JP6293311B2 - 組織修復装置および方法 - Google Patents
組織修復装置および方法 Download PDFInfo
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- JP6293311B2 JP6293311B2 JP2016572283A JP2016572283A JP6293311B2 JP 6293311 B2 JP6293311 B2 JP 6293311B2 JP 2016572283 A JP2016572283 A JP 2016572283A JP 2016572283 A JP2016572283 A JP 2016572283A JP 6293311 B2 JP6293311 B2 JP 6293311B2
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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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- 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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Description
次に上の説明と一緒に非限定的方法で本発明を示す以下の例を参照する。
患者に麻酔をかけ、本装置を利用して後膣切開後にメッシュを備えた、またはメッシュを備えていない縫合糸アンカーをSSLに送達し、上記に説明されたように切開を実行した。メッシュを備えて、またはメッシュ無しで縫合糸を固定し、縫合糸端部上に手動で引き寄せることにより最初の引き抜き力を検証した。次いで縫合糸端部を、子宮頸部線維リング、膣尖部の漿膜、もしくは子宮仙骨靭帯、膣(子宮摘出後の被験者)、または脱出処置に対するルーチンであるような骨盤底のあらゆる他の適切な中心尖部のアンカー点に取り付けた。脱出した子宮をその元の場所に持ち上げている間に両方の縫合糸を結んだ。次いで小さい膣切開を閉じて処置を終えた。
骨盤臓器脱の定量化(POP−Q)の得点は処置前に3〜4であった。処置に続いてPOP−Qの得点は0/1であった。処置の直後に重篤な有害事象(SAE)または有害事象(AE)に関連した装置は見られなかった。手術の3か月後に行われた調査および検査は、患者の満足を示し、AEに関連した装置または患者からの不満はなく、また脱出は再現しなかった。
Claims (16)
- (a)使用者の指の上に装着するように適合された筐体と、
(b)前記筐体の長さに沿って取り付けられた少なくとも1つの案内管であって、前記少なくとも1つの案内管は、その近位開口から遠位開口に組織修復移植片を導くように構成される、少なくとも1つの案内管と
を備え、かつ
前記案内管は、前記近位開口が前記筐体の近位端を超えて突出するように、前記筐体に取り付けられる、手術装置。 - 前記筐体が前記指の上に装着されると、前記近位開口が前記使用者の手の甲の上に位置付けられるように、前記案内管は前記筐体に取り付けられる、請求項1に記載の装置。
- 前記筐体は、前記筐体に取り付けられた前記指を介して前記使用者が組織を触診できるように構成される、請求項1に記載の装置。
- 前記筐体はその遠位端で開く、請求項3に記載の装置。
- 前記使用者の前記指が組織に接触すると前記遠位開口が触診する前記組織に隣接するように、前記案内管は前記筐体に取り付けられる、請求項2に記載の装置。
- 前記使用者の前記指が組織に接触すると前記遠位開口が触診する前記組織から移動されるように、前記案内管は前記筐体に取り付けられる、請求項2に記載の装置。
- 縫合糸端部がアンカーに取り付けられる、請求項1に記載の装置。
- 前記筐体は、遠位および/または近位指節間関節で前記指を屈曲できるように構成される、請求項1に記載の装置。
- 前記筐体はそれに撮像装置を取り付けるように構成される、請求項1に記載の装置。
- 前記撮像装置は超音波変換器である、請求項9に記載の装置。
- 前記超音波変換器の撮像頭部は、前記超音波変換器が前記筐体に取り付けられると触診する組織に隣接することができる、請求項10に記載の装置。
- 前記撮像頭部は、前記筐体に取り付けられた前記指が触診する組織に接触すると前記組織に隣接する、請求項11に記載の装置。
- 触診する組織は後外側膣壁であり、前記筐体は前記指を介して膣管の中に送達するように構成される、請求項1に記載の装置。
- 前記指が前記後外側膣壁に接触した状態で、前記筐体が前記膣管内に位置付けられると、前記少なくとも1つの案内管の前記近位開口は前記膣管から出て延在する、請求項13に記載の装置。
- 前記組織修復移植片はメッシュ、スリング、縫合糸、または縫合糸アンカーである、請求項1に記載の装置。
- 前記案内管の近位開口が膣腔の外側に位置付けられるように、前記案内管は前記筐体に取り付けられる、請求項1に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201462009946P | 2014-06-10 | 2014-06-10 | |
US62/009,946 | 2014-06-10 | ||
PCT/IL2015/050585 WO2015189843A1 (en) | 2014-06-10 | 2015-06-10 | Tissue repair device and method |
Publications (2)
Publication Number | Publication Date |
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JP2017518114A JP2017518114A (ja) | 2017-07-06 |
JP6293311B2 true JP6293311B2 (ja) | 2018-03-14 |
Family
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JP2016572283A Active JP6293311B2 (ja) | 2014-06-10 | 2015-06-10 | 組織修復装置および方法 |
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US (3) | US11076943B2 (ja) |
EP (1) | EP3154443A4 (ja) |
JP (1) | JP6293311B2 (ja) |
KR (1) | KR102466338B1 (ja) |
CN (1) | CN106714699A (ja) |
AU (1) | AU2015273060B2 (ja) |
CA (1) | CA2951506C (ja) |
IL (2) | IL285104B (ja) |
SG (1) | SG11201610287VA (ja) |
WO (1) | WO2015189843A1 (ja) |
