JP6772220B2 - 皮下送達用具 - Google Patents
皮下送達用具 Download PDFInfo
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- JP6772220B2 JP6772220B2 JP2018137778A JP2018137778A JP6772220B2 JP 6772220 B2 JP6772220 B2 JP 6772220B2 JP 2018137778 A JP2018137778 A JP 2018137778A JP 2018137778 A JP2018137778 A JP 2018137778A JP 6772220 B2 JP6772220 B2 JP 6772220B2
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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
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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
- 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
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- 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。
[発明の第1の形態]
医療装置を植え込むための皮下植え込み用具であって、
遠位開口を有する長手方向に延びる陥凹部を有している用具本体と、
上記陥凹部の上記遠位開口から延びている、上記用具本体の遠位端のトンネル作成部(tunneler)と、
上記用具本体陥凹部の少なくとも一部分の内に嵌るプランジャと、を備えている用具。
[発明の第2の形態]
上記陥凹部は上記植え込み式装置を受け入れるように構成されており、上記トンネル作成部は、上記装置を上記陥凹部の中にそうして配置させたときの当該装置から横方向にずれた位置にて上記陥凹部から遠位方向に延びている、請求項1に記載の用具。
[発明の第3の形態]
上記プランジャは上記陥凹部の少なくとも一部分内で滑動式に位置付けでき、上記プランジャの上記陥凹部内での遠位方向への運動は上記装置を遠位方向に当該陥凹部から外へ出し上記トンネル作成部に平行して当該トンネル作成部の外部を前進させる、請求項2に記載の用具。
[発明の第4の形態]
上記陥凹部の開放されている上側部分は、上記装置が上記陥凹部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、上記請求項の何れか一項に記載の用具。
[発明の第5の形態]
上記用具本体は、上記プランジャの遠位運動を制限する停止面を備えている、上記請求項の何れか一項に記載の用具。
[発明の第6の形態]
上記用具本体は、上記装置の近位運動を制限する停止面を備えている、上記請求項の何れか一項に記載の用具。
[発明の第7の形態]
上記プランジャの上記近位端に隣接したマーキングが、当該プランジャが上記用具本体への挿入にとっての上記適正配置向きにあることを上記医師が見極めるのを支援する、上記請求項の何れか一項に記載の用具。
[発明の第8の形態]
上記用具本体の上記近位端の開口は、上記プランジャの上記下側面の上記溝に対応する突起を含み、当該プランジャの上記本体内での適正配置向きが保証されるようにしている、上記請求項の何れか一項に記載の用具。
[発明の第9の形態]
上記陥凹部の上記開放されている上側部分は上記用具本体の上側面を貫く開口であり、上記上側面にはその表示となるマーキングが設けられている、上記請求項の何れか一項に記載の用具。
[発明の第10の形態]
上記請求項の何れか一項に記載の上記用具を上記植え込み式医療装置と関連付けて備えているシステム。
[発明の第11の形態]
上記植え込み式医療装置には丸められた遠位端が設けられている、請求項10に記載のシステム。
[発明の第12の形態]
上記植え込み式医療装置にはその表面上に電極が設けられている、請求項10又は請求項11に記載のシステム。
[発明の第13の形態]
上記植え込み式医療装置は上記陥凹部の断面に対応する断面を有している、請求項10又は請求項11又は請求項12に記載のシステム。
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 (15)
- 植え込み式医療装置を植え込むことに使用するための皮下植え込み用具であって、
長手方向軸を画定し、前記植え込み式医療装置を受け入れるように構成されたチャネルを備える用具本体であって、
前記チャネルが、前記用具本体の前記長手方向軸に沿って延び、遠位開口において終端し、前記遠位開口を通して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、組織内に送達可能である、用具本体と、
前記チャネル内に嵌まる可動プランジャであって、前記遠位開口を通して、前記チャネル内に受け入れられたとき、前記植え込み式医療装置を前進させるように前記チャネル内において可動な可動プランジャとを備え、
前記用具本体の側面の一部は、前記チャネルの前記遠位開口とは別に、前記チャネルの側部の開口を画定し、前記側部の開口は、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前記チャネル内に適切に挿入されたことについて視覚的確認を可能にする、皮下植え込み用具。 - 前記用具本体が、前記プランジャの遠位運動を制限する停止面を備える、
請求項1に記載の植え込み用具。 - 前記用具本体が、前記植え込み式医療装置の近位運動を制限する前記停止面を備える、
請求項2に記載の植え込み用具。 - 前記側部の開口が、前記用具本体の使用中に前記用具本体の上面を通る開口であり、前記上面が、前記開口を示すマーキングを備える、
請求項1から請求項3のいずれか一項に記載の植え込み用具。 - 前記用具本体が、前記用具本体の近位端に前記チャネル内への突出部を備え、前記プランジャが、前記突出部に対応する、および係合する溝を備える、
請求項1から請求項4のいずれか一項に記載の植え込み用具。 - 前記植え込み用具の遠位端が、切開内に挿入可能であるように、および前記切開から前記植え込み式医療装置の遠位端の植え込み部位までの皮下組織の鈍的切離のために構成されている、
請求項1から請求項5のいずれか一項に記載の植え込み用具。 - 前記プランジャの遠位端が、前記植え込み用具が中に挿入される切開から僅かな距離だけ前記植え込み式医療装置の近位端を動かすように、遠位に向かって可動である、
請求項1から請求項6のいずれか一項に記載の植え込み用具。 - 前記用具本体が、前記チャネルから遠位に向かって延びたトンネル作成部を備える、
請求項1から請求項7のいずれか一項に記載の植え込み用具。 - 前記植え込み式医療装置が装置本体を備える、請求項1から請求項8のいずれか一項に記載の植え込み用具を備える、システム。
- 前記植え込み式医療装置が、丸められた遠位端を備える、
請求項9に記載のシステム。 - 前記植え込み式医療装置が、前記植え込み式医療装置の表面に電極を備える、
請求項9または請求項10に記載のシステム。 - 前記植え込み式医療装置が、前記チャネルの断面に対応する断面を含む、
請求項9から請求項11のいずれか一項に記載のシステム。 - 前記用具本体の前記チャネルが、前記装置本体の外面構成の複数の角に対応するように、および、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前記複数の角のうちの1つまたは複数に係合するように画定されている、
請求項9から請求項12のいずれか一項に記載のシステム。 - 前記装置本体が、前記植え込み式医療装置の近位端から遠位端までの長さに沿って延び、前記植え込み式医療装置はハンドル部の前記チャネルの基端から前記ハンドル部内に受け入れられるようになっており、前記チャネルの中に受け入れられたときに前記植え込み式医療装置の前記装置本体の全長を前記ハンドル部内に受け入れるように構成されている、
請求項9から請求項13のいずれか一項に記載のシステム。 - 前記植え込み用具による前記植え込み式医療装置の挿入のための組織内への切開を作るように構成された切開用具をさらに備える、
請求項9から請求項14のいずれか一項に記載のシステム。
Applications Claiming Priority (4)
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 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2016501382A Division JP6378746B2 (ja) | 2013-03-15 | 2014-03-12 | 皮下送達用具 |
Publications (2)
Publication Number | Publication Date |
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JP2018183627A JP2018183627A (ja) | 2018-11-22 |
JP6772220B2 true JP6772220B2 (ja) | 2020-10-21 |
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Application Number | Title | Priority Date | Filing Date |
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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 |
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JP2016501382A Active JP6378746B2 (ja) | 2013-03-15 | 2014-03-12 | 皮下送達用具 |
Country Status (6)
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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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