JP5992607B2 - 焼灼兼用ステント施術装置 - Google Patents
焼灼兼用ステント施術装置 Download PDFInfo
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- JP5992607B2 JP5992607B2 JP2015512571A JP2015512571A JP5992607B2 JP 5992607 B2 JP5992607 B2 JP 5992607B2 JP 2015512571 A JP2015512571 A JP 2015512571A JP 2015512571 A JP2015512571 A JP 2015512571A JP 5992607 B2 JP5992607 B2 JP 5992607B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
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Description
Claims (12)
- 複数の管部材によって管状組織の病変部位にステントを運んで施術するステント施術装置において、
前記管部材の施術端に形成され、前記病変部位を焼灼する焼灼用バイポーラ電極と、
前記焼灼用バイポーラ電極に接続され、前記焼灼用バイポーラ電極から高周波電流が放射されるようにする高周波発生器とを含んで構成され、
前記管部材は、一端に把持のための固定取っ手が取り付けられ、他端にステント載置のためのステントシートが形成された少なくとも1つの固定管と、一端に把持のための移動取っ手が取り付けられ、前記固定管の外周面に長手方向に移動可能に挿入され、前記ステントシートで前記固定管との間に前記ステントを圧縮状態で装填するようになっている少なくとも1つの移動管とを含んでなるが、
前記焼灼用バイポーラ電極は、前記移動管の前記移動取っ手に対応する施術端の一側に配置されることを特徴とする、焼灼兼用ステント施術装置。 - 前記移動管は、焼灼前、焼灼中、または焼灼後の組織の温度をモニタリングするように、前記焼灼用バイポーラ電極によって焼灼が行われる部分に設けられた温度センサをさらに含むことを特徴とする、請求項1に記載の焼灼兼用ステント施術装置。
- 前記焼灼用バイポーラ電極は、少なくとも1つの絶縁間隙をおいて相互離隔した少なくとも一対のアクティブ電極およびパッシブ電極からなることを特徴とする、請求項1または2に記載の焼灼兼用ステント施術装置。
- 前記一対のアクティブ電極および前記パッシブ電極は、表面積が互いに同じ対称構造となっていることを特徴とする、請求項3に記載の焼灼兼用ステント施術装置。
- 前記一対のアクティブ電極および前記パッシブ電極は、表面積が互いに異なる非対称構造となっていることを特徴とする、請求項3に記載の焼灼兼用ステント施術装置。
- 前記絶縁間隙に対応する前記移動管の外周面には、絶縁部が形成されていることを特徴とする、請求項3に記載の焼灼兼用ステント施術装置。
- 前記焼灼用バイポーラ電極は、前記移動管の外周面の一側に螺旋状に複数回巻かれたアクティブ電極と、前記アクティブ電極の間に前記移動管の外周面の一側に螺旋状に複数回巻かれたパッシブ電極とを含んでなることを特徴とする、請求項1に記載の焼灼兼用ステント施術装置。
- 前記アクティブ電極と前記パッシブ電極は、相互間に一定の交互間隔をおいて前記移動管の外周面に巻かれていることを特徴とする、請求項7に記載の焼灼兼用ステント施術装置。
- 前記アクティブ電極または前記パッシブ電極のうちのいずれか一方の電極は、他方の電極と交互せずに連続して重畳した集中部をそれぞれ含むが、前記集中部は、前記電極のピッチの間隔が前記電極の他の部分が有するピッチより密になっているか、またはピッチ間隔なしに前記移動管の外周面に巻かれていることを特徴とする、請求項8に記載の焼灼兼用ステント施術装置。
- 前記いずれか一方の電極の前記集中部は、対応する他方の電極の集中部との間に絶縁間隙をおいていることを特徴とする、請求項9に記載の焼灼兼用ステント施術装置。
- 前記絶縁間隙に対応する前記移動管の外周面には、絶縁部が形成されることを特徴とする、請求項10に記載の焼灼兼用ステント施術装置。
- 前記焼灼用バイポーラ電極は、前記移動取っ手を介して前記高周波発生器に延びた引込線が前記アクティブ電極および前記パッシブ電極の延長線に形成され、前記引込線は、前記移動管の内皮部と外皮部との間に介在して外部に露出しないように仕上げ処理されることを特徴とする、請求項7〜11のいずれか1項に記載の焼灼兼用ステント施術装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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KR10-2012-0053126 | 2012-05-18 | ||
KR1020120053126A KR101415902B1 (ko) | 2012-05-18 | 2012-05-18 | 소작 겸용 스텐트 시술장치 |
PCT/KR2013/004141 WO2013172599A1 (ko) | 2012-05-18 | 2013-05-10 | 소작 겸용 스텐트 시술장치 |
Publications (2)
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JP2015521065A JP2015521065A (ja) | 2015-07-27 |
JP5992607B2 true JP5992607B2 (ja) | 2016-09-14 |
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JP2015512571A Active JP5992607B2 (ja) | 2012-05-18 | 2013-05-10 | 焼灼兼用ステント施術装置 |
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US (1) | US9770353B2 (ja) |
EP (1) | EP2851024B1 (ja) |
JP (1) | JP5992607B2 (ja) |
KR (1) | KR101415902B1 (ja) |
CN (1) | CN104519837B (ja) |
ES (1) | ES2684393T3 (ja) |
WO (1) | WO2013172599A1 (ja) |
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KR101781052B1 (ko) | 2016-02-15 | 2017-10-23 | (주) 태웅메디칼 | 양극형 전기 소작 팁이 포함된 스텐트 전달 시스템 |
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2012
- 2012-05-18 KR KR1020120053126A patent/KR101415902B1/ko active IP Right Grant
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2013
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EP2851024A4 (en) | 2016-03-02 |
JP2015521065A (ja) | 2015-07-27 |
WO2013172599A1 (ko) | 2013-11-21 |
CN104519837A (zh) | 2015-04-15 |
EP2851024B1 (en) | 2018-08-01 |
US20150133927A1 (en) | 2015-05-14 |
ES2684393T3 (es) | 2018-10-02 |
CN104519837B (zh) | 2016-12-28 |
EP2851024A1 (en) | 2015-03-25 |
KR101415902B1 (ko) | 2014-07-08 |
US9770353B2 (en) | 2017-09-26 |
KR20130140954A (ko) | 2013-12-26 |
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