JP7296945B2 - 医療デバイス - Google Patents
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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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22078—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other for rotating the instrument within a channel, e.g. an optical fibre
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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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
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- A—HUMAN NECESSITIES
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- A61B2217/007—Auxiliary appliance with irrigation system
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Description
<第1実施形態>
<第2実施形態>
<第3実施形態>
11 送液源
12 吸引源
20 駆動シャフト
30 外管
34 湾曲部
40 切削部
60 ハブ部
61 ケーシング
67 第1支持部
70、120 操作部
80、130 回転規制部
90 吸引部
91 第1ハウジング
92 第1シール部
93 第2支持部
94 吸引口
95 第1空間部
100 送液部
101 第2ハウジング
102 送液シール部
104 送液口
105 第2空間部
150 補助ハウジング
152 補助送液口
153 補助空間部
154 第2シール部
Claims (12)
- 血管内に挿入されて血栓、プラーク、アテロームまたは石灰化病変を除去する医療デバイスであって、
回転可能である駆動シャフトと、
前記駆動シャフトを回転可能に収容し、近位端に前記駆動シャフトが近位側へ導出される基端開口部が形成された外管と、
前記駆動シャフトの遠位部に固定されて物体を切削する切削部と、
前記駆動シャフトおよび外管の近位部が配置されるハブ部と、を有し、
前記ハブ部は、
ケーシングと、
前記外管の近位部の外周面に固定されて前記外管を回転させる操作部と、
前記ケーシングの遠位部に配置されて前記ケーシングに対して前記操作部を回転可能に支持する第1支持部と、
前記ケーシングに収容され、流体を外部へ放出する吸引口および前記吸引口に連通する第1空間部が形成され、前記外管の基端開口部が前記第1空間部の内部に配置されて前記吸引口に前記外管の吸引ルーメンが連通し、前記駆動シャフトが貫通するハウジングと、
前記ハウジングの前記第1空間部よりも遠位側の部位の内側表面および外管の外側表面の間、または、前記ハウジングの前記第1空間部よりも遠位側の部位の内側表面および操作部の外側表面の間に配置される第1シール部と、を有し、
前記第1支持部と前記第1シール部が軸方向に沿って並んで配置される医療デバイス。 - 前記第1支持部は、前記第1シール部に対して遠位側に配置される請求項1に記載の医療デバイス。
- 前記第1支持部は、前記ケーシングの一部である請求項1または2に記載の医療デバイス。
- 前記ハブ部は、前記ハウジングの内部の前記第1支持部よりも近位側に第2支持部を有し、
前記第2支持部は、前記外管の外周面と摺動可能な内周面を有し、当該内周面により前記外管を前記ハウジングに対して回転可能に支持する請求項1~3のいずれか1項に記載の医療デバイス。 - 前記第2支持部は、前記第1シール部よりも近位側であって前記外管の基端開口部よりも遠位側に位置する請求項4に記載の医療デバイス。
- 前記第1支持部の前記操作部に対する接触面積は、前記第2支持部の前記操作部または外管に対する接触面積よりも大きい請求項4または5に記載の医療デバイス。
- 前記ハウジングは、前記第1シール部よりも遠位側に補助空間部が形成され、
前記補助空間部は、液体を供給される補助送液口を有し、
前記ハウジングの前記補助空間部よりも遠位側の部位の内側表面と前記外管の外側表面との間に第2シール部が配置される請求項1~6のいずれか1項に記載の医療デバイス。 - 前記操作部の前記ハウジングに対する回転を規制し、前記ケーシングに対して軸方向へ摺動可能であり、前記操作部に対して接触または離間可能な突起部を備えた回転規制部を有し、
前記回転規制部は、前記ケーシングに対して軸方向へ摺動して前記突起部が前記操作部から離れることで前記操作部を前記ハウジングに対して回転可能とし、
前記回転規制部は、前記ケーシングに対して軸方向へ摺動して前記突起部が前記操作部に対して接触することで当該操作部の前記ハウジングに対する回転を規制する請求項1~7のいずれか1項に記載の医療デバイス。 - 前記操作部の前記ハウジングに対する回転を規制する、前記ケーシングから突出して弾性的に変形可能な弾性部および当該弾性部から突出して前記操作部に対して接触可能な突起部を備えた回転規制部を有し、
前記回転規制部は、前記突起部が前記操作部に接触した状態から前記弾性部が変形することで前記操作部を前記ハウジングに対して回転可能とし、
前記回転規制部は、前記突起部が前記操作部に対して接触することで前記操作部の前記ハウジングに対する回転を規制する請求項1~7のいずれか1項に記載の医療デバイス。 - 前記吸引口に接続されて能動的に吸引を行う吸引源を有する請求項1~9のいずれか1項に記載の医療デバイス。
- 前記外管の近位部の外表面の少なくとも一部は、遠位部の外表面に比べて高摩擦である請求項1~10のいずれか1項に記載の医療デバイス。
- 前記ハブ部は、前記駆動シャフトを回転させる中空モータである駆動部を有し、
前記駆動シャフトは前記駆動部を貫通し、前記駆動シャフトの回転軸と前記駆動部の回転軸は一致する請求項1~11のいずれか1項に記載の医療デバイス。
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WO2019188918A1 (ja) * | 2018-03-28 | 2019-10-03 | テルモ株式会社 | 医療デバイスおよび処置用法 |
