JP4468819B2 - 膣内手術のための支持鉤状器具 - Google Patents
膣内手術のための支持鉤状器具 Download PDFInfo
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- JP4468819B2 JP4468819B2 JP2004553957A JP2004553957A JP4468819B2 JP 4468819 B2 JP4468819 B2 JP 4468819B2 JP 2004553957 A JP2004553957 A JP 2004553957A JP 2004553957 A JP2004553957 A JP 2004553957A JP 4468819 B2 JP4468819 B2 JP 4468819B2
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- 238000001356 surgical procedure Methods 0.000 title claims description 5
- 210000003679 cervix uteri Anatomy 0.000 claims description 43
- 230000033001 locomotion Effects 0.000 claims description 5
- 238000002405 diagnostic procedure Methods 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 description 48
- 210000000685 uterine artery Anatomy 0.000 description 37
- 238000000034 method Methods 0.000 description 27
- 230000007246 mechanism Effects 0.000 description 18
- 210000004291 uterus Anatomy 0.000 description 16
- 201000010260 leiomyoma Diseases 0.000 description 11
- 206010046798 Uterine leiomyoma Diseases 0.000 description 10
- 210000003484 anatomy Anatomy 0.000 description 7
- 238000009802 hysterectomy Methods 0.000 description 7
- 210000001215 vagina Anatomy 0.000 description 6
- 230000036770 blood supply Effects 0.000 description 5
- 208000016599 Uterine disease Diseases 0.000 description 4
- 210000001367 artery Anatomy 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 206010013908 Dysfunctional uterine bleeding Diseases 0.000 description 3
- 206010027514 Metrorrhagia Diseases 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 230000010102 embolization Effects 0.000 description 3
- 208000003200 Adenoma Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000002611 ovarian Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000010579 uterine corpus leiomyoma Diseases 0.000 description 2
- 201000007954 uterine fibroid Diseases 0.000 description 2
- 206010001233 Adenoma benign Diseases 0.000 description 1
- 206010061692 Benign muscle neoplasm Diseases 0.000 description 1
- 206010014513 Embolism arterial Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 201000004458 Myoma Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000018525 Postpartum Hemorrhage Diseases 0.000 description 1
- 208000002495 Uterine Neoplasms Diseases 0.000 description 1
- 206010046797 Uterine ischaemia Diseases 0.000 description 1
- 206010046814 Uterine prolapse Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000010108 arterial embolization Effects 0.000 description 1
- 230000002457 bidirectional effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 230000003073 embolic effect Effects 0.000 description 1
- 210000001752 female genitalia Anatomy 0.000 description 1
- 210000004996 female reproductive system Anatomy 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 208000007106 menorrhagia Diseases 0.000 description 1
- 230000002175 menstrual effect Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 208000017708 myomatous neoplasm Diseases 0.000 description 1
- 210000000754 myometrium Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000001850 reproductive effect Effects 0.000 description 1
- 230000000452 restraining effect Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000003584 silencer Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 206010046766 uterine cancer Diseases 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Reproductive Health (AREA)
- Pregnancy & Childbirth (AREA)
- Engineering & Computer Science (AREA)
- Gynecology & Obstetrics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Claims (9)
- 膣内手術のための支持鉤状器具(50)であって、シャフト(51)と、アーム(53)と、外側鞘(55)と、を備えており、
上記シャフト(51)が、位置決めピン(61)と、シャフトの末端エンドに設けられている消息子(64、100)と、を備えており、
上記アーム(53)が、シャフト(51)側に向いている子宮頸部把持用スパイク(54)を、アームの末端エンドに備えており、上記アーム(53)の基端エンド(73)が、消息子近傍の位置でシャフト(51)に取り付けられており、上記アーム(53)が、アームの末端エンドの位置になるにつれてシャフト(51)から半径方向外方に離れるように形成されており、
