JP6669898B2 - 光学コネクタケーブルを備える圧力検出ガイドワイヤシステム - Google Patents
光学コネクタケーブルを備える圧力検出ガイドワイヤシステム Download PDFInfo
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- JP6669898B2 JP6669898B2 JP2018563397A JP2018563397A JP6669898B2 JP 6669898 B2 JP6669898 B2 JP 6669898B2 JP 2018563397 A JP2018563397 A JP 2018563397A JP 2018563397 A JP2018563397 A JP 2018563397A JP 6669898 B2 JP6669898 B2 JP 6669898B2
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- guidewire
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B5/02154—Measuring pressure in heart or blood vessels by means inserted into the body by optical transmission
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6851—Guide wires
-
- 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
- A61M25/09—Guide wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0233—Special features of optical sensors or probes classified in A61B5/00
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- A—HUMAN NECESSITIES
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- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/22—Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
- A61B2562/221—Arrangements of sensors with cables or leads, e.g. cable harnesses
- A61B2562/223—Optical cables therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/22—Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
- A61B2562/225—Connectors or couplings
- A61B2562/228—Sensors with optical connectors
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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
- A61M25/09—Guide wires
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09083—Basic structures of guide wires having a coil around a core
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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
- A61M25/09—Guide wires
- A61M2025/09116—Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
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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
- A61M25/09—Guide wires
- A61M2025/09125—Device for locking a guide wire in a fixed position with respect to the catheter or the human body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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- Pathology (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Surgery (AREA)
- Cardiology (AREA)
- Physiology (AREA)
- Vascular Medicine (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Mechanical Coupling Of Light Guides (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
そこから延びる第1光ファイバーからなる光学コネクタケーブルと、
前記光学コネクタケーブルが、ガイドワイヤに接続される遠位コネクタを備えることと、遠位コネクタが内部ハウジングとガイドワイヤロック機構とからなることと、
駆動装置と、駆動装置を駆動することによって内部ハウジングが第1位置から第2位置に移動することと、
内部ハウジングが第1位置にあるときには、ガイドワイヤロック機構はガイドワイヤを固定し、且つガイドワイヤは光学コネクタケーブルに対して回転可能であり、
前記内部ハウジングが第2位置にあるときには、ガイドワイヤロック機構は、ガイドワイヤを受承し、または取り外すために開状態にある。
上記実施形態の任意の1つに代替的にまたは追加的に、ガイドワイヤロック機構は、コレットバネとコレットとをさらに備える。
上記実施形態の任意の1つに代替的にまたは追加的に、駆動装置は、摺動機構、押しボタン、2重押しボタン、ラチェット、レバー、ギアアセンブリ、またはそれらの組み合わせ、からなる。
血圧を計測するための医療装置システムが開示される。システムは、
第1光ファイバーを含む光学コネクタケーブルと、内部ハウジングとガイドワイヤロック機構とからなる遠位コネクタと、遠位コネクタが圧力検出ガイドワイヤに接続可能であることと、
圧力検出ガイドワイヤが、圧力センサーと圧力センサーから近位方向に延びる第2光ファイバーとを含むことと、第2光ファイバーが第1光ファイバーに光学的に通信可能であることと、光学コネクタケーブルが圧力検出ガイドワイヤに接続されるように設計されていることと、
