JP6568056B2 - 血管内デバイス、システム、及び方法 - Google Patents
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
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- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3137—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
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- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
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- A—HUMAN NECESSITIES
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- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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Description
Claims (19)
- 患者の血管に挿入されるフレキシブルな細長い部材であって、前記フレキシブルな細長い部材は、近位部及び遠位部を有し、前記遠位部は、前記フレキシブルな細長い部材が前記患者の血管内にあるとき、前記患者の生理学的状態を検出するコンポーネントを含み、前記フレキシブルな細長い部材は、心線、及び前記心線に少なくとも部分的に沿って伸びる通信経路を含み、前記通信経路は、前記コンポーネントと通信し及び前記近位部まで伸びる、フレキシブルな細長い部材と、
検出された前記生理学的状態を表す信号をシステムに送信する通信要素と、
前記フレキシブルな細長い部材の前記近位部に、回転しないよう恒久的に固定されたコネクタ接合部であって、前記コネクタ接合部は、医療従事者が把持して回転させることで、前記フレキシブルな細長い部材が前記患者の血管内にあるときに前記フレキシブルな細長い部材を回転させることができ、検出された前記生理学的状態に関する信号を前記システムに伝送するため前記フレキシブルな細長い部材内の前記通信経路を前記通信要素に接続する、コネクタ接合部と
を含み、
前記コネクタ接合部は、前記通信経路におけるたるみとして、前記通信経路が曲がることを可能にするチャンバを含む、血管内プローブ。 - 前記通信経路は、前記通信経路の前記たるみとしてループを含み、前記ループは前記チャンバ内に配置される、請求項1に記載の血管内プローブ。
- 前記コネクタ接合部は、コネクタチャンバ、及び前記コネクタチャンバ内に配置された回路基板を含み、前記通信経路は、前記回路基板と通信する、請求項1に記載の血管内プローブ。
- 前記通信要素は、前記コネクタ接合部から伸びるケーブルである、請求項1に記載の血管内プローブ。
- 前記通信経路は、少なくとも3本の別々の信号線を含む、請求項1に記載の血管内プローブ。
- ハウジングが、接着剤によって前記フレキシブルな細長い部材の前記近位部に接着される、請求項1に記載の血管内プローブ。
- 前記コンポーネントは、圧力センサである、請求項1に記載の血管内プローブ。
- 前記フレキシブルな細長い部材は、前記コンポーネントの遠位に配置された第1のコイルと、前記コンポーネントの近位に配置された第2のコイルとを含み、前記第1及び第2の遠位コイルは、前記フレキシブルな細長い部材の前記遠位部に剛性を与える、請求項1に記載の血管内プローブ。
- 前記フレキシブルな細長い部材は、コンポーネントハウジングを含み、前記コンポーネントは、前記コンポーネントハウジング内に配置される、請求項1に記載の血管内プローブ。
- 前記遠位部は、約0.37mm未満の直径を有する、請求項1に記載の血管内プローブ。
- 患者の血管に挿入されるフレキシブルな細長い部材であって、前記フレキシブルな細長い部材は、近位部及び遠位部を有し、前記遠位部は、前記フレキシブルな細長い部材が前記患者の血管内にあるとき、前記患者の生理学的状態を検出するコンポーネントを含み、前記フレキシブルな細長い部材は、心線、及び前記心線に少なくとも部分的に沿って伸びる通信経路を含み、前記通信経路は、前記コンポーネントと通信し及び前記近位部まで伸びる、フレキシブルな細長い部材と、
検出された前記生理学的状態を表す信号をシステムに送信する通信要素と、
前記フレキシブルな細長い部材の前記近位部に、回転しないよう恒久的に固定されたコネクタ接合部であって、前記コネクタ接合部は、医療従事者が把持して回転させることで、前記フレキシブルな細長い部材が前記患者の血管内にあるときに前記フレキシブルな細長い部材を回転させることができ、検出された前記生理学的状態に関する信号を前記システムに伝送するため前記フレキシブルな細長い部材内の前記通信経路を前記通信要素に接続する、コネクタ接合部と
を含み、
前記コネクタ接合部上の切断ツールをさらに含み、前記切断ツールは、前記フレキシブルな細長い部材を恒久的に分離して前記コネクタ接合部を取り除き、前記フレキシブルな細長い部材の残りの部分上でバルーン又はステントカテーテルを血管に挿入することを可能にする、血管内プローブ。 - 前記フレキシブルな細長い部材は、約1300〜4000mmの長さを有する、請求項1に記載の血管内プローブ。
