が格子を規定する、請求項20に記載の医療機器。
- 前記複数の横断要素がスクリーンを規定する、請求項20に記載の医療機器。
- 前記複数の横断要素が、十字形のマーカーを規定する、請求項20に記載の医療機器。
- 前記複数の横断要素が、アスタリスク形のマーカーを規定する、請求項20に記載の医療機器。
- さらに、前記細長い部材の遠位端部に配置された機能的先端部を含み、前記機能的先端部は、エネルギーを伝達するように動作可能な電極を含む、請求項3または4に記載の医療機器。
- 前記機能的先端部が、前記細長い部材の前記遠位端部において前記ルーメンを閉塞する、請求項25に記載の医療機器。
- 前記電極の外径が、前記細長い部材の前記外径以下である、請求項25に記載の医療機器。
- 前記機能的先端部が、無線周波数の電気エネルギーを伝達するように動作可能である、請求項25に記載の医療機器。
- 前記機能的先端部がX線不透過性物質を含み、かつ機能的先端部のX線不透過性マーカーを規定する、請求項25に記載の医療機器。
- 前記機能的先端部のX線不透過性マーカーが前記細長い部材に溶接される、請求項29に記載の医療機器。
- 前記機能的先端部が、X線不透過性充填剤を前記細長い部材の遠位端部に融接することによって、形成される、請求項25に記載の医療機器。
- 前記機能的先端部がドーム形部分を含む、請求項25に記載の医療機器。
- 前記造影用マーカーがX線不透過性マーカーである、請求項2〜4のいずれか一項に記載の医療機器。
- 前記細長い部材の前記遠位端部が閉鎖されている、請求項2〜4のいずれか一項に記載の医療機器。
- 前記造影用マーカーが溶接によって前記細長い部材に取り付けられている、請求項2〜4のいずれか一項に記載の医療機器。
- 前記造影用マーカーが、前記細長い部材の前記遠位端部に融接されたX線不透過性物質を含む、請求項2〜4のいずれか一項に記載の医療機器。
- 前記ルーメンからの前記少なくとも1つの開口部がラテラルアパーチャを含む、請求項2〜4のいずれか一項に記載の医療機器。
- 前記アパーチャに少なくとも部分的に重なり合う絶縁層をさらに含む、請求項37に記載の医療機器。
- 前記アパーチャが長手方向に細長くされて、流体の流れを増やす、請求項37に記載の医療機器。
- 前記細長い部材が、実質的に丸い断面を有する、請求項2〜4のいずれか一項に記載の医療機器。
- 前記細長い部材がコイルを含む、請求項1に記載の医療機器。
- 前記細長い部材が、編み組された材料を含む、請求項1に記載の医療機器。
- 前記機能的先端部が半球形部分を有する、請求項5に記載の医療機器。
- 前記機能的先端部が尖った部分を有する、請求項5に記載の医療機器。
- 前記機能的先端部がナイフ状の部分を有する、請求項5に記載の医療機器。
- 前記造影用マーカーが反響性マーカーである、請求項1に記載の医療機器。
- 前記造影用マーカーが、磁気共鳴画像法で見ることができるマーカーである、請求項1に記載の医療機器。
- 前記X線不透過性マーカーが、白金、イリジウム、金、パラジウム、タングステン、またはそれらの合金からなる群から選択されるX線不透過性物質を含む、請求項33に記載の医療機器。
- 前記X線不透過性物質が、約90%の白金および約10%のイリジウムで構成される、請求項48に記載の医療機器。
- 前記X線不透過性物質が、約92%の白金および約8%のタングステンで構成される、請求項48に記載の医療機器。
- 前記造影用マーカーが中空バンドを含む、請求項1に記載の医療機器。
- 前記造影用マーカーがコイルを含む、請求項1に記載の医療機器。
- 前記細長い部材の外面に沿って電気絶縁層をさらに含む、請求項2〜4のいずれか一項に記載の医療機器。
- 近位端部および遠位端部を有する細長い部材であって、前記細長い部材は、実質的に近位端部と遠位端部との間に延在するルーメンを規定し、および前記ルーメンからの少なくとも1つの開口部を規定する細長い部材と;
マーカー位置において前記少なくとも1つの開口部と比較して遠位に配置された、前記細長い部材に関連付けられた造影用マーカーと