WO2021199208A1 (ja) * | 2020-03-30 | 2021-10-07 | テルモ株式会社 | 医療デバイス |
JP2024024698A (ja) * | 2021-01-11 | 2024-02-26 | テルモ株式会社 | 医療デバイス |
CN115737070B (zh) * | 2023-01-10 | 2023-04-18 | 新光维医疗科技(苏州)股份有限公司 | 刨削装置 |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000508206A (ja) | 1996-04-10 | 2000-07-04 | スミス アンド ネフュー インコーポレーテッド | 外科手術装置 |
JP2012519023A (ja) | 2009-02-26 | 2012-08-23 | ストライカー・コーポレーション | 外科用器具及びこの外科用器具とともに使用可能なハンドピースを有する外科用器具装置 |
JP2014518717A (ja) | 2011-05-27 | 2014-08-07 | コリブリ テクノロジーズ インコーポレーテッド | 流体回転ジョイントを備える医療用プローブ |
WO2016072107A1 (ja) | 2014-11-04 | 2016-05-12 | テルモ株式会社 | 医療デバイス |
JP2017521153A (ja) | 2014-07-03 | 2017-08-03 | タルヤグ メディカル リミテッド | 改良アテレクトミー・デバイス |
Family Cites Families (38)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4517977A (en) * | 1981-07-24 | 1985-05-21 | Unisearch Limited | Co-axial tube surgical infusion/suction cutter tip |
US5252340A (en) * | 1989-12-14 | 1993-10-12 | Isolyser Company, Inc. | Method of producing an absorbent composition |
EP0613661B1 (en) * | 1993-01-29 | 1998-04-15 | Smith & Nephew, Inc. | Rotatable curved instrument |
US5921956A (en) * | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
JP2000050820A (ja) * | 1998-08-06 | 2000-02-22 | Miyake Seisakusho:Kk | 米飯自動盛付機における飯起こし装置 |
US6139214A (en) * | 1998-12-14 | 2000-10-31 | Endius Incorporated | Quick disconnect coupling for surgical instrument |
US8475484B2 (en) * | 2000-04-05 | 2013-07-02 | Medrad, Inc. | Liquid seal assembly for a rotating torque tube |
US7226459B2 (en) * | 2001-10-26 | 2007-06-05 | Smith & Nephew, Inc. | Reciprocating rotary arthroscopic surgical instrument |
US7118574B2 (en) * | 2002-06-14 | 2006-10-10 | Ethicon, Inc | Arthroscopic bone burr device |
US9011472B2 (en) * | 2006-01-24 | 2015-04-21 | Depuy Mitek, Llc | Surgical tool with hydrodynamic dissipation brake |
US20080004645A1 (en) * | 2006-06-30 | 2008-01-03 | Atheromed, Inc. | Atherectomy devices and methods |
US9492192B2 (en) * | 2006-06-30 | 2016-11-15 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
US20140249554A1 (en) * | 2006-06-30 | 2014-09-04 | Atheromed, Inc. | Atherectomy devices and methods |
US20090018566A1 (en) * | 2006-06-30 | 2009-01-15 | Artheromed, Inc. | Atherectomy devices, systems, and methods |
US20110112563A1 (en) * | 2006-06-30 | 2011-05-12 | Atheromed, Inc. | Atherectomy devices and methods |
US8394078B2 (en) * | 2006-10-04 | 2013-03-12 | Medrad, Inc. | Interventional catheters incorporating an active aspiration system |
US9095366B2 (en) * | 2007-04-06 | 2015-08-04 | Hologic, Inc. | Tissue cutter with differential hardness |
US9655639B2 (en) * | 2008-12-16 | 2017-05-23 | Nico Corporation | Tissue removal device for use with imaging devices in neurosurgical and spinal surgery applications |
US8974447B2 (en) * | 2011-03-24 | 2015-03-10 | Ethicon Endo-Surgery, Inc. | Energy-based scissors device |