- 患者の血管に挿入されるフレキシブルな細長い部材であって、前記フレキシブルな細長い部材は、近位部及び遠位部を有し、前記遠位部は、前記フレキシブルな細長い部材が患者の血管内にあるとき、前記患者の生理学的状態を検出するコンポーネントを含み、前記フレキシブルな細長い部材は、心線、及び前記心線に少なくとも部分的に沿って伸びる通信経路を含み、前記通信経路は、前記コンポーネントと通信し、前記近位部まで伸びる、フレキシブルな細長い部材を提供するステップと、
コネクタ接合部を前記通信経路に接続するステップと、
医療従事者が把持して回転させることで、前記フレキシブルな細長い部材が前記患者の血管内にあるときに前記フレキシブルな細長い部材を回転させることができるように、前記コネクタ接合部を前記フレキシブルな細長い部材の前記近位部に恒久的に取り付けるステップと、
前記フレキシブルな細長い部材が曲がりくねった血管に挿入された結果、前記通信経路にかかる張力を受け止めるための前記通信経路のたるみを前記コネクタ接合部内に作成するステップと
を含む、血管内デバイスを製造するための方法。 - 前記たるみを作成するために前記通信経路を環状にするステップをさらに含む、請求項13に記載の方法。
- 前記フレキシブルな細長い部材の前記コンポーネントの遠位に第1のコイルを形成するステップと、前記フレキシブルな細長い部材の前記コンポーネントの近位に第2のコイルを形成するステップとをさらに含む、請求項13に記載の方法。
- 前記コネクタ接合部は、トルクデバイスとして使用できる、請求項13に記載の方法。
- 前記通信経路は導体を含み、前記コネクタ接合部を接続するステップは、前記導体を、前記コネクタ接合部内に保持された回路に半田付けするステップを含む、請求項13に記載の方法。
- 前記ケーブルは当該ケーブルの近位端に配置される電気コネクタで終点となる、請求項4に記載の血管内プローブ。
- 前記コネクタ接合部は、前記電気コネクタ及び前記ケーブルの遠位に配置される、請求項18に記載の血管内プローブ。
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US201361890547P | 2013-10-14 | 2013-10-14 | |
US61/890,547 | 2013-10-14 | ||
PCT/US2014/060264 WO2015057568A1 (en) | 2013-10-14 | 2014-10-13 | Intravascular devices, systems, and methods |
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JP2016533785A JP2016533785A (ja) | 2016-11-04 |
JP2016533785A5 JP2016533785A5 (ja) | 2018-08-30 |
JP6568056B2 true JP6568056B2 (ja) | 2019-08-28 |
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US (1) | US10080501B2 (ja) |
EP (1) | EP3057496B1 (ja) |
JP (1) | JP6568056B2 (ja) |
CN (1) | CN105636507B (ja) |
WO (1) | WO2015057568A1 (ja) |
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2014
- 2014-10-13 EP EP14854718.5A patent/EP3057496B1/en active Active
- 2014-10-13 WO PCT/US2014/060264 patent/WO2015057568A1/en active Application Filing
- 2014-10-13 JP JP2016521975A patent/JP6568056B2/ja active Active
- 2014-10-13 CN CN201480056515.1A patent/CN105636507B/zh active Active
- 2014-10-13 US US14/513,025 patent/US10080501B2/en active Active
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Publication number | Publication date |
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EP3057496A4 (en) | 2016-10-05 |
WO2015057568A1 (en) | 2015-04-23 |
CN105636507B (zh) | 2019-06-25 |
US20150105654A1 (en) | 2015-04-16 |
EP3057496A1 (en) | 2016-08-24 |
EP3057496B1 (en) | 2023-01-11 |
US10080501B2 (en) | 2018-09-25 |
JP2016533785A (ja) | 2016-11-04 |
CN105636507A (zh) | 2016-06-01 |
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