JP6378746B2 - 皮下送達用具 - Google Patents
皮下送達用具 Download PDFInfo
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- JP6378746B2 JP6378746B2 JP2016501382A JP2016501382A JP6378746B2 JP 6378746 B2 JP6378746 B2 JP 6378746B2 JP 2016501382 A JP2016501382 A JP 2016501382A JP 2016501382 A JP2016501382 A JP 2016501382A JP 6378746 B2 JP6378746 B2 JP 6378746B2
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/32093—Incision instruments for skin incisions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/29—Invasive for permanent or long-term implantation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320056—Tunnelers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37205—Microstimulators, e.g. implantable through a cannula
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Dermatology (AREA)
- Cardiology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
[0008]装置はプランジャに対して遠位のチャネル内に配置させることができ、よって、プランジャを遠位方向に動かすと、装置は遠位方向に用具本体を出て組織の中へ前進する。典型的に、装置は、以上に挙げられている公開出願第2010/0094252号に示されている様に自身の厚さ及び幅より大きい長さを有する細長い本体の形態を採るものとなろう。装置はその長手方向軸に沿って近位端と遠位端の間を延びていてもよい。用具本体の長手方向のチャネル又はボアは、少なくとも部分的には、装置の外側構成に、より典型的には装置の長手方向軸に沿って取られた断面に整合していてもよい。以上に論じられている装置に似た装置がその深さより大きい幅を有しているなら、及び/又はそれ以外にその長手方向軸を中心に半径方向に非対称であるなら、この形体は以下により詳細に論じられている様に装置を所望の配置向きに維持しながら組織の中へ前進させることを可能にする。
12、14 電極
16 装置の上側面
18 縫合糸孔
20 装置の遠位端
22 突起
30 装置の近位端
100 ハンドル
102 チャネル
104 トンネル作成部
106 トンネル作成部の遠位端
108 チャネルの遠位端
110 ハンドルの近位端
112 ロゴ、マーキング
114 突起
116 スロット
120、122、124、126、 内側の角面
128、130 内側の側面
200 切開用具
210 切開用具のハンドル
220 刃
232、234 指握り
236 ロゴ
300 プランジャ
302 プランジャの遠位端
306 溝
308 マーキング
310 停止面
L 植え込み式装置の長さ
W 植え込み式装置の幅
D 植え込み式装置の深さ
Claims (10)
- 植え込み式医療装置(10)を皮下組織に植え込むのに使用するための皮下植え込み用具であって、当該皮下植え込み用具は、
用具本体であって、近位端から遠位開口部に終端するチャネルを画定している遠位端まで延びているハンドル(100)を備え、前記チャネルは前記植え込み式医療装置を受け入れるように構成されている、用具本体と、
植え込み式医療装置を沿わせて前進させることのできるトンネルを現出させるべく前記皮下組織の鈍的切離に適した構成をしている、前記ハンドルの前記遠位端から、該遠位端に固定されて延びている細長いトンネル作成部(104)と、
近位端及び遠位端を備えるプランジャ(300)であって、前記遠位端は前記ハンドルによって画定されている前記チャネル内で、植え込み式医療装置が前記チャネルに受け入れられたときに当該植え込み式医療装置を、前記遠位開口部(108)を通し、前記トンネル作成部に沿って、前記皮下組織に現出させた前記トンネルを通して前進させてゆくように可動である、プランジャ(300)と、
を備えている、皮下植え込み用具。 - 前記植え込み式医療装置は、その長さに沿って近位端から遠位端まで延びている装置本体を備えており、更に前記細長いトンネル作成部は前記ハンドルの前記遠位端から或る長さに沿って延びており、前記細長いトンネル作成部の前記長さは、前記ハンドルの前記チャネルに受け入れ可能な前記植え込み式医療装置の前記長さより大きい、請求項1に記載の用具。
- 前記植え込み式医療装置は、その長さに沿って近位端から遠位端まで延びている装置本体を備えており、前記ハンドルの前記チャネルは、前記ハンドルに前記植え込み式医療装置が受け入れられるときに当該植え込み式医療装置の全体長さを当該ハンドル内に受け入れるように構成されている、請求項1又は請求項2に記載の用具。
