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11. 发明专利

JP2012120751A Aid for stomach wall fixing tool 有权
标题翻译：帮助STOCAL WALL固定工具
公开(公告)号：JP2012120751A
公开(公告)日：2012-06-28
申请号：JP2010275022
申请日：2010-12-09
申请人： Eishinkai Nagata Geka Naika Iin , Top Corp , 医療法人永眞会永田外科内科医院 , 株式会社トップ
发明人： NAGATA MASATO , NAKAMURA MASAKI , KAMIGATAKUCHI NORIHISA
IPC分类号： A61B17/34 , A61B17/06
摘要： PROBLEM TO BE SOLVED: To provide an aid for stomach wall fixing tool capable of preventing erroneous puncture.SOLUTION: The aid 1 for stomach wall fixing tool includes: a cylindrical part 2 to be mounted on a needle body 11 while covering the distal end of the needle body 11; a guide hole 5 opening at the distal end part of the cylindrical part 2 and communicating with the storage part 15 of the needle body 11; and a slit 6 penetrating the whole of the guide hole 5 and the outer walls of the cylindrical part 2 in the shaft direction. The aid 1 for stomach wall fixing tool inserts a locking member 22 through the guide hole to store it in the storage part 15, and can draw a suture thread 21 via the slit 6 to enable the cylindrical part 2 to be released from a stomach wall fixing tool puncture needle 10 in a state of mounting the locking member 22 on the needle body 11.
摘要翻译：要解决的问题：提供能够防止错误穿刺的胃壁固定工具的辅助。解决方案：胃壁固定工具的辅助装置1包括：安装在针体11上的筒状部件2，同时覆盖针体11的前端; 引导孔5，其在圆筒部2的前端部开口并与针体11的收纳部15连通; 以及沿轴向贯穿整个引导孔5和圆筒部2的外壁的狭缝6。用于胃壁固定工具的辅助件1通过引导孔插入锁定构件22以将其存储在存储部分15中，并且可以经由狭缝6绘制缝合线21，以使圆柱形部分2能够从胃壁释放固定工具穿刺针10处于将锁定构件22安装在针体11上的状态。版权所有（C）2012，JPO＆INPIT

12. 发明专利

JP2011193924A Indwelling catheter changing instrument 有权
标题翻译：连接导管更换仪
公开(公告)号：JP2011193924A
公开(公告)日：2011-10-06
申请号：JP2010061307
申请日：2010-03-17
申请人： Top Corp , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/00 , A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide a changing instrument by which an indwelling catheter is easily changed.SOLUTION: The changing instrument 1 is used for removing the indwelling catheter 40 from the inside of a body cavity D and for inserting the indwelling catheter 40 for the replacement and includes an outer cylinder 10 and an inner cylinder 20 which is inserted into the outer cylinder 10 to make a tube 41 penetrate through the inside. The inner cylinder 20 is made of a flexible member and includes a plurality of slits 24 formed along a length direction. The outer cylinder 10 is made of an elastic member for suppressing the outward expansion of an inner cylinder body 21. The inner cylinder 20 is equipped with a long hole 25 on the proximal end side of the slit 24.
摘要翻译：要解决的问题：提供一种可以容易地改变留置导管的改变装置。解决方案：改变仪器1用于从体腔D的内部移除留置导管40，并且用于将留置导管40插入用于并且包括外筒10和插入外筒10中的内筒20，以使管41穿过内部。内筒20由柔性构件制成，并且包括沿着长度方向形成的多个狭缝24。外筒10由用于抑制内筒体21的向外膨胀的弹性构件制成。内筒20在狭缝24的基端侧配备有长孔25。

13. 发明专利

JP2011182986A Insertion assist tool for organ fixation device 审中-公开
标题翻译：用于有机固定装置的插入辅助工具
公开(公告)号：JP2011182986A
公开(公告)日：2011-09-22
申请号：JP2010052102
申请日：2010-03-09
申请人： Eishinkai Nagata Geka Naika Iin , Top Corp , 医療法人永眞会永田外科内科医院 , 株式会社トップ
发明人： NAGATA MASATO , NAKAMURA MASAKI , KAMIGATAKUCHI NORIHISA
IPC分类号： A61B17/00
摘要： PROBLEM TO BE SOLVED: To provide an insertion assist tool for an organ fixation device which enables an operation to be performed in an effective and safe manner by preventing an error in puncturing.
SOLUTION: An insertion assist tool 1 for an organ fixation device includes a puncture needle 2, a cylinder 3 anchored in a position posterior to the puncture needle 2; and an extrusion member 4 which can be connected to the puncture needle 2 and the cylinder 3. Before use, the extrusion member 4 is held in a position anterior to the puncture needle 2 by a body anchor 51 set in the body, and after use, the extrusion member 4 is held in a protruding way in a position anterior to the needle tip 21 of the puncture needle 2.
COPYRIGHT: (C)2011,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于器官固定装置的插入辅助工具，其能够通过防止穿刺错误而以有效和安全的方式执行操作。解决方案：用于器官固定装置的插入辅助工具1包括穿刺针2，锚定在穿刺针2后面的位置的气缸3; 以及能够与穿刺针2和筒体3连接的挤压部件4.在使用前，挤压部件4通过设置在体内的主体锚固件51保持在穿刺针2的前方，并且在使用后，挤出构件4以穿刺针2的针尖21前方的位置突出地保持。（C）2011，JPO＆INPIT