駆動装置と、駆動装置を駆動することによって、内部ハウジングを第1位置から第2位置に移動することと、内部ハウジングが第1位置にあるときには、ガイドワイヤロック機構は、圧力検出ガイドワイヤを固定するために閉状態にされて、圧力検出ガイドワイヤは、光学コネクタケーブルに対して回転可能であり、内部ハウジングが第2位置にあるときには、内部ハウジングは、光学コネクタケーブルから遠位方向に移動されて、ガイドワイヤロック機構は、圧力検出ガイドワイヤを受承し、または取り外すために開状態になる。
上記実施形態の任意の1つに代替的にまたは追加的に、ガイドワイヤロック機構は、コレットバネとコレットとをさらに備え、内部ハウジングが第2位置にあるときには、コレットバネが圧縮されてコレットが開くことを許可し、内部ハウジングが第1位置にあるときには、コレットバネは、コレット閉鎖具を閉じる。
上記実施形態の任意の1つに代替的にまたは追加的に、駆動装置は、摺動機構、押しボタン、2重押しボタン、ラチェット、レバー、ギアアセンブリ、またはそれらの組み合わせからなる。
光学コネクタケーブルが開示される。光学コネクタケーブルは、
内部ハウジングとガイドワイヤロック機構からなる遠位コネクタと、遠位コネクタが、ガイドワイヤに接続可能であることと、
駆動装置と、駆動装置を駆動することによって、遠位コネクタの内部ハウジングが第1位置から第2位置に移動されることと、内部ハウジングが第1位置にあるときには、ガイドワイヤロック機構はガイドワイヤを固定するために閉状態にされて、ガイドワイヤが光学コネクタケーブルに対して回転可能になり、内部ハウジングが第2位置にあるときには、内部ハウジングは、光学コネクタケーブルから遠位方向に移動されて、ガイドワイヤロック機構は、ガイドワイヤを受承し、または取り外すために開状態になる。
全ての数値は、ここでは、明示されているか否かに関わらず、「約」という用語によって修飾されるものと想定されている。「約」という用語は、一般的に、当業者が、記載されている数値に均等であると考える範囲を指す(同一の機能または結果をもたらすなど)。多くの場合において、「約」は、最も近い有効数字に四捨五入される複数の数値を含みうる。
本明細書および添付の請求項で使用されているように、単数形「a(ひとつ)」、「an(ひとつ)」、「the(その)」は、反対のことが明確に記載されていない限り、複数の指示対象も含む。本明細書および添付の請求項で使用されているように、「or」は、反対のことが明確に記載されていない限り、一般的に「and/or」を含む意味で使用される。
Claims (14)
- 光学コネクタケーブルアセンブリであって、
光学コネクタケーブルから延びる第1光ファイバーと、
前記光学コネクタケーブルが、ガイドワイヤに接続される遠位コネクタを備えることと、前記遠位コネクタが、内部ハウジングと、ガイドワイヤロック機構とを備えることと、
駆動装置と、前記駆動装置の駆動によって内部ハウジングが第1位置から第2位置に移動されることと、
前記内部ハウジングが第1位置にあるときは、前記ガイドワイヤロック機構が前記ガイドワイヤを固定して、前記ガイドワイヤが前記光学コネクタケーブルに対して回転可能になることと、
前記内部ハウジングが第2位置にあるときは、ガイドワイヤロック機構は、前記ガイドワイヤを受承し、または取り外すために開状態になることと、
前記内部ハウジングに隣接する軸上バネをさらに備え、前記内部ハウジングが第2位置にあるときには、軸上バネが圧縮されて前記ガイドワイヤロック機構が開くことを許容することと、
からなる、光学コネクタケーブルアセンブリ。 - 前記ガイドワイヤロック機構は、コレット閉鎖具を備える、請求項1に記載の光学コネクタケーブルアセンブリ。
- 前記ガイドワイヤロック機構は、コレットバネとコレットとをさらに備える、請求項2に記載の光学コネクタケーブルアセンブリ。
- 前記ガイドワイヤロック機構は、バネで留められたカムアセンブリを備える、請求項1に記載の光学コネクタケーブルアセンブリ。
- 前記駆動装置は、摺動機構、押しボタン、2重押しボタン、ラチェット、レバー、ギアアセンブリ、またはそれらの組み合わせからなる、請求項1〜4のいずれか一項に記載の光学コネクタケーブルアセンブリ。
- 前記内部ハウジングは、スプラインギアをさらに備え、前記内部ハウジングが第2位置にある時には、前記スプラインギアは、内部ハウジングが前記光学コネクタケーブルに対して回転することを防止する、請求項1〜5のいずれか一項に記載の光学コネクタケーブルアセンブリ。
- コレットとコレットキャップとをさらに備え、前記内部ハウジングが第2位置にあるときには、前記コレットキャップは、前記光学コネクタケーブルに対して回転可能にされる、請求項6に記載の光学コネクタケーブルアセンブリ。
- 前記ガイドワイヤロック機構は、偏倚されたピンチクランプを備える、請求項1に記載の光学コネクタケーブルアセンブリ。
- 血圧測定用医療装置システムであって、システムは、
第1光ファイバーを備える光学コネクタケーブルと、内部ハウジングとガイドワイヤロック機構とからなる遠位コネクタと、を備え、前記遠位コネクタが、圧力検出ガイドワイヤに接続可能であることと、
前記圧力検出ガイドワイヤが圧力センサーを備え、第2光ファイバーが前記圧力センサーから近位方向に延びることと、前記第2光ファイバーが前記第1光ファイバーと光学的に通信可能であることと、前記光学コネクタケーブルが前記圧力検出ガイドワイヤに接続されるように設計されていることと、
駆動装置と、前記駆動装置の駆動によって、前記内部ハウジングが、第1位置から第2位置に移動されることと、前記内部ハウジングが第1位置にあるときには、前記ガイドワイヤロック機構は、前記圧力検出ガイドワイヤを固定するために閉状態にされて、前記圧力検出ガイドワイヤが前記光学コネクタケーブルに対して回転可能になることと、前記内部ハウジングが第2位置にあるときには、前記内部ハウジングは光学コネクタケーブルから遠位方向に移動されて、ガイドワイヤロック機構は、前記圧力検出ガイドワイヤを受承し、または取り外すために開状態になることとからなる、血圧計測用医療装置システム。 - 前記ガイドワイヤロック機構は、コレット閉鎖具を備える、請求項9に記載のシステム。
- 前記ガイドワイヤロック機構は、コレットバネとコレットをさらに備え、前記内部ハウジングが第2位置にあるときには、前記コレットバネは、圧縮されて、前記コレットを開き、前記内部ハウジングが第1位置にあるときには、前記コレットバネは、前記コレット閉鎖具を閉じる、請求項10に記載のシステム。
- 前記ガイドワイヤロック機構は、バネで留められたカムアセンブリを備える請求項9に記載のシステム。
- 前記内部ハウジングに隣接して軸上バネをさらに備え、前記内部ハウジングが第2位置にあるときには、前記軸上バネは収縮して、前記ガイドワイヤロック機構が開くことを許可する、請求項9〜12のいずれか一項に記載のシステム。
- 光学コネクタケーブルであって、内部ハウジングとガイドワイヤロック機構とからなる遠位コネクタと、前記遠位コネクタがガイドワイヤに接続可能であることと、
駆動装置と、前記駆動装置の駆動によって、前記遠位コネクタの前記内部ハウジングが、第1位置から第2位置に移動されることと、前記内部ハウジングが第1位置にあるときには、前記ガイドワイヤロック機構は、前記ガイドワイヤを固定するために閉鎖状態にされて、前記ガイドワイヤが前記光学コネクタケーブルに対して回転可能になることと、前記内部ハウジングが第2位置にあるときは、前記内部ハウジングは、前記光学コネクタケーブルから遠位方向に移動されて、前記ガイドワイヤロック機構は、前記ガイドワイヤを受承し、または取り外すために開状態になることとからなる、光学コネクタケーブル。
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