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WO2013093924A2 (en) | 2011-12-21 | 2013-06-27 | Pop Medical Solutions Ltd. | System and method for pelvic floor repair |
US10098664B2 (en) | 2014-05-07 | 2018-10-16 | Pop Medical Solutions Ltd. | System and method for pelvic floor procedures |
SG11201610287VA (en) | 2014-06-10 | 2017-01-27 | Pop Medical Solutions Ltd | Tissue repair device and method |
US11020161B2 (en) * | 2016-09-18 | 2021-06-01 | Harry B. Skinner | Tactile cerclage wire and cable passer and methods of use |
IL302508B1 (en) * | 2016-12-15 | 2024-05-01 | Femselect Ltd | Anchoring device and method for precise positioning and insertion of the anchoring assembly |
TWI745326B (zh) * | 2016-12-16 | 2021-11-11 | 以色列商飛秒史列特有限公司 | 用於錨定組件之精確定位及***的錨定裝置和方法 |
KR20200086049A (ko) * | 2019-01-08 | 2020-07-16 | 삼성메디슨 주식회사 | 초음파 프로브 |
US20220248639A1 (en) * | 2021-02-05 | 2022-08-11 | Nina Ingela Ottosson | Wobbling pet treat toy and dispenser |
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DE2910410C2 (de) | 1979-03-16 | 1980-08-21 | Alfred Dr.Med. 6400 Fulda Armbruester | Prostata-Untersuchungs- und Behandlungsgerät |
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CA2093824A1 (en) | 1993-04-06 | 1994-10-07 | Donald A. Morgan | Morgan neddle biopsy guide |
ITRM930784A1 (it) | 1993-11-25 | 1995-05-25 | Gideon Raphael Tock | Dispositivo di controllo digitale ad induzione magnetica; interuttore e/o variatore di velocita' manuale per il controllo dei manipoli e/o |
US6066104A (en) | 1996-03-05 | 2000-05-23 | Dao; Leland H. | Device for cervical and pelvic measurement in medical obstetrics |
BR9710113A (pt) * | 1996-07-01 | 2000-01-18 | Univ Masssachusetts | Instrumentos cirúrgicos, minimamente invasivos, montados nas pontas dos dedos, e métodos de uso. |
US5693041A (en) * | 1996-08-23 | 1997-12-02 | Eclipse Surgical Technologies, Inc. | Laser delivery means ring stabilization method and apparatus for surgical and other procedures |
US6984241B2 (en) | 1996-09-13 | 2006-01-10 | Tendon Technology, Ltd. | Apparatus and methods for tendon or ligament repair |
IL123275A0 (en) * | 1998-02-12 | 1998-09-24 | Urogyn Ltd | Surgical suture instrument |
EP1079740B1 (en) | 1998-05-21 | 2007-08-29 | Christopher J. Walshe | A tissue anchor system |
US20010041914A1 (en) | 1999-11-22 | 2001-11-15 | Frazier Andrew G.C. | Tissue patch deployment catheter |
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AU2015273060A1 (en) | 2017-02-02 |
AU2015273060B2 (en) | 2020-04-23 |
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EP3154443A1 (en) | 2017-04-19 |
EP3154443A4 (en) | 2018-01-24 |
KR102466338B1 (ko) | 2022-11-14 |
KR20170018403A (ko) | 2017-02-17 |
SG11201610287VA (en) | 2017-01-27 |
CA2951506C (en) | 2023-04-04 |
CA2951506A1 (en) | 2015-12-17 |
CN106714699A (zh) | 2017-05-24 |
IL249391A0 (en) | 2017-02-28 |
IL285104A (en) | 2021-08-31 |
JP2017518114A (ja) | 2017-07-06 |
US11678966B2 (en) | 2023-06-20 |
IL285104B (en) | 2022-09-01 |
IL249391B (en) | 2021-08-31 |
WO2015189843A1 (en) | 2015-12-17 |
US20210401561A1 (en) | 2021-12-30 |
US20170196671A1 (en) | 2017-07-13 |
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