14. 发明专利

JP2009072344A Gastrostoma tube insertion assist 审中-公开
标题翻译： GASTROSTOMA管插入辅助
公开(公告)号：JP2009072344A
公开(公告)日：2009-04-09
申请号：JP2007243526
申请日：2007-09-20
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/08 , A61J15/00
摘要： PROBLEM TO BE SOLVED: To provide a gastrostoma tube insertion assist facilitating the insertion of a gastrostoma tube having a spherical pull-out prevention member, in a fistula immediately after the gastrostomy. SOLUTION: This insertion assist 1 for assisting the insertion of the gastrostoma tube having the spherical pull-out prevention member 30 is provided with an inner tube 2 and a soft resin outer tube 3. The inner tube 2 has a hole portion 4 allowing the free insertion of a guide wire 28, and a tapered portion 5. The outer tube 3 has a hole portion 8 allowing the free insertion of the inner tube 2 or the gastrostoma tube 29, a pair of thin-wall portions 9 provided on the outer face, and a check valve 10 provided at the end in the side to be inserted into the stomach. The check valve 10 is adapted to be opened when the inner tube 2 is projected from the outer tube 3 and closely stuck to the outer circumferential face of the inner tube 2 and to be closed when the inner tube 2 is pulled out. The check valve 10 is provided along a ridge portion 13 formed at a part crossing with a pair of slope faces 12 and 12, which are mutually oppositely provided and symmetric to the axis, and has a slit 14 adapted to be opened/closed by virtue of elasticity of the soft resin. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供胃瘘管插入辅助，其有助于在胃造口后立即在瘘管中插入具有球形拔出部件的胃瘘管。解决方案：用于辅助插入具有球形防拔出构件30的胃瘘管的插入辅助件1设置有内管2和软树脂外管3.内管2具有孔部4 允许引导线28和锥形部分5的自由插入。外管3具有允许内管2或胃瘘管29自由插入的孔部分8，一对薄壁部9设置在外表面和设置在插入胃的一侧的端部的止回阀10。当内管2从外管3突出并紧贴在内管2的外周面上时，止回阀10被打开，并且当内管2被拉出时被关闭。止回阀10沿着形成在与一对倾斜面12和12相交的部分的脊部13设置，该一对倾斜面12和12彼此相对地设置并对称于轴线，并且具有适于以美德打开/关闭的狭缝14 软树脂的弹性。版权所有（C）2009，JPO＆INPIT

15. 发明专利

JP2008178473A Button-type gastrostomy tube 有权
标题翻译：按钮型气管
公开(公告)号：JP2008178473A
公开(公告)日：2008-08-07
申请号：JP2007012860
申请日：2007-01-23
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI
IPC分类号： A61M31/00 , A61J15/00 , A61M25/04
摘要： PROBLEM TO BE SOLVED: To provide a button-type gastrostomy tube comprising a tube body inserted into a gastric fistula, a flexible bumper arranged on the distal end of the tube body and engaged with the inner wall of the stomach, and a body surface engaging part arranged on the proximal end of the tube body and engaged with the body surface which is easy to handle and is adjustable even to a gastric fistula having a substantial length. SOLUTION: The bumper 3 comprises a connecting part 31 connected to the distal end of the tube body 2, curved parts 33 extending from the connecting part 31 to the proximal end side and bending diametrally outward, and a sliding part 32 arranged on the proximal ends of the curved parts 33 so that it is slidable along the circumference of the tube body 2. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供一种按钮式胃造口管，其包括插入胃瘘管的管体，设置在管体的远端并与胃内壁接合的柔性保险杠，身体表面接合部分布置在管体的近端上并且与容易操作的身体表面接合并且即使对于具有相当长度的胃瘘也是可调节的。保险杠3包括连接到管主体2的远端的连接部31，从连接部31延伸到近端侧的弯曲部33，并且向外侧弯曲;以及滑动部32，弯曲部分33的近端，使得其可沿管体2的圆周滑动。版权所有（C）2008，JPO＆INPIT