を含む医療機器。 - 前記造影用マーカーの直径が、前記マーカー位置に隣接する前記細長い部材の外径以下である、請求項54に記載の医療機器。
- 前記造影用マーカーがX線不透過性マーカーである、請求項55に記載の医療機器。
- 前記ルーメンが前記細長い部材の前記遠位端部において閉塞される、請求項54に記載の医療機器。
- 前記遠位端部が機能的先端部を含み、および前記機能的先端部が前記造影用マーカーを含む、請求項57に記載の医療機器。
- 前記機能的先端部が、導電性材料で構成され、かつエネルギーを伝達するように動作可能である、請求項58に記載の医療機器。
- 前記機能的先端部が、電気エネルギーを伝達するように動作可能である、請求項59に記載の医療機器。
- 前記機能的先端部が、前記無線周波数の範囲内の周波数を有する電気エネルギーを伝達するように動作可能である、請求項60に記載の医療機器。
- 前記細長い部材がプラスチックチューブを含む、請求項54に記載の医療機器。
- 前記細長い部材が金属チューブを含む、請求項54に記載の医療機器。
- 前記造影用マーカーが、溶接によって前記金属チューブに取り付けられる、請求項63に記載の医療機器。
- 前記造影用マーカーが、前記細長い部材の前記遠位端部と融接されたX線不透過性物質を含む、請求項63に記載の医療機器。
- 前記造影用マーカーがドーム形部分を含み、および前記造影用マーカーが、前記細長い部材の前記遠位端部を閉塞する、請求項65に記載の医療機器。
- 近位端部および遠位端部を有する金属性の細長い部材であって、前記細長い部材は、実質的に前記近位端部と前記遠位端部との間に延在するルーメンを規定し、かつ前記ルーメンからの少なくとも1つの開口部を規定する細長い部材と;
マーカー位置において前記細長い部材の壁に埋め込まれるX線不透過性マーカーと
を含む、医療機器。 - 前記X線不透過性マーカーが、前記細長い部材の前記壁の内表面に埋め込まれ、それにより、前記マーカー位置における前記ルーメンの直径が、前記マーカー位置に隣接する前記ルーメンの前記直径に少なくとも等しく、それにより、使用時、前記ルーメンを通る流体の流れが前記X線不透過性マーカーによって妨害されない、請求項67に記載の医療機器。
- 前記X線不透過性マーカーが、前記細長い部材の前記壁の外面に埋め込まれ、前記マーカー位置における前記機器の外径が、前記マーカー位置に隣接する前記機器の前記外径以下である、請求項67に記載の医療機器。
- さらに、前記細長い部材の遠位端部に配置された機能的先端部を含み、前記機能的先端部は、エネルギーを伝達するように動作可能な電極を含む、請求項67に記載の医療機器。
- 前記電極の外径が、前記細長い部材の外径以下である、請求項70に記載の医療機器。
- 前記機能的先端部が、無線周波数の電気エネルギーを伝達するように動作可能である、請求項70に記載の医療機器。
- 前記機能的先端部が、さらに、X線不透過性物質を含み、およびさらに、機能的先端部のX線不透過性マーカーを規定する、請求項70に記載の医療機器。
- 前記機能的先端部のX線不透過性マーカーが前記細長い部材に溶接される、請求項73に記載の医療機器。
- 前記機能的先端部が、X線不透過性充填剤を前記細長い部材の遠位端部に融接することによって形成される、請求項73に記載の医療機器。
- 前記機能的先端部がドーム形部分を含む、請求項75に記載の医療機器。
- 近位端部および遠位端部を有する金属性の細長い部材であって、前記細長い部材は、実質的に前記近位端部と前記遠位端部との間に延在するルーメンを規定し、かつ前記ルーメンからの少なくとも1つの開口部を規定する、細長い部材と;
前記細長い部材の壁の内表面に結合されたX線不透過性マーカーと
を含む医療機器。 - 前記細長い部材の前記遠位端部に配置されかつエネルギーを伝達するための電極を有する機能的先端部をさらに含む、請求項77に記載の医療機器。
- 前記機能的先端部が、無線周波数の電気エネルギーを伝達するように動作可能である、請求項78に記載の医療機器。
- 前記電極の直径が前記細長い部材の直径以下である、請求項78に記載の医療機器。
