JP5491032B2 - 照光式注入カニューレ - Google Patents
照光式注入カニューレ Download PDFInfo
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- JP5491032B2 JP5491032B2 JP2008545863A JP2008545863A JP5491032B2 JP 5491032 B2 JP5491032 B2 JP 5491032B2 JP 2008545863 A JP2008545863 A JP 2008545863A JP 2008545863 A JP2008545863 A JP 2008545863A JP 5491032 B2 JP5491032 B2 JP 5491032B2
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- cannula
- transparent
- illuminator
- intraluminal
- illuminated infusion
- Prior art date
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- 238000001802 infusion Methods 0.000 title claims description 69
- 239000012530 fluid Substances 0.000 claims description 31
- 239000013307 optical fiber Substances 0.000 claims description 26
- 210000003786 sclera Anatomy 0.000 claims description 8
- 230000001681 protective effect Effects 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 239000000835 fiber Substances 0.000 description 89
- 238000000576 coating method Methods 0.000 description 17
- 229920003023 plastic Polymers 0.000 description 17
- 239000011248 coating agent Substances 0.000 description 15
- 239000003570 air Substances 0.000 description 14
- 230000005540 biological transmission Effects 0.000 description 14
- 210000001508 eye Anatomy 0.000 description 14
- 238000013461 design Methods 0.000 description 11
- 239000007788 liquid Substances 0.000 description 11
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 10
- 229910052751 metal Inorganic materials 0.000 description 10
- 239000002184 metal Substances 0.000 description 10
- 238000005286 illumination Methods 0.000 description 9
- 239000011780 sodium chloride Substances 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 7
- 230000003287 optical effect Effects 0.000 description 6
- 230000002195 synergetic effect Effects 0.000 description 6
- 238000012546 transfer Methods 0.000 description 6
- 238000011144 upstream manufacturing Methods 0.000 description 6
- 241001631457 Cannula Species 0.000 description 5
- 150000001875 compounds Chemical class 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 238000013459 approach Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 230000006872 improvement Effects 0.000 description 3
- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 230000005855 radiation Effects 0.000 description 3
- 238000002310 reflectometry Methods 0.000 description 3
- 210000001525 retina Anatomy 0.000 description 3
- 230000002207 retinal effect Effects 0.000 description 3
- 210000005252 bulbus oculi Anatomy 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 238000009792 diffusion process Methods 0.000 description 2
- 229920002457 flexible plastic Polymers 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000001746 injection moulding Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000003754 machining Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 239000003973 paint Substances 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 108010074506 Transfer Factor Proteins 0.000 description 1
- 238000002835 absorbance Methods 0.000 description 1
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 239000012080 ambient air Substances 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 235000012489 doughnuts Nutrition 0.000 description 1