US9345511B2 (en) * | 2011-10-13 | 2016-05-24 | Atheromed, Inc. | Atherectomy apparatus, systems and methods |
US8585726B2 (en) * | 2012-01-31 | 2013-11-19 | Globus Medical, Inc. | Surgical disc removal tool |
WO2014020150A1 (en) * | 2012-08-03 | 2014-02-06 | Walther Charles | Endoscopic biopsy instrument, endoscope, and method for taking a biopsy sample |
US9844408B2 (en) * | 2012-11-30 | 2017-12-19 | Gyrus Acmi, Inc. | Replacable debrider blade module with latching mechanism |
US9636132B2 (en) * | 2014-09-08 | 2017-05-02 | Medtronic Xomed, Inc. | Tumor debulker |
WO2016132241A1 (en) * | 2015-02-20 | 2016-08-25 | Koninklijke Philips N.V. | Atherectomy apparatus with imaging |
US10327797B2 (en) * | 2015-10-16 | 2019-06-25 | Ethicon Llc | Ultrasonic surgical instrument with removable shaft assembly portion |
US10898221B2 (en) * | 2015-10-30 | 2021-01-26 | Terumo Kabushiki Kaisha | Device handle for a medical device |
US10299819B2 (en) * | 2016-07-28 | 2019-05-28 | Covidien Lp | Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use |
US9855675B1 (en) * | 2016-09-20 | 2018-01-02 | RELIGN Corporation | Arthroscopic devices and methods |
US10874416B2 (en) * | 2017-02-02 | 2020-12-29 | Biosense Webster (Israel) Ltd. | Surgical cutting instrument with extended blades |
US10524820B2 (en) * | 2017-05-16 | 2020-01-07 | Biosense Webster (Israel) Ltd. | Deflectable shaver tool |
US10758410B2 (en) * | 2017-10-13 | 2020-09-01 | Surgical Design Corporation | Surgical hand piece with ultrasonic knife |
US10646235B2 (en) * | 2017-10-26 | 2020-05-12 | DePuy Synthes Products, Inc. | Guide wire seal for reamer irrigator aspirator system |
US11369406B2 (en) * | 2018-02-28 | 2022-06-28 | Gyrus Acmi, Inc. | Medical device |
WO2019188918A1 (ja) * | 2018-03-28 | 2019-10-03 | テルモ株式会社 | 医療デバイスおよび処置用法 |
US11234735B2 (en) * | 2019-05-20 | 2022-02-01 | Covidien Lp | Tissue resecting instrument including variable drive |
US12023056B2 (en) * | 2020-08-12 | 2024-07-02 | Terumo Kabushiki Kaisha | Medical device |
US20240065718A1 (en) * | 2022-08-31 | 2024-02-29 | Medtronic Xomed, LLC. | Microdebrider with stability interface bushing |
-
2019
- 2019-03-25 WO PCT/JP2019/012385 patent/WO2019188918A1/ja active Application Filing
- 2019-03-25 JP JP2020510042A patent/JP7296945B2/ja active Active
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Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000508206A (ja) | 1996-04-10 | 2000-07-04 | スミス アンド ネフュー インコーポレーテッド | 外科手術装置 |
JP2012519023A (ja) | 2009-02-26 | 2012-08-23 | ストライカー・コーポレーション | 外科用器具及びこの外科用器具とともに使用可能なハンドピースを有する外科用器具装置 |
JP2014518717A (ja) | 2011-05-27 | 2014-08-07 | コリブリ テクノロジーズ インコーポレーテッド | 流体回転ジョイントを備える医療用プローブ |
JP2017521153A (ja) | 2014-07-03 | 2017-08-03 | タルヤグ メディカル リミテッド | 改良アテレクトミー・デバイス |
WO2016072107A1 (ja) | 2014-11-04 | 2016-05-12 | テルモ株式会社 | 医療デバイス |
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