- 前記機能的先端部が前記細長い部材の前記遠位端部を閉塞する、請求項78に記載の医療機器。
- 前記ルーメンからの前記少なくとも1つの開口部が、ラテラルアパーチャを含む、請求項81に記載の医療機器。
- 前記機能的先端部が前記遠位端部に溶接される、請求項78に記載の医療機器。
- 近位端部、遠位端部を有し、かつ実質的に前記近位端部と前記遠位端部との間に延在するルーメンを規定し、および前記ルーメンからの少なくとも1つの開口部を規定する金属性の細長い部材と;
前記細長い部材の壁の内表面に結合されて、X線不透過性の係留要素を収容するチャネルを規定する複数の内部リテーナであって、前記リテーナは、前記X線不透過性の係留要素が、前記ルーメン内を流れる流体によって運び去られないようにする一方、前記X線不透過性の係留要素が、前記チャネル内で制限された距離移動できるようにする、内部リテーナと
を含む医療機器。 - 細長い部材と、前記細長い部材に関連付けられた機能的先端部とを含み、かつ前記細長い部材の遠位端部の周りに配置され、前記機能的先端部の少なくとも一部分が、医療画像法を使用して見ることができる医療機器を使用して、患者の体内の標的位置にチャネルまたは穿孔を形成する方法であって、
a)前記機能的先端部を前記標的位置まで案内するために、前記医療機器を、患者の体を通って前進させるとき、前記機能的先端部を可視化するステップと;
b)前記標的位置に前記機能的先端部を位置決めするステップと;
c)前記機能的先端部の電極によって電気エネルギーを伝達し、前記チャネルまたは穿孔を形成するステップと
を含む方法。 - 前記細長い部材の壁に配置されたラテラルアパーチャを経由して流体を伝達するステップをさらに含み、前記ラテラルアパーチャが、前記細長い部材によって規定されたルーメンと流体連通している、請求項85に記載の方法。
- 前記細長い部材によって規定されたルーメン内に配置された流体に加えられる圧力を測定するステップをさらに含み、前記ルーメンが、前記細長い部材の前記遠位部分の壁に配置されたラテラルアパーチャを経由して、前記細長い部材の遠位部分の周りの環境と流体連通している、請求項85に記載の方法。
- エネルギーを伝達する前記ステップが、無線周波数の電気エネルギーを伝達することを含む、請求項85に記載の方法。
- 前記流体が液体を含む、請求項86に記載の方法。
- 前記流体が気体を含む、請求項86に記載の方法。
- 前記流体が、流れる固体粒子を含む、請求項86に記載の方法。
- 前記固体粒子が反響性マーカービードを含む、請求項91に記載の方法。
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WO2013179103A1 (en) | 2013-12-05 |
US11684447B2 (en) | 2023-06-27 |
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JP2021180875A (ja) | 2021-11-25 |
US20230277276A1 (en) | 2023-09-07 |
JP6416084B2 (ja) | 2018-10-31 |
US10898291B2 (en) | 2021-01-26 |
US20150216620A1 (en) | 2015-08-06 |
JP7265590B2 (ja) | 2023-04-26 |
JP2019030693A (ja) | 2019-02-28 |
JP2021180874A (ja) | 2021-11-25 |
BR112014030643A8 (pt) | 2018-05-15 |
JP2023063381A (ja) | 2023-05-09 |
EP2854927A1 (en) | 2015-04-08 |
US20210106400A1 (en) | 2021-04-15 |
EP2854927A4 (en) | 2016-03-02 |
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