- 229940085805 fiberall Drugs 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 229940113601 irrigation solution Drugs 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000011253 protective coating Substances 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3419—Sealing means between cannula and body
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/587—Lighting arrangements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0612—Eyes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
・照光ランプは、光を20ゲージ(0.00749cm径(0.0295インチ径))ファイバに集中させるように設計されている。
・注入カニューレは、20ゲージ手術の自己縫合を可能にするために外径が0.0914cm(0.036インチ)以下でなければならない。
・注入カニューレは、最小限の剛性を維持するために最小の管厚でなければならない。
101 光ファイバ
103 ファイバ
104 ホース
106 ハブ
108 透明カニューレ
110 被覆(コーティング)
112 キャップ
202 大径ファイバ
204 ファイバ
208 ホース
210 保護シース(保護被覆)
300 透明カニューレ
302 被覆(コーティング)
304 円筒表面
404 バンプ
600 透明照光式注入カニューレ
602 切開カニューレ
604 グレネードピン
1202 透明照光式注入カニューレ
1204 表面拡散体
1206 不透明カニューレ
1208 表面拡散体
1302 拡散ペイント
1304 カニューレ
1306 拡散材料
1402 透明カニューレ
1404 反射レンズ
1502 ホットスポット
1600 透明カニューレ
1602 不透明カニューレ
1700 湾曲金属カニューレ
1800 湾曲透明カニューレ
1902 遠位端
1904 近位端
Claims (21)
- 照光式注入カニューレであって、
光を提供する働きをする腔内照光器、
流体を輸送する働きをするホース、
前記腔内照光器と前記ホースに機械的に結合したハブ、及び、
透明カニューレであって、該透明カニューレの近位端が前記ハブに連結された透明カニューレ、
を包含し、
前記カニューレが前記腔内照光器と同軸に位置決めされており、また、
前記腔内照光器の遠位端と前記透明カニューレの近位端の間にスペースがあり、このスペースにより、流体が前記腔内照光器の遠位端の周囲を流れ、前記透明カニューレに流れ込むことになり、
前記腔内照光器の遠位端がテーパ状をなし、前記透明カニューレの近位端がフレア状をなしている、照光式注入カニューレ。 - フロー断面積が前記ホース、前記カニューレ、及び、前記ホースとカニューレと腔内照光器の間のインタフェースの内部でほぼ一定である請求項1に記載の照光式注入カニューレ。
- 前記腔内照光器が光ファイバを包含する請求項1に記載の照光式注入カニューレ。
- 前記光ファイバの遠位端が成形されており、前記光ファイバ/透明カニューレが光をほぼ均一に放射する請求項3に記載の照光式注入カニューレ。
- 前記カニューレの少なくとも一部が、前記腔内照光器から放射された光を反射する請求項1に記載の照光式注入カニューレ。
- 前記カニューレが、前記腔内照光器から放射された光を所望の角度分布において分散させる請求項1に記載の照光式注入カニューレ。
- 拡散表面、回折表面及び/又はマイクロレンズアレイ表面が、前記腔内照光器から放射された光を所望の角度分布において分散させる請求項6に記載の照光式注入カニューレ。
- 前記カニューレは、前記腔内照光器から放射された光が前記カニューレから直接伝達されないように湾曲している請求項6に記載の照光式注入カニューレ。
- 透明照光式注入カニューレであって、
眼内部の一部域を照光すべく光を提供する働きをする腔内照光器、
流体を輸送する働きをするホース、
前記腔内照光器と前記ホースを単一のケーブルの内部で結合させる働きをする保護シース、
眼の強膜を切開する働きをする切開カニューレ、及び、
前記切開カニューレを囲んでいる透明カニューレ、
を包含し、
前記透明カニューレが前記腔内照光器と同軸に位置決めされており、また、
前記腔内照光器の遠位端と前記透明カニューレの近位端の間にスペースがあり、このスペースにより、流体が前記腔内照光器の遠位端の周囲を流れ、前記透明カニューレに、更に強膜開孔に流れ込むことになり、
前記腔内照光器の遠位端がテーパ状をなし、前記透明カニューレの近位端がフレア状をなしている、透明照光式注入カニューレ。 - フロー断面積が前記ホース、前記カニューレ、及び、前記ホースとカニューレと腔内照光器の間のインタフェースの内部でほぼ一定である請求項9に記載の照光式注入カニューレ。
- 前記腔内照光器が光ファイバを包含する請求項9に記載の照光式注入カニューレ。
- 前記光ファイバの遠位端が成形されており、前記光ファイバ/透明カニューレが光をほぼ均一に放射する請求項11に記載の照光式注入カニューレ。
- 前記カニューレの少なくとも一部が、前記腔内照光器から放射された光を反射する請求項9に記載の照光式注入カニューレ。
- 前記カニューレが、前記腔内照光器から放射された光を所望の角度分布において分散させる請求項9に記載の照光式注入カニューレ。
- 拡散表面、回折表面及び/又はマイクロレンズアレイ表面が、前記腔内照光器から放射された光を所望の角度分布において分散させる請求項14に記載の照光式注入カニューレ。
- 前記カニューレは、前記腔内照光器から放射された光が前記カニューレから直接伝達されないように湾曲している請求項14に記載の照光式注入カニューレ。
- 透明照光式注入カニューレであって、
眼内部の一部域を照光すべく光を提供する働きをする光ファイバ、
流体を輸送する働きをするホース、
前記腔内照光器と前記ホースを単一のケーブルの内部で結合させる働きをする保護シース、
眼の強膜を切開する働きをする切開カニューレ、及び、
前記切開カニューレを囲んでいる透明カニューレ、
を包含し、
前記透明カニューレが前記光ファイバと同軸に位置決めされており、また、
前記光ファイバの遠位端と前記透明カニューレの近位端の間のスペースにより、流体が前記光ファイバの遠位端の周囲を流れ、前記透明カニューレに、更に強膜開孔に流れ込むことになり、また、フロー断面積が前記ホース、前記カニューレ、及び、前記ホースとカニューレと光ファイバの間のインタフェースの内部でほぼ一定であり、
前記光ファイバの遠位端がテーパ状をなし、前記透明カニューレの近位端がフレア状をなしている、透明照光式注入カニューレ。 - 前記光ファイバの遠位端が成形されており、前記光ファイバ/透明カニューレが光をほぼ均一に放射する請求項17に記載の照光式注入カニューレ。
- 前記透明カニューレが、該透明カニューレを挿入後の眼に定着させる働きをする環状バンプを包含する請求項17に記載の照光式注入カニューレ。
- 前記カニューレが、前記光ファイバから放射された光を所望の角度分布において分散させる請求項17に記載の照光式注入カニューレ。
- 拡散表面、回折表面及び/又はマイクロレンズアレイ表面が、前記光ファイバから放射された光を所望の角度分布において分散させる請求項20に記載の照光式注入カニューレ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US75117505P | 2005-12-16 | 2005-12-16 | |
