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KR950700032A - APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT - Google Patents

APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT

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Publication number
KR950700032A
KR950700032A KR1019940702707A KR19940702707A KR950700032A KR 950700032 A KR950700032 A KR 950700032A KR 1019940702707 A KR1019940702707 A KR 1019940702707A KR 19940702707 A KR19940702707 A KR 19940702707A KR 950700032 A KR950700032 A KR 950700032A
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South Korea
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cannula
locking
trachea
distal end
energy
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Korean (ko)
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맥코어 죠슈아
에이취. 버튼 존
콜리슨 마이클
에이. 맥니콜라스 토마스
제이. 레드몬드 러셀
타이흔 클로드
에이. 바이렐 클로드
Original Assignee
알렌 제이, 스피겔
아메리칸 메디칼 시스템즈 인코포레이티드
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Publication of KR950700032A publication Critical patent/KR950700032A/en
Withdrawn legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22077—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with a part piercing the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2238—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with means for selectively laterally deflecting the tip of the fibre

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Electromagnetism (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Laser Surgery Devices (AREA)
  • Crystals, And After-Treatments Of Crystals (AREA)
  • Endoscopes (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Polarising Elements (AREA)
  • Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
  • Beans For Foods Or Fodder (AREA)

Abstract

본 발명은 간질 록킹수단(16)상에 유연한 캐뉼라(12)를 이용한 기관내의 간질치료와 진단을 위한 장치 및 방법에 관한 것이다. 상기 장치는 치료 기관에 인접한 체강내의 삽입을 위한 샤프트를 포함하며 이 샤프트는 기관내에 캐뉼라를 인도하는데 적합하다. 또한 샤프트는 캐뉼라의 삽입과정을 가시화하기 위한 내시경(28)을 수용이 적합하도록 형상되어진다. 상기 캐뉼라 록킹수단은 캐뉼라의 부품사이에 상대운동에 대해서 캐뉼라의 말단부를 연장하는 록킹부재를 포함한다.The present invention relates to an apparatus and method for intratracheal epilepsy treatment and diagnosis using a flexible cannula (12) on an interstitial locking means (16). The device includes a shaft for insertion into the body cavity adjacent to the treatment organ, which shaft is adapted to guide the cannula into the trachea. The shaft is also shaped to accommodate the endoscope 28 for visualizing the insertion of the cannula. The cannula locking means comprises a locking member that extends the distal end of the cannula with respect to relative motion between the parts of the cannula.

Description

간질치료 장치 및 방법(APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT)APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT

본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음Since this is an open matter, no full text was included.

제 1 도는 본 발명에 따른 전립선을 치료하기 위한 장치의 일실시예를 사용하여 예시한 남성 골반의 정중면과 평행한 단면도, 제 2 도 내지 제 5 도는 제 1 도에 도시한 장치를 이용하여, 본 발명의 일실시예 방법을 순차적으로 예시하는 전립선의 확대 부분 단면도, 제 6 도는 본 발명의 일실시예에 따른 캐뉼라를 배치 및 전진 및 록킹하기 위한 기구를 예시한 것으로, 제 1 도에 도시한 장치의 간략한 부분 단면도, 제 7 도는 제 1 도 및 제 6 도에 도시된 장치의 가이드 휠의 단면도,제8도는 제 6 도에 도시된 장치의 확대 부분 단면도.1 is a cross-sectional view parallel to the median plane of the male pelvis illustrated using one embodiment of the device for treating the prostate gland according to the present invention, FIGS. 2 to 5 using the device shown in FIG. An enlarged partial cross-sectional view of the prostate gland sequentially illustrating an embodiment method of the present invention, FIG. 6 illustrates a mechanism for positioning, advancing and locking the cannula according to an embodiment of the present invention, as shown in FIG. A simplified partial cross-sectional view of the device, a cross-sectional view of the guide wheel of the device shown in FIG. 7 and FIG. 1, and FIG.

