JP2018110935A - 医療デバイス - Google Patents
医療デバイス Download PDFInfo
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- JP2018110935A JP2018110935A JP2018079198A JP2018079198A JP2018110935A JP 2018110935 A JP2018110935 A JP 2018110935A JP 2018079198 A JP2018079198 A JP 2018079198A JP 2018079198 A JP2018079198 A JP 2018079198A JP 2018110935 A JP2018110935 A JP 2018110935A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00278—Transorgan operations, e.g. transgastric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00579—Barbed implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00584—Clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00588—Rigid or stiff implements, e.g. made of several rigid parts linked by hinges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00659—Type of implements located only on one side of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00668—Type of implements the implement being a tack or a staple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/081—Tissue approximator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2906—Multiple forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
Description
本願は、米国仮特許出願第61/271,457号(2009年9月25日出願)と関連し、および優先権を主張し、この出願は、その全体が本明細書に参照によって援用される。
本発明の実施形態は、手術中に使用される組織接近クリップに関する。具体的には、本発明の実施形態は、組織縁を相互に接近させて、手術中に作成された開口を閉じるために使用され得るクリップに関する。
Claims (9)
- 複数の組織縁を接近させるデバイスであって、該デバイスは、
複数のジョーであって、各々が第1の端部および第2の端部を有し、前記第1の端部において連結されている、複数のジョーと、前記複数のジョーの間に配置されている中心アームと、を備えており、
各ジョーは、前記中心アームに対して開放構成から閉鎖構成まで独立して移動させられ、前記開放構成では、各ジョーの第2の端部が前記中心アームから離れて位置するように構成されており、また、前記閉鎖構成では、各ジョーの第2の端部および前記中心アームが1つ以上の組織縁を把持するように構成されており、
前記デバイスは、細長い部材の遠位端部に解放可能に連結され、
前記複数のジョーは、第1の位置において前記中心アームから離れるように延在して前記中心アームと角度を成す第1の端部を有している第1のジョーと、第2の位置において前記中心アームから離れるように延在して前記中心アームと角度を成す第1の端部を有している第2のジョーとを含み、前記第1の位置は、前記第2の位置から長手方向に変位させられている、デバイス。 - 各ジョーの第2の端部は、前記開放構成よりも前記閉鎖構成にあるときに前記中心アームにより近接して配置される、請求項1に記載のデバイス。
- 前記中心アームに対して前記複数のジョーの各ジョーを移動させるように構成されている作動デバイスをさらに備えている、請求項1に記載のデバイス。
- 前記デバイスは、脆弱リンクを介して前記細長い部材に解放可能に連結されている、請求項1に記載のデバイス。
- 前記デバイスは、噛合ネジ山を介して前記細長い部材に解放可能に連結されている、請求項1に記載のデバイス。
- 前記複数のジョーに対して近位のキャップをさらに含み、前記複数のジョーは、前記キャップの中へ近位に滑動するように構成されている、請求項1に記載のデバイス。
- 前記キャップの第1の場所への遠位の移動は、前記第1のジョーの前記開放構成から前記閉鎖構成への移動を開始させ、その一方で、前記第2のジョーを前記閉鎖構成に向かって移動を開始させることなく前記開放構成に維持させる、請求項6に記載のデバイス。
- 前記キャップの第1の場所から第2の場所への遠位の移動は、前記第2のジョーの前記開放構成から前記閉鎖構成への移動を開始させる、請求項7に記載のデバイス。
- 前記第1のジョーおよび第2のジョーの各々は略直線状を成している、請求項1に記載のデバイス。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2019188498A JP6982042B2 (ja) | 2009-09-25 | 2019-10-15 | 医療デバイス |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US27245709P | 2009-09-25 | 2009-09-25 | |
US61/272,457 | 2009-09-25 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015184043A Division JP6328084B2 (ja) | 2009-09-25 | 2015-09-17 | 複数の組織縁を接近させるデバイス |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019188498A Division JP6982042B2 (ja) | 2009-09-25 | 2019-10-15 | 医療デバイス |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018110935A true JP2018110935A (ja) | 2018-07-19 |
JP6605067B2 JP6605067B2 (ja) | 2019-11-13 |
Family
ID=43640138
Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012530941A Active JP5814243B2 (ja) | 2009-09-25 | 2010-09-16 | 組織を接近させるデバイス |
JP2015184043A Active JP6328084B2 (ja) | 2009-09-25 | 2015-09-17 | 複数の組織縁を接近させるデバイス |
JP2018079198A Active JP6605067B2 (ja) | 2009-09-25 | 2018-04-17 | 医療デバイス |
JP2019188498A Active JP6982042B2 (ja) | 2009-09-25 | 2019-10-15 | 医療デバイス |
JP2021123167A Active JP7235811B2 (ja) | 2009-09-25 | 2021-07-28 | 複数の組織縁を接近させるためのデバイス |
JP2023027462A Pending JP2023058742A (ja) | 2009-09-25 | 2023-02-24 | 医療デバイス |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012530941A Active JP5814243B2 (ja) | 2009-09-25 | 2010-09-16 | 組織を接近させるデバイス |
JP2015184043A Active JP6328084B2 (ja) | 2009-09-25 | 2015-09-17 | 複数の組織縁を接近させるデバイス |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019188498A Active JP6982042B2 (ja) | 2009-09-25 | 2019-10-15 | 医療デバイス |
JP2021123167A Active JP7235811B2 (ja) | 2009-09-25 | 2021-07-28 | 複数の組織縁を接近させるためのデバイス |
JP2023027462A Pending JP2023058742A (ja) | 2009-09-25 | 2023-02-24 | 医療デバイス |
Country Status (6)
Country | Link |
---|---|
US (8) | US8945157B2 (ja) |
EP (6) | EP4098209A1 (ja) |
JP (6) | JP5814243B2 (ja) |
CA (1) | CA2774768C (ja) |
ES (2) | ES2592173T3 (ja) |
WO (1) | WO2011037817A2 (ja) |
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CN101695457B (zh) * | 2009-11-02 | 2012-05-23 | 重庆金山科技(集团)有限公司 | 活体腔道牢固定位装置 |
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US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
EP2670313B1 (en) | 2011-02-01 | 2016-01-20 | St. Jude Medical, Inc. | Apparatus for heart valve repair |
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US9883855B2 (en) | 2012-01-25 | 2018-02-06 | St. Jude Medical, Llc | Apparatus and method for heart valve repair |
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US10105219B2 (en) | 2012-08-02 | 2018-10-23 | St. Jude Medical, Cardiology Division, Inc. | Mitral valve leaflet clip |
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