上記外側鞘(55)が、摺動可能にシャフト(51)を覆うものであり、(i)消息子(64)側にある末端部分(67)と、(ii)末端部分(67)の基端エンド(71)近傍からシャフト(51)の基端エンド側へと延びている基端部分(66)と、の2つの分離部分を備えており、
上記末端部分(67)が、スロットと、基端エンド(71)に形成されている第1段部(70)と、を備えており、
上記スロットが、長手方向スロット(60)と、円周方向スロット(63)と、を備えており、
上記長手方向スロット(60)が、第1位置まで上記位置決めピン(61)を通すものであり、上記第1位置が、アーム(53)上を通る動作を伴う、末端部分(67)の末端方向への前進によって、スパイク(54)を患者の子宮頸に噛合させることができる位置であり、
上記円周方向スロット(63)が、上記長手方向スロット(60)に繋がっており、上記第1位置で末端部分(67)を円周方向に回転させることによって、上記位置決めピン(61)をロック、又は、解除するためのものであり、
上記基端部分(66)が、第2段部(68)を有しており、基端部分(66)を末端部分(67)へと押しつける動作によって上記第2段部(68)を上記第1段部(70)に噛合することにより、末端部分(67)をシャフト(51)の末端方向に押すと共に、該末端部分(67)を回動できるようにするものである、
ことを特徴とする支持鉤状器具。 - 上記シャフト(51)が、基端シャフトセクション(74)と、末端シャフトセクション(75)と、を備えており、
基端シャフトセクション(74)と末端シャフトセクション(75)とが、基端シャフトセクション(74)の基端エンドで回動可能なねじ付き部材(76)によって、連結されている、
請求項1記載の支持鉤状器具。 - 基端シャフトセクション(74)が、末端シャフトセクション(75)の基端エンド(80)を受け入れるように構成された内側ショルダー(81)を、該基端シャフトセクション(74)の末端エンドに備えている、請求項2記載の支持鉤状器具。
- 上記シャフトの消息子(64)が、丸められた非外傷性末端チップ(65)を備えており、
上記外側鞘(55)が、医療用道具をスライド可能に装着し且つ末端部分(67)へと進めることができるようにする、ガイドレールとして機能する、
請求項1乃至3の何れか1つに記載の支持鉤状器具。 - 上記シャフトの消息子(100)が、患者の子宮頸管内にしっくりとフィットするように拡張可能になっている、
請求項1乃至3の何れか1つに記載の支持鉤状器具。 - 拡張可能な消息子(100)が、二股部分(101、102)に分割されている、
請求項5記載の支持鉤状器具。 - 二股部分(101、102)が、曲げられている、
請求項6記載の支持鉤状器具。 - 曲げられた二股部分(101、102)が、異なる曲率半径を有する、
請求項7記載の支持鉤状器具。 - 子宮頸および頸口を有する女性患者に膣内医療または診断手続を実施するためのシステムであって、支持鉤状器具と、医療用道具と、を備えており、
上記支持鉤状器具が、請求項2又は3に記載の支持鉤状器具であり、上記外側鞘(55)が、上記医療用道具をスライド可能に装着し且つ末端部分(67)へと進めることができるようにする、ガイドレールとして機能するものであり、
上記医療用道具が、上記外側鞘(55)にスライド可能に装着されている、
ことを特徴とするシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/300,420 US20040097961A1 (en) | 2002-11-19 | 2002-11-19 | Tenaculum for use with occlusion devices |
PCT/US2003/037028 WO2004045430A2 (en) | 2002-11-19 | 2003-11-18 | Tenaculum-like device for intravaginal operations |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2006506193A JP2006506193A (ja) | 2006-02-23 |
JP4468819B2 true JP4468819B2 (ja) | 2010-05-26 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004553957A Expired - Lifetime JP4468819B2 (ja) | 2002-11-19 | 2003-11-18 | 膣内手術のための支持鉤状器具 |
Country Status (6)
Country | Link |
---|---|
US (2) | US20040097961A1 (ja) |
EP (1) | EP1562497A2 (ja) |
JP (1) | JP4468819B2 (ja) |
AU (1) | AU2003295686A1 (ja) |
CA (1) | CA2506447A1 (ja) |
WO (1) | WO2004045430A2 (ja) |
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US7404821B2 (en) * | 2003-01-30 | 2008-07-29 | Vascular Control Systems, Inc. | Treatment for post partum hemorrhage |
US7875036B2 (en) * | 2004-10-27 | 2011-01-25 | Vascular Control Systems, Inc. | Short term treatment for uterine disorder |
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US20060276808A1 (en) * | 2005-06-06 | 2006-12-07 | Arnal Kevin R | Minimally Invasive Methods and Apparatus for Accessing and Ligating Uterine Arteries with Sutures |
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-
2002
- 2002-11-19 US US10/300,420 patent/US20040097961A1/en not_active Abandoned
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2003
- 2003-11-18 US US10/716,329 patent/US7479145B2/en not_active Expired - Fee Related
- 2003-11-18 CA CA002506447A patent/CA2506447A1/en not_active Abandoned
- 2003-11-18 AU AU2003295686A patent/AU2003295686A1/en not_active Abandoned
- 2003-11-18 EP EP03786887A patent/EP1562497A2/en not_active Withdrawn
- 2003-11-18 WO PCT/US2003/037028 patent/WO2004045430A2/en active Search and Examination
- 2003-11-18 JP JP2004553957A patent/JP4468819B2/ja not_active Expired - Lifetime
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US20040097961A1 (en) | 2004-05-20 |
AU2003295686A1 (en) | 2004-06-15 |
US20040158262A1 (en) | 2004-08-12 |
CA2506447A1 (en) | 2004-06-03 |
EP1562497A2 (en) | 2005-08-17 |
WO2004045430A3 (en) | 2004-07-29 |
AU2003295686A8 (en) | 2004-06-15 |
WO2004045430A2 (en) | 2004-06-03 |
JP2006506193A (ja) | 2006-02-23 |
US7479145B2 (en) | 2009-01-20 |
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