Claims (40)

기관내에 삽입을 위한 말단부와 기단부를 갖는 길다란 적어도 부분적으로 유연한 캐뉼라와, 말단부와 기단부를 갖는 것으로서, 기관에 인접한 체강내에 캐뉼라를 배치하기 위한 수단과, 상기 배향수단상에 탑재된 기관내에 캐뉼라를 인도하기 위한 수단과, 치료 또는 진단과정동안 캐뉼라를 적소에 록킹하기 위한 수단을 포함하는 기관 간질의 치료 또는 진단을 위한 장치.A long at least partially flexible cannula having a distal end and a proximal end for insertion into the trachea, a means for disposing a cannula in the body cavity adjacent the trachea, with a distal end and a proximal end; And means for locking the cannula in place during the treatment or diagnostic procedure. 제 1 항에 있어서, 상기 캐뉼라 록킹수단은 상기 말단부에 인접한 캐뉼라상에 배치된 장치.2. The device of claim 1 wherein the cannula locking means is disposed on a cannula adjacent the distal end. 제 1 항에 있어서, 상기 배치수단은 기관내에 캐뉼라의 삽입을 관찰하도록 배치된 내시경 및 내시경 구멍을 수용하기 위한 통로를 규정하는 장치.2. The apparatus of claim 1, wherein the means for positioning defines an endoscope and a passageway for receiving an endoscope hole arranged to observe insertion of the cannula into the trachea. 제 3 항에 있어서, 캐뉼라 외측면상에 투시가능한 현저한 마아킹을 추가로 포함하여, 기관내 삽입된 깊이를 내시경을 통해서 볼 수 있는 장치.4. The device of claim 3, further comprising a remarkable marking visible on the cannula outer surface such that the endotracheal insertion depth is visible through the endoscope. 제 3 항에 있어서, 인접단부에서 상기 배치수단을 기지하고 상기 배치수단을 조작하기 위한 수단을 제공하는 인접부를 추가로 포함하며 상기 배치수단은 소정위치에서 기관내로 캐뉼라를 인도하기 위한 인도수단의 배치를 회전할 수 있는 장치.4. The arrangement according to claim 3, further comprising a proximal portion which provides the means for manipulating the disposition means at the proximal end and the disposition means for disposition of the delivery means for guiding the cannula into the trachea at a predetermined position. Device that can rotate. 제 5 항에 있어서, 상기 인접부상에 설치된 적어도 하나의 유체 구멍과 상기 배치수단을 에워싸는 조직이 소정 위치에서 냉각되는 방식으로 냉각유체를 순환하기 위한 상기 유체구멍과 흐름 소통하도록 상기 장치내 적어도 하나의 유체 통로를 추가로 포함하는 장치.6. The apparatus of claim 5, wherein the at least one fluid hole installed on the adjacent portion and the tissue surrounding the placement means are in flow communication with the fluid hole for circulating a cooling fluid in a manner that is cooled in a predetermined position. Further comprising a fluid passageway. 제 5 항에 있어서, 상기 인도수단은 상기 배치수단의 말단부에 설치된 부재를 포함하고, 상기 부재는 축방향 미끄럼 이동을 위한 캐뉼라를 수용하도록 형상되고 치수된 곡선형 통로를 규정하는 장치.6. An apparatus according to claim 5, wherein said guiding means comprises a member installed at the distal end of said locating means, said member defining a curved passage shaped and dimensioned to receive a cannula for axial sliding movement. 제 5 항에 있어서, 상기 캐뉼라는 외측부재와 그 사이를 축방향 이동을 위한 상기 외측부재내에 수용된 내측부재를 포함하고, 해제 가능하며 상기 배치수단과 기단부내에 축방향 삽입가능하고, 상기 록킹수단은 상기 내측부재에 고정되고 실제로 상기 내측부재 및 상기 외측부재사이에 제 1 논 록킹위치와, 상기 내측 및 외측부재사이에 상대이동에 대해서 캐뉼라를 에워싸는 조직내로 연장된 제 2 록킹위치사이를 이동할 수 있는 록킹부재를 포함하며, 상기 장치는 상기 외측 캐뉼라 부재에 고정된 제 1 부재와 내측 캐뉼라에 고정된 제 2 부재를 포함하는 록킹수단을 구동하기 위한 수단을 캐뉼라의 인접단부에 구비하여, 상기 제 2 부재에 대한 상기 제 1 부재의 이동은 상기 제 1 위치로부터 상기 제 2 위치까지 상기 록킹부재를 이동하는 장치.6. The cannula according to claim 5, wherein the cannula includes an outer member and an inner member received in the outer member for axial movement therebetween, releasable and axially insertable in the placement means and the proximal end, and the locking means Can be moved