JP2018083101A - 組織固定具及び組織固定装置 - Google Patents
組織固定具及び組織固定装置 Download PDFInfo
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A—HUMAN NECESSITIES
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract
【解決手段】組織固定装置は、作業端部126と制御端部との間で延び組織固定具134を受けるためのガイド136を有している長棒部材122と、作業端部においてガイドと連通している発射用開口132と、発射用開口内に配置されて延出した位置と後退した位置との間で回転可能であり、組織固定具の針ガイド188と係合する凹部150を備えている単一の弧状針140と、弧状針に連結され、弧状針を延出方向の回転により組織及び補綴材の内の一つを貫通して前進させて針ガイドと係合させ、弧状針を逆方向の回転により組織及び補綴材の内の一つを貫通して後退させて、組織固定具の係合した針ガイドを引張らせるように構成された駆動機構と、を備える。
【選択図】図21
Description
本出願は,2013年2月15日に出願した米国仮出願番号第61/765,460号を基礎とする優先権を主張する。
122 細長い部材(長棒部材)
124 制御端部
126 作業端部
130 トリガ
132 側面発射用開口(発射用開口)
134 固定具(組織固定具)
136 ガイド
150 凹部
140 弧状針
188 針ガイド
190 リボン
202,302,402,502 フィラメント
204,304,404,504 保持要素
206,306,406,506 保持部材
234,334,434,534 固定具(組織固定具)
286,386,486,586 末端部
288,388,488,588 先導端部
Claims (10)
- 組織に留付けられる組織固定具であって、
先導端部と末端部との間で延在しているフィラメントと、
前記先導端部上に配され、弧状針と係合させて組織及び補綴材の少なくとも一つの内部に進入させる針ガイドと、
前記末端部上に配され、組織及び補綴材の少なくとも一つの内部への進入の抵抗となる保持部材と、
を備える組織固定具。 - 前記針ガイドは、ループ状で、外形が円、長円、楕円、及び多角形の内の一つの形状であり、
前記針ガイドは、組織及び補綴材の少なくとも一つの内部での前進の抵抗とはならない一方で、そこからの後退に抵抗する方向に突出した保持要素を備える、
請求項1に記載の組織固定具。 - 前記針ガイドは、前記針ガイドから接線方向に延出している少なくとも一つの保持要素を含み、前記保持要素は、組織及び補綴材の少なくとも一つの内部での前記針ガイドの後退に抵抗する、
請求項1に記載の組織固定具。 - 前記先導端部は、歯状、フィン状、または返し状の保持要素を少なくとも一つ備えており、前記保持要素は組織及び補綴材の少なくとも一つの内部での前記針ガイドの後退に抵抗する、
請求項1に記載の組織固定具。 - 前記フィラメントは、一又は複数の線形部分及び非線形部分を有する、
請求項1の組織固定具。 - 前記保持部材は、前記針ガイドがなす平面と少なくとも部分的に交差する平面内にあり、
前記保持部材から外方向に延出している要素を、少なくとも一つ備える、
請求項1に記載の組織固定具。 - 前記保持部材は、開口したループを有しており、前記開口したループは、そこを通る前記先導端部の前記針ガイドを受け止めることにより、前記組織固定具が組織へ留付けられた際に前記針ガイドと連結されるものである、
請求項1に記載の組織固定具。 - 請求項1に記載の組織固定具を組織に留付けるための組織固定装置であって、
作業端部と制御端部との間で延びており、一又は複数の前記組織固定具を受けるためのガイドを少なくとも一つ有している長棒部材と、
前記作業端部において少なくとも一つの前記ガイドと連通している発射用開口と、
前記発射用開口内に配置されており、前進により延出した位置とその反対に後退した位置との間で回転可能な弧状針であり、前記組織固定具の前記針ガイドをその内部に受け止めて係合する凹部を備えている単一の弧状針と、
前記弧状針に連結され、前記弧状針を延出方向の回転により組織及び補綴材の少なくとも一つを貫通して前進させて前記組織固定具の前記針ガイドと係合させ、前記弧状針を逆方向の回転により組織及び補綴材の少なくとも一つの内部で後退させながら前記組織固定具の係合した前記針ガイドを引張らせるように構成された駆動機構と、
を備える組織固定装置。 - 前記駆動機構は、前記制御端部に配されたトリガの使用により手動で動作させられるものであり、
前記トリガは、前記弧状針を延出させる位置と、前記弧状針を後退させる位置との間で移動可能である、
請求項8に記載の組織固定装置。 - 複数の前記組織固定具が線形に配置されたリボンを保持するリボンカートリッジを更に備え、
前記リボンカートリッジは、少なくとも一つの前記組織固定具を、組織への留付けに先立ち前記作業端部の前記発射用開口の上に保持し、前記組織固定具が前記弧状針と係合し前記リボンから離脱するように構成されている、
請求項8に記載の組織固定装置。
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US201361765460P | 2013-02-15 | 2013-02-15 | |
US61/765,460 | 2013-02-15 |
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JP2015558149A Division JP2016506858A (ja) | 2013-02-15 | 2014-02-14 | 医療用固定装置 |
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EP (2) | EP2956067B1 (ja) |
JP (2) | JP2016506858A (ja) |
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CA2905345A1 (en) * | 2013-03-15 | 2014-09-25 | Ams Research Corporation | Systems, tools, and methods for connecting to tissue |
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- 2014-02-14 CA CA2900385A patent/CA2900385A1/en not_active Abandoned
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- 2014-02-14 US US14/180,884 patent/US9439646B2/en active Active
- 2014-02-14 KR KR1020157024542A patent/KR102274864B1/ko active IP Right Grant
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- 2014-02-14 JP JP2015558149A patent/JP2016506858A/ja active Pending
- 2014-02-14 AU AU2014216180A patent/AU2014216180B2/en not_active Ceased
- 2014-02-14 EP EP18161654.1A patent/EP3354206B1/en active Active
- 2014-02-14 BR BR112015019519A patent/BR112015019519A2/pt not_active IP Right Cessation
- 2014-02-14 CN CN201480009057.6A patent/CN105142539B/zh not_active Expired - Fee Related
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JP2016506858A (ja) | 2016-03-07 |
EP2956067A4 (en) | 2016-12-21 |
JP6662924B2 (ja) | 2020-03-11 |
WO2014127216A1 (en) | 2014-08-21 |
EP3354206A1 (en) | 2018-08-01 |
CN105142539B (zh) | 2019-04-05 |
EP2956067B1 (en) | 2018-04-18 |
CA2900385A1 (en) | 2014-08-21 |
IL240576B (en) | 2020-06-30 |
ES2676560T3 (es) | 2018-07-20 |
EP3354206B1 (en) | 2020-06-17 |
US10492778B2 (en) | 2019-12-03 |
WO2014127216A4 (en) | 2014-11-20 |
AU2014216180B2 (en) | 2018-08-02 |
KR20150121043A (ko) | 2015-10-28 |
US20140236193A1 (en) | 2014-08-21 |
BR112015019519A2 (pt) | 2017-07-18 |
AU2018205091A1 (en) | 2018-07-26 |
US20160374663A1 (en) | 2016-12-29 |
AU2014216180A1 (en) | 2015-08-20 |
US9439646B2 (en) | 2016-09-13 |
KR102274864B1 (ko) | 2021-07-08 |
IL240576A0 (en) | 2015-09-24 |
AU2018205091B9 (en) | 2020-01-16 |
AU2018205091B2 (en) | 2019-12-05 |
EP2956067A1 (en) | 2015-12-23 |
CN105142539A (zh) | 2015-12-09 |
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