- 前記チャネルは少なくとも下側面によって画定されており、更に、前記ハンドルの更に前記チャネルを画定している少なくとも上側部分は、前記植え込み式医療装置が前記チャネルの中へ適正に挿入されていることの視覚的確認を可能にさせる1つ又はそれ以上の開口部を提供している、請求項1から3の何れか一項に記載の用具。
- 前記植え込み式医療装置は、軸に沿って近位端から遠位端まで延びている装置本体を備え、前記装置本体は当該装置本体の或る長さに沿って延びている外側面構成を備えており、前記ハンドルの前記チャネルは、前記装置本体の前記外側面構成に対応するように及び前記植え込み式医療装置が前記チャネルに受け入れられたときに前記装置本体の1つ又はそれ以上の形体に係合するように画定されている、請求項1から4の何れか一項に記載の用具。
- 前記ハンドルの前記チャネルは、前記装置本体の前記外側面構成に対応するように及び前記植え込み式医療装置が前記チャネル内に受け入れられたときに当該植え込み式医療装置の当該チャネル内での回転を防止するように画定されている、請求項5に記載の用具。
- 前記ハンドルの前記チャネルは、前記装置本体の前記外側面構成の複数の角に対応するように及び前記植え込み式医療装置が前記チャネルに受け入れられたときに前記複数の角の1つ又はそれ以上に係合するように画定されている、請求項5に記載の用具。
- 前記ハンドルは、当該ハンドルによって画定されている前記チャネルの中への前記プランジャの前記遠位端の挿入を可能にさせるように構成されている、前記ハンドルの前記近位端の開口部と、前記プランジャの相手方突起に対応する突起であって、前記プランジャの前記遠位端を前記ハンドルの前記近位端の前記開口部の中へ前記ハンドルに対して或る特定の配置向きでしか挿入できないように前記開口部の中へ延びている突起と、を備えている、請求項1から7の何れか一項に記載の用具。
- 前記ハンドルは、前記遠位開口部に終端するチャネル軸に沿って長手方向に延びているチャネルを画定しており、前記細長いトンネル作成部は、前記チャネル軸と同じ方向に横たわる軸に沿って延びている長手方向に延びる細長いトンネル作成部本体を備えている、請求項1に記載の用具。
- 前記チャネル軸と同じ方向に横たわる軸に沿って延びている長手方向に延びる細長いトンネル作成部本体は、テーパ端に終端している、請求項9に記載の用具。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361788940P | 2013-03-15 | 2013-03-15 | |
US61/788,940 | 2013-03-15 | ||
US14/204,227 | 2014-03-11 | ||
US14/204,227 US11311312B2 (en) | 2013-03-15 | 2014-03-11 | Subcutaneous delivery tool |
PCT/US2014/023912 WO2014150666A1 (en) | 2013-03-15 | 2014-03-12 | Subcutaneous delivery tool |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018137778A Division JP6772220B2 (ja) | 2013-03-15 | 2018-07-23 | 皮下送達用具 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016515021A JP2016515021A (ja) | 2016-05-26 |
JP2016515021A5 JP2016515021A5 (ja) | 2017-03-16 |
JP6378746B2 true JP6378746B2 (ja) | 2018-08-22 |
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ID=51530997
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Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016501382A Active JP6378746B2 (ja) | 2013-03-15 | 2014-03-12 | 皮下送達用具 |
JP2018137778A Active JP6772220B2 (ja) | 2013-03-15 | 2018-07-23 | 皮下送達用具 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018137778A Active JP6772220B2 (ja) | 2013-03-15 | 2018-07-23 | 皮下送達用具 |
Country Status (6)
Country | Link |
---|---|
US (18) | US11311312B2 (ja) |
EP (3) | EP4327766A3 (ja) |
JP (2) | JP6378746B2 (ja) |
CN (2) | CN105142551A (ja) |
DE (10) | DE202014010878U1 (ja) |
WO (1) | WO2014150666A1 (ja) |
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