between a first non-locking position secured to the inner member and in fact a second non-locking position between the inner and outer members and a second locking position extending into the tissue surrounding the cannula for relative movement between the inner and outer members. And a locking member, the apparatus comprising means for driving the locking means at an adjacent end of the cannula, the locking means comprising a first member fixed to the outer cannula member and a second member fixed to the inner cannula. Movement of the first member relative to the member moves the locking member from the first position to the second position. 제 5 항에 있어서, 상기 인접부는 상기 배치수단을 에워싸는 말단방향 연장된 샤프트부분을 갖는 지지구조체를 포함하는 장치.6. The device of claim 5, wherein the proximal portion includes a support structure having a distally extending shaft portion surrounding the placement means. 제 9 항에 있어서, 회전과 축방향 이동을 위한 상기 지지 구조체내에 설치된 가동조립체를 추가로 포함하고, 상기 가동조립체는 상기 캐뉼라의 인접단부에 고정되어 그것의 회전에 대해서 배치수단과 인도수단을 회전하기 위한 배치수단과 협동며 축 이동은 배치수단에 대해서 캐뉼라를 이동시켜, 캐뉼라가 기관안으로 삽입될 수 있는 장치.10. The assembly of claim 9, further comprising a movable assembly installed in the support structure for rotation and axial movement, the movable assembly being secured to an adjacent end of the cannula to rotate the placement means and the guide means relative to its rotation. And axial movement in coordination with the placement means to move the cannula relative to the placement means such that the cannula can be inserted into the trachea. 제10항에 있어서, 상기 캐뉼라는 외측부재와 그 사이를 축방향 이동을 위한 상기 외측부재내에 수용된 내측부재를 포함하고, 상기 록킹수단은 상기 내측부재에 고정되고 실제로 상기 내측부재 및 상기 외측부재사이에 제 1 논 록킹위치와, 상기 내측 및 외측부재사이에 상대이동에 대해서 캐뉼라를 에워싸는 조직내로 연장된 제 2 록킹위치사이를 이동할 수 있는 록킹부재를 포함하며, 상기 가동조립체는 그것에 고정된 외측부재를 갖는 본체부재와 상기 내측부재에 고정된 상기 본체부재내에 적어도 부분적으로 수용되며 상기 캐뉼라 내측부재용 지지부재를 포함하여, 상기 내측부재는 상기 본체부재와 함께 그리고 별도로 이동할 수 있는 캐뉼라 지지부재를 포함하는 장치.11. The cannula according to claim 10, wherein the cannula comprises an inner member housed in the outer member for the axial movement between the outer member and the locking means, the locking means being fixed to the inner member and in fact between the inner member and the outer member. And a locking member capable of moving between a first non-locking position and a second locking position extending into the tissue surrounding the cannula with respect to relative movement between the inner and outer members, wherein the movable assembly includes an outer member fixed thereto. And a cannula support member that is at least partially received within the body member fixed to the inner member and having a support member for the cannula inner member, wherein the inner member includes a cannula support member that is movable separately and separately from the body member. Device. 