US60/751,175 | 2005-12-16 | ||
PCT/US2006/048036 WO2007133267A1 (en) | 2005-12-16 | 2006-12-18 | Illuminated infusion cannula |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009519766A JP2009519766A (ja) | 2009-05-21 |
JP5491032B2 true JP5491032B2 (ja) | 2014-05-14 |
Family
ID=38008117
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008545863A Active JP5491032B2 (ja) | 2005-12-16 | 2006-12-18 | 照光式注入カニューレ |
Country Status (15)
Country | Link |
---|---|
US (1) | US7783346B2 (ja) |
EP (2) | EP1959886B1 (ja) |
JP (1) | JP5491032B2 (ja) |
KR (1) | KR20080078899A (ja) |
CN (2) | CN102614045B (ja) |
AR (1) | AR058556A1 (ja) |
AT (2) | ATE484264T1 (ja) |
AU (1) | AU2006343552B2 (ja) |
BR (1) | BRPI0619992A2 (ja) |
CA (3) | CA2817892C (ja) |
DE (1) | DE602006017581D1 (ja) |
ES (2) | ES2373368T3 (ja) |
RU (1) | RU2419400C2 (ja) |
TW (1) | TW200730156A (ja) |
WO (1) | WO2007133267A1 (ja) |
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BRPI1009863B8 (pt) * | 2009-03-27 | 2021-06-22 | Endosphere Surgical Inc | conjunto de cânula |
US8834358B2 (en) | 2009-03-27 | 2014-09-16 | EndoSphere Surgical, Inc. | Cannula with integrated camera and illumination |
JPWO2010126076A1 (ja) * | 2009-04-30 | 2012-11-01 | マニー株式会社 | 眼科手術用カニューレとその製造方法 |
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ES2588393T3 (es) * | 2009-12-15 | 2016-11-02 | Alcon Research, Ltd | Sonda láser multipunto |
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US20110282160A1 (en) * | 2010-05-13 | 2011-11-17 | Doheny Eye Institute | Self contained illuminated infusion cannula systems and methods and devices |
US8689439B2 (en) | 2010-08-06 | 2014-04-08 | Abbott Laboratories | Method for forming a tube for use with a pump delivery system |
CA2805646A1 (en) | 2010-08-09 | 2012-02-16 | Alcon Research, Ltd. | Illuminated surgical instrument |
US9428254B1 (en) | 2010-09-24 | 2016-08-30 | Katalyst Surgical, Llc | Microsurgical handle and instrument |
US8377000B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Enteral feeding apparatus having a feeding set |
US8377001B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Feeding set for a peristaltic pump system |
ES2549628T3 (es) | 2010-12-09 | 2015-10-30 | Alcon Research, Ltd. | Tomografía de coherencia óptica e iluminación que utiliza una fuente de luz común |
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CN102614045A (zh) | 2012-08-01 |
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EP1959886A1 (en) | 2008-08-27 |
CA2633422A1 (en) | 2007-11-22 |
CA2817908A1 (en) | 2007-11-22 |
RU2008129030A (ru) | 2010-01-27 |
AU2006343552A1 (en) | 2007-11-22 |
AU2006343552B2 (en) | 2011-11-10 |
CA2817892C (en) | 2015-08-25 |
ES2373368T3 (es) | 2012-02-02 |
CN101365404A (zh) | 2009-02-11 |
EP2215995B1 (en) | 2011-10-05 |
EP2215995A1 (en) | 2010-08-11 |
CN101365404B (zh) | 2012-06-06 |
DE602006017581D1 (de) | 2010-11-25 |
ATE526916T1 (de) | 2011-10-15 |
BRPI0619992A2 (pt) | 2011-10-25 |
CN102614045B (zh) | 2014-11-12 |
EP1959886B1 (en) | 2010-10-13 |
TW200730156A (en) | 2007-08-16 |
CA2817908C (en) | 2015-06-16 |
US20070179430A1 (en) | 2007-08-02 |
KR20080078899A (ko) | 2008-08-28 |
AR058556A1 (es) | 2008-02-13 |
CA2633422C (en) | 2014-10-21 |
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