JP6396657B2 - 自然オリフィス手術システム - Google Patents
自然オリフィス手術システム Download PDFInfo
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- JP6396657B2 JP6396657B2 JP2013531920A JP2013531920A JP6396657B2 JP 6396657 B2 JP6396657 B2 JP 6396657B2 JP 2013531920 A JP2013531920 A JP 2013531920A JP 2013531920 A JP2013531920 A JP 2013531920A JP 6396657 B2 JP6396657 B2 JP 6396657B2
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
-
- 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
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
-
- 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
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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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
- A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
-
- 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
- A61B2017/3443—Cannulas with means for adjusting the length of a cannula
-
- 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
- A61B2017/3445—Cannulas used as instrument channel for multiple 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
- A61B2017/345—Cannulas for introduction into a natural body opening
-
- 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
- A61B2017/345—Cannulas for introduction into a natural body opening
- A61B2017/3452—Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
- A61B2017/3456—Details of tips blunt
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
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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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2010年10月1日出願の「経鼻的内視鏡下マイクロサージェリーシステム」という名称の米国特許仮出願番号第61/389,091号、及び2011年5月12日出願の「経鼻的内視鏡下マイクロサージェリーシステム」という名称の米国特許仮出願番号第61/485,321号の恩典を請求するものである。上記出願は、ここに引用によりそれらの全体が本明細書に組み込まれる。
Claims (25)
- 自然オリフィスでの外科的処置を行うようになった手術アクセスポートシステムであって、
開創器、
を含み、
前記開創器は、
患者の自然オリフィスの近くに配置されるように構成された外側リングと、
近位端、遠位端、縦軸線及び固定された長さ及び直径を有し、自然オリフィスの生態構造に適合する管状本体と、
前記管状本体の前記遠位端の周囲に配置され、前記管状本体の直径よりも大きい直径を有し、前記管状本体を前記自然オリフィス内に保持するよう構成された内側リングと、
前記外側リングと前記管状本体の間を延びてそれらを結合し、該外側リングと該管状本体との間の直径縮小をもたらす漏斗セグメントと、
を含み、
前記システムは、さらに、
ゲルパッド及びこのゲルパッドに結合したキャップリングを含み、前記キャップリングは前記外側リングと係合可能であり、前記開創器を通して位置決めされた少なくとも2つの手術器具が互いに対して並進又はピボット回転できる、取り外し可能なゲルキャップを含む、
ことを特徴とするシステム。 - 前記管状本体は、可撓性の材料を含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記可撓性材料は、KRATON(登録商標)材料、PELLETHANE(登録商標)材料、及びシリコーンゴム材料から構成される群から選択されることを特徴とする請求項2に記載の手術アクセスポートシステム。
- 前記管状本体は、ポリカーボネートを含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体は、1つ又はそれよりも多くのコーティングを含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記コーティングは、抗菌コーティングを含むことを特徴とする請求項5に記載の手術アクセスポートシステム。
- 前記管状本体は、2つ又はそれよりも多くの連結部分を含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体は、少なくとも1つの窓を含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体は、少なくとも1つの穿孔を含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記漏斗セグメントは、前記外側リングと前記管状本体の間に線形のテーパを有することを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記漏斗セグメントは、前記外側リングと前記前記管状本体の間に湾曲プロフィールを有することを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記内側リングは、身体オリフィス内への挿入のために圧縮されるのに十分に可撓性であり、該身体オリフィスの内側で解除されると実質的にその元の形状に戻ることを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記内側リングの前記形状は、実質的に円形であることを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記内側リングは、少なくとも1つのノッチを含み、それによって該内側リングの挿入及び/又は取り外しのための該内側リングの折り畳み又は変形を容易にすることを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体と前記内側リングの間の屈曲領域を更に含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記外側リングは、補強部材を含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記補強部材は、前記外側リングの内腔内に配置されたワイヤであることを特徴とする請求項16に記載の手術アクセスポートシステム。
- 前記補強部材は、金属を含むことを特徴とする請求項16に記載の手術アクセスポートシステム。
- 前記補強部材は、射出可能な非金属材料を含むことを特徴とする請求項16に記載の手術アクセスポートシステム。
- 前記管状本体は、比較的可撓性の材料から形成され、前記漏斗セグメント及び前記外側リングは、比較的剛性の材料から形成されることを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記外側リングに隣接して前記開創器上に配置された少なくとも1つの縫合点を更に含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記キャップは、少なくとも1つの気体ポートを含むことを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体は、約30mmから約50mmの直径を有し、前記内側リングは、約40mmから約60mmの直径を有することを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記管状本体は、約30mmから約60mmの長さを有することを特徴とする請求項1に記載の手術アクセスポートシステム。
- 前記内側リングの少なくとも一部は、前記管状本体によって形成された前記縦軸線に実質的に垂直であることを特徴とする請求項1に記載の手術アクセスポートシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US38909110P | 2010-10-01 | 2010-10-01 | |
US61/389,091 | 2010-10-01 | ||
US201161485321P | 2011-05-12 | 2011-05-12 | |
US61/485,321 | 2011-05-12 | ||
PCT/US2011/054266 WO2012044959A1 (en) | 2010-10-01 | 2011-09-30 | Natural orifice surgery system |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017028000A Division JP6438057B2 (ja) | 2010-10-01 | 2017-02-17 | 自然オリフィス手術システム |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013542762A JP2013542762A (ja) | 2013-11-28 |
JP6396657B2 true JP6396657B2 (ja) | 2018-09-26 |
Family
ID=44774195
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013531920A Active JP6396657B2 (ja) | 2010-10-01 | 2011-09-30 | 自然オリフィス手術システム |
JP2017028000A Active JP6438057B2 (ja) | 2010-10-01 | 2017-02-17 | 自然オリフィス手術システム |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017028000A Active JP6438057B2 (ja) | 2010-10-01 | 2017-02-17 | 自然オリフィス手術システム |
Country Status (7)
Country | Link |
---|---|
US (2) | US9289200B2 (ja) |
EP (1) | EP2621348B1 (ja) |
JP (2) | JP6396657B2 (ja) |
AU (1) | AU2011308636B2 (ja) |
CA (1) | CA2811753C (ja) |
ES (1) | ES2743503T3 (ja) |
WO (1) | WO2012044959A1 (ja) |
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AU2011308636B2 (en) | 2015-06-04 |
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US10376282B2 (en) | 2019-08-13 |
JP2013542762A (ja) | 2013-11-28 |
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