제11항에 있어서, 지지구조체상에 설치되어 상기 본체부재와 협동하여 상기 손잡이 부재의 이동은 지지구조체에 대해서 가동조립체의 이동이 가능한 손잡이 부재와, 지지구조체상에 설치되며 상기 내측부재와 협동하여 상기 트리거 부재의 이동은 상기 본체부재로부터 제 1 위치에서 제 2 위치까지 록킹부재를 이동하기 위해서 트리거 부재와, 회저을 위한 본체부재와 결합하여 상기 휠 수단의 회전은 상기 인도수단에 배치되는 휠 수단을 추가로 포함하는 장치.12. The handle member of claim 11, wherein the handle member is disposed on a support structure and cooperates with the body member to move the handle assembly relative to the support structure, the handle member installed on the support structure and in cooperation with the inner member. Movement of the trigger member is combined with a trigger member and a body member for rotating bottom to move the locking member from a first position to a second position from the body member, wherein the rotation of the wheel means is disposed on the guiding means. Device further comprising. 제12항에 있어서, 상기 손잡이 부재, 상기 트리거 부재 및 상기 휠 수단은 집도자가 한 손으로 조작하도록 배열되는 장치.13. The apparatus of claim 12, wherein the handle member, the trigger member and the wheel means are arranged for one hand to manipulate the collector. 제 1 항에 있어서, 상기 캐뉼라 록킹수단은 캐뉼라상에 배치되고 제 1 논 록킹위치와 캐뉼라를 에워싸는 조직내에 연장된 제 2 록킹위치사이를 이동할 수 있는 록킹부재를 포함하는 장치.2. The device of claim 1, wherein the cannula locking means comprises a locking member disposed on the cannula and capable of moving between a first non-locking position and a second locking position extending in the tissue surrounding the cannula. 제14항에 있어서, 상기 캐뉼라는 상기 말단부에 인접한 변경 개구를 규정하는 중공된, 가요성 바늘을 포함하고, 상기 장치는 상기 바늘내에 배치된 기관에 에너지를 반송하기 위한 수단을 추가로 포함하며, 상기 록킹부재는 상기 에너지 반송수단에 고정되어 제 1 위치에서 실제로 바늘과 상기 반송수단사이에 배치되고 상기 바늘과 상기 반송수단사이에 상대운동은 상기 제 2 위치까지 상기 개구를 통해서 상기 록킹부재를 이동하는 장치.The apparatus of claim 14, wherein the cannula comprises a hollow, flexible needle defining a modifying opening adjacent the distal end, the device further comprising means for conveying energy to an organ disposed within the needle, The locking member is fixed to the energy conveying means and is actually disposed between the needle and the conveying means in a first position and relative movement between the needle and the conveying means moves the locking member through the opening to the second position. Device. 제14항에 있어서, 상기 캐뉼라는, 그위에 배치된 캐뉼라 록킹부재를 갖는 내부 쉬트와; 반경 개구를 규정하는 외부 쉬트와; 상기 록킹부재와 개구는 록킹부재가 배열되어 상기 록킹부재는 제 1 위치에서 상기 쉬트사이에 실제로 배치되고 그 사이에 상대 운동은 상기 개구를 통해 제 2 위치까지 상기 록킹부재를 이동시키는 장치.15. The apparatus of claim 14, wherein the cannula comprises: an inner sheet having a cannula locking member disposed thereon; An outer sheet defining a radial opening; And the locking member and the opening are arranged with a locking member such that the locking member is actually disposed between the sheet in a first position and relative movement between the locking member moves the locking member to the second position through the opening. 제16항에 있어서, 상기 캐뉼라내에 배치된 기관에 에너지를 반송하기 위한 수단과, 캐뉼라상에 배치된 감지수단을 구비하여 에너지 반송의 온도를 감지하기 위한 수단을 추가로 포함하는 장치.17. The apparatus of claim 16, further comprising means for conveying energy to an organ disposed within the cannula and means for sensing the temperature of the energy conveyance including sensing means disposed on the cannula. 제17항에 있어서, 온도감지수단은 상기 배향수단상에 배치되고 상기 장치는 상기 배치수단을 에워싸는 조직을 냉각하기 위한 수단을 구비한 장치.18. An apparatus according to claim 17, wherein a temperature sensing means is arranged on said orientation means and said apparatus comprises means for cooling the tissue surrounding said positioning means. 제17항에 있어서, 상기 에너지 반송수단은 상기 기관내의 삽입을 용이하게 하기 위해서 상기 캐뉼라를 지나서 말단방향 연장된 예리한 말단 팁을 구비한 장치.18. The apparatus of claim 17, wherein said energy conveying means has a sharp distal tip extending distal to said cannula to facilitate insertion into said trachea. 제14항에 있어서, 기관내에 상기 캐뉼라를 전진하기 위한 수단과 상기 록킹수단을 구동하기 위한 수단을 추가로 포함하고, 상기 전진 및 구동 수단은 집도자가 한 손으로 조작할 수 있는 장치.15. The apparatus of claim 14, further comprising means for advancing the cannula in the trachea and means for driving the locking means, wherein the advancing and driving means are operable by the collector. 제14항에 있어서, 상기 배치수단은 에워싸는 적어도 하나의 팽창가능한 기구와 체강내 상기 배치수단이 고정되도록 기구를 팽창하기 위한 수단을 추가로 포함하는 장치.15. The apparatus of claim 14, wherein the deploying means further comprises at least one inflatable instrument enclosing and means for expanding the instrument to secure the deploying means in the body cavity. 기관내의 삽입을 위한 말단부, 인접단부와 기관내에 고정하기 위한 수단을 갖는 캐뉼라, 상기 기관에 인접한 체강내에 상기 캐뉼라를 배치하기 위한 수단과 기관내에 상기 캐뉼라를 인도하기 위한 수단을 갖는 장치와, 상기 기관에 상기 캐뉼라의 삽입을 가시화하기 위한 상기 배치수단에 삽입되도록 형성되고 치수된 내시경을 포함하는 기관의 간질치료 또는 진단을 위한 키트.A device having a distal end for insertion into the trachea, a cannula having a proximal end and a means for securing in the trachea, a means for placing the cannula in the body cavity adjacent to the trachea and a means for guiding the cannula in the trachea; A kit for treating or diagnosing epilepsy of an organ comprising an endoscope shaped and dimensioned to be inserted into the placement means for visualizing the insertion of the cannula. 제22항에 있어서, 상기 캐뉼라 록킹수단은 제 1 논 록킹위치와 상기 캐뉼라를 에워싸는 조직내에 연장된 제 2 록킹위치사이를 이동할 수 있는 록킹부재를 구비한 키트.23. The kit of claim 22, wherein the cannula locking means has a locking member capable of moving between a first non-locking position and a second locking position extending in the tissue surrounding the cannula. 제23항에 있어서, 기관내에 상기 캐뉼라를 전진하기 위한 수단과 상기 록킹수단을 구동하기 위한 수단을 추가로 포함하고, 상기 전진 및 구동 수단은 집도자가 한 손으로 조작할 수 있는 키트.24. The kit of claim 23, further comprising means for advancing the cannula in the trachea and means for driving the locking means, the advancing and driving means being operable by the collector. 제24항에 있어서, 상기 체강내 배치를 용이하기 위한 상기 배치수단 삽입에 적합한 밀폐장치를 추가로 포함하는 키트.25. The kit of claim 24, further comprising a closure device adapted to insert the placement means to facilitate placement within the body cavity. 제24항에 있어서, 상기 캐뉼라내에 수용 적합한 가동 탐침을 추가로 포함하여 기관내 삽입을 용이하도록 상기 캐뉼라를 지나서 말단방향 연장된 키트.25. The kit of claim 24, further comprising a movable probe adapted for receiving in the cannula and extending beyond the cannula to facilitate endotracheal insertion. 제24항에 있어서, 상기 캐뉼라의 말단부에서 기관에 에너지를 반송하기 위해서 상기 캐뉼라에 수용되도록 형성되고 치수된 에너지를 반송하기 위한 수단을 갖는 에너지 공급원을 추가로 포함하는 키트.25. The kit of claim 24, further comprising an energy source having means for conveying energy dimensioned and dimensioned to be received in the cannula for conveying energy to the trachea at the distal end of the cannula. 제27항에 있어서, 상기 에너지 공급원을 극초단파, 초음파, 레이저, 고주파 또는 엘에너지가 제공되는 키트.28. The kit of claim 27 wherein said source of energy is provided with microwave, ultrasound, laser, radio frequency or el energy. 제27항에 있어서, 상기 에너지, 반송수단으로 안테나, 광섬유, 와이어, 쌍극장치 또는 압전부재가 제공되는 키트.28. The kit of claim 27, wherein an antenna, an optical fiber, a wire, a bipolar device, or a piezoelectric member is provided as the energy and conveying means. 길다란 외측부재와; 그 사이를 축운동을 위한 상기 외측부재내에 수용된 길다란 내측부재와, 상기 말단부에 인접한 상기 내측부재에 고정되며 실제로 상기 내측부재와 상기 외측부재사이에 제 1 논 록킹위치와, 상기 내측 및 외측부재사이에 상대이동에 대해서 상기 캐뉼라를 에워싸는 조직내에 연장된 제 2 록킹위치사이를 이동할 수 있는 록킹부재를 포함하는 기관내에 치료 또는 진단의 간질 반송을 위한 록킹 캐뉼라.A long outer member; A long inner member accommodated in the outer member for axial movement between the inner member and the outer member fixed to the inner member adjacent to the distal end, and in fact between the first non-locking position and the inner and outer member. A locking cannula for interstitial conveyance of treatment or diagnosis in an organ comprising a locking member capable of moving between a second locking position extending in the tissue surrounding the cannula relative to relative movement. 제30항에 있어서, 상기 외측부재는 상기 말단부에 인접한 반경 개구를 규정하는 중공된, 유연한 바늘을 구비하며, 상기 내측부재는 상기 바늘내에 배치되며 에너지를 반소하기 위한 수단을 구비하고, 상기 록킹부재는 제 1 위치에서 실제로 바늘과 상기 반송수단사이에 배치되며, 상기 바늘과 상기 반송수단사이에 상대운동은 상기 제 2 위치까지 상기 개구를 통해서 상기 록킹부재를 이동하는 캐뉼라.31. The locking member of claim 30 wherein the outer member has a hollow, flexible needle defining a radial opening adjacent the distal end, the inner member disposed within the needle and having means for counteracting energy, and the locking member Is actually disposed between the needle and the conveying means in a first position, and a relative motion between the needle and the conveying means moves the locking member through the opening to the second position. 제31항에 있어서, 상기 내측부재는 그위에 배치된 상기 록킹부재를 갖는 중공된 내부 쉬트를 구비하며, 상기 외측부재는 상기 말단부에 인접한 반경개구를 규정하는 중공된 외부 쉬트를 포함하며, 상기 록킹 부재 및 개구가 배열되며 상기 쉬트사이에 상대운동은 상기 제 1 위치로부터 상기 제 2 위치까지 상기 개구를 통해서 상기 록킹부재를 이동하는 캐뉼라.32. The apparatus of claim 31, wherein the inner member has a hollow inner sheet having the locking member disposed thereon, the outer member comprising a hollow outer sheet defining a radial opening adjacent the distal end, wherein the locking A cannula is arranged wherein the member and the opening are arranged and relative movement between the sheets moves the locking member through the opening from the first position to the second position. 제32항에 있어서, 상기 내부 쉬트는 상기 제 1 위치에서 상기 록킹부재를 수용하기 위한 요입부를 규정하는 나선형으로 권취된 와이어 구조체 및 말단 팁 부분을 포함하는 샤프트부를 구비한 캐뉼라.33. The cannula of claim 32, wherein the inner sheet has a shaft portion including a helically wound wire structure and a distal tip portion defining a recess for receiving the locking member in the first position. 제33항에 있어서, 상기 말단 팁 부분은 열저항과 비전도성 물질로 제조된 캐뉼라.34. The cannula of claim 33, wherein the distal tip portion is made of a heat resistant and nonconductive material. 치료하는 기관에 인접한 체강내에 관상부재를 위치하고, 상기 관상부재를 갖는 캐뉼라를 안내하고 그것의 조직을 관통하여 상기 기관내에 상기 캐뉼라를 삽입하며, 상기 캐뉼라는 말단부를 갖고 상기 조직을 관통하기 위해서 말단부에 수단을 구비하며, 치료 또는 진단부위에서 상기 캐뉼라의 말단부를 위치하고, 기관내에 상기 캐뉼라를 고정하며, 진단부위에서 치료 또는 진단을 수행하는 기관내에 간질치료 또는 진단을 위한 방법.Positioning the coronal member in the body cavity adjacent to the organ to be treated, guiding the cannula having the coronal member and inserting the cannula into the trachea through its tissue, the cannula having a distal end to distal through the tissue. And means for positioning the distal end of the cannula at a treatment or diagnostic site, securing the cannula in the trachea, and performing treatment or diagnosis at the diagnostic site. 제35항에 있어서, 상기 캐뉼라와; 상기 캐뉼라를 적어도 부분적으로 수축하며, 제 2 치료 또는 진단부위에 상기 캐뉼라를 재삽입하며, 상기 캐뉼라를 고정하고, 추가 치료 또는 진단을 수행을 추가로 포함하는 방법.36. The apparatus of claim 35, further comprising: the cannula; At least partially contracting the cannula, reinserting the cannula in a second treatment or diagnostic site, securing the cannula, and performing further treatment or diagnosis. 제35항에 있어서, 상기 안내 및 배치단계는, 상기 관상부재내에 내시경을 삽입하는 단계와; 상기 내시경을 통한 삽입의 방향을 관찰하는 단계, 상기 캐뉼라상에 소정 거리 이격된 대조적인 마아킹을 관찰하여 삽입 거리를 결정하는 단계와, 최종위치에서 초음파 이미징을 갖는 상기 캐뉼라를 전진하는 단계를 포함하는 방법.36. The method of claim 35, wherein the step of guiding and placing comprises: inserting an endoscope into the tubular member; Observing the direction of insertion through the endoscope; determining contrast distance by observing contrasting markings spaced a predetermined distance on the cannula; and advancing the cannula with ultrasound imaging at a final position. How to. 제35항에 있어서, 상기 록킹단계는 제 1 논 록킹위치에서 상기 캐뉼라를 에워싸는 조직내에 연장된 제 2 록킹위치까지 상기 캐뉼라의 말단부에 인접 배치된 록킹부재를 이동을 구비하는 방법.36. The method of claim 35, wherein the locking step comprises moving the locking member disposed adjacent the distal end of the cannula from a first non-locking position to a second locking position extending in the tissue surrounding the cannula. 제35항에 있어서, 상기 캐뉼라를 안내 및 삽입하는 단계는 상기 말단부를 지나서 연장하며 상기 기관내에서 상기 캐뉼라와 탐침을 함께 전진하는 예리한 상기 캐뉼라에 탐침을 위치하는 것을 포함하고, 상기 수행단계는 에너지 형태에 민감한 셀 목표성분을 상기 캐뉼라를 통해서 간질적으로 적용하며, 상기 성분에 의해서 셀 목표에 상기 캐뉼라를 통해서 상기 에너지 형태를 반송하는 상기 탐침을 수축하는 단계를 포함하는 방법.36. The method of claim 35, wherein guiding and inserting the cannula includes positioning the probe on the sharp cannula extending past the distal end and advancing the cannula and probe together in the trachea, wherein the performing step includes energy Applying a form sensitive cell target component interstitially through the cannula and constricting the probe for conveying the energy form through the cannula to the cell target by the component. 제 35항에 있어서, 상기 수행단계는 상기 치료부위에 하나이상의 에너지를 반송하며, 빨아내거나 관주하고, 약을 반송하며, 방사능 물질을 반송하고, 대조물질을 반송하거나, 화상 장치의 배치를 순차적으로 포함하는 방법.36. The method of claim 35, wherein the performing step conveys one or more energies to the treatment site, sucks or irrigation, conveys medicine, conveys radioactive material, conveys control material, or sequentially deploys an imaging device. How to include. ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.※ Note: The disclosure is based on the initial application.
KR1019940702707A 1992-02-06 1993-02-05 APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT Withdrawn KR950700032A (en)

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AU3613293A (en) 1993-09-03
CA2129639A1 (en) 1993-08-19
MX9300607A (en) 1993-10-01
DE9320803U1 (en) 1995-02-02
CZ189494A3 (en) 1995-06-14
WO1993015664A1 (en) 1993-08-19
JPH07507696A (en) 1995-08-31
FI943653L (en) 1994-10-05
SK94194A3 (en) 1995-07-11
FI943653A7 (en) 1994-10-05
NO942911D0 (en) 1994-08-05
NO942911L (en) 1994-09-22
FI943653A0 (en) 1994-08-05
BR9305845A (en) 1997-02-18
EP0652729A1 (en) 1995-05-17

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