16. 发明专利

JP2008154641A Trocar for gastrostomy tube 有权
标题翻译：胃肠管
公开(公告)号：JP2008154641A
公开(公告)日：2008-07-10
申请号：JP2006343689
申请日：2006-12-21
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI
IPC分类号： A61B17/34 , A61B1/00 , A61J15/00
摘要： PROBLEM TO BE SOLVED: To provide a trocar for gastrostomy tubes which enables the insertion of a bumper type gastrostomy tube 100 into a stoma port Pc by an introducer method during the gastrostomy.
SOLUTION: The trocar 1 has an outer cylinder 2 and an inner cylinder 3 which has a guide part 31 with its tip reduced in diameter ahead and is removaly inserted into the outer cylinder 2 and when the inner cylinder 3 is inserted into the outer cylinder 2, the guide part 31 sticks out ahead of the outer cylinder 2. A tube insertion part 21 is so formed at the tail end of the outer cylinder 2 as to be extended in diameter toward its tail. Slits 22 are so formed at least at two peripheral locations of the outer cylinder 2 as to extend axially in the course of the tube insertion part 21 reaching the tip of the outer cylinder 2. Upon the insertion of the gastrostomy tube 100 into the outer cylinder 2 through the tube insertion part 21, the part of the outer cylinder 2 separable with the slits 22 can be pushed open.
COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于胃造口管的套管针，其能够在胃造口术期间通过导引器方法将保险杠型胃造口管100插入造口口Pc。解决方案：套管针1具有外筒2和内筒3，该内筒3具有引导部31，引导部31的前端直径减小，并且被移除插入到外筒2中，并且当内筒3插入到外筒3中时外筒2，引导部31伸出外筒2的前方。管插入部21形成在外筒2的尾端，直径朝其尾部延伸。狭缝22至少在外筒2的两个周边位置处形成，以在管插入部分21的过程中轴向延伸到达外筒2的末端。当将胃造口管100插入外筒如图2所示，通过管插入部21，可以将与狭缝22分离的外筒2的部分推开。版权所有（C）2008，JPO＆INPIT

17. 发明专利

JP2008012214A Auxiliary instrument for removing fistula catheter 有权
标题翻译：辅助仪器用于去除FISTULA CATHETER
公开(公告)号：JP2008012214A
公开(公告)日：2008-01-24
申请号：JP2006189032
申请日：2006-07-10
申请人： Top:Kk , 株式会社トップ
发明人： OSHIMA HIROSHI , NAKAMURA MASAKI
IPC分类号： A61M25/00 , A61J15/00
摘要： PROBLEM TO BE SOLVED: To provide an auxiliary instrument for removing a fistula catheter surely mitigating pain inflicted on a patient when removing the fistula catheter from a fistula. SOLUTION: This auxiliary instrument is provided with an outer tube member 2 formed with a plurality of hole sections 4 at a distal end 22, and an inner tube member 3 slidably provided inside the outer tube member 2 and having an inner tube body section 31 and piece sections 32 extending from the distal end of the inner tube body section 31 toward a tip; the tip edges of the holes 4 are formed with slope faces 4a, on which distal ends of the piece sections 32 abut when the inner tube member 3 is pushed to the tip, guiding and pushingly flaring the abutted piece sections 32 radially outward; when the inner tube member 3 is pushed toward the tip, the piece sections 32 are exposed from the hole parts 4 and formed into flared states pushed and flared radially outward by the slope faces 4a; and when the inner tube member 3 is pulled backward from the flared state, the piece sections come into contact with the rear edges 4b of the hole sections 4 and are formed into a contracted state pushed back radially inward. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于去除瘘导管的辅助仪器，当从瘘管中取出瘘导管时，可确实减轻患者施加的疼痛。解决方案：该辅助仪器设置有外管构件2，该外管构件2在远端22处形成有多个孔部分4，并且内管构件3可滑动地设置在外管构件2内部并具有内管体部分31和从内管主体部分31的远端朝向尖端延伸的片部分32; 孔4的前端部形成有倾斜面4a，当内管构件3被推到顶端时，片部32的前端抵接，倾斜面4a径向向外引导并推动接合片部32; 当内管构件3被推向顶端时，片部32从孔部4露出，并形成为通过斜面4a径向向外推动和张开的扩口状态; 并且当内管构件3从扩张状态向后拉时，片部与孔部4的后缘4b接触，并且形成为径向向内推回的收缩状态。版权所有（C）2008，JPO＆INPIT

18. 发明专利

JP2007098123A Insert assisting implement for gastrostoma tube and gastrostoma 有权
标题翻译：用于胃肠管和胃肠道的插入辅助实施
公开(公告)号：JP2007098123A
公开(公告)日：2007-04-19
申请号：JP2006245260
申请日：2006-09-11
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI
IPC分类号： A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide an insert assisting implement allowing an operator to easily perform hand technique in inserting a gastrostoma tube in a syrinx. SOLUTION: This insert assisting implement 1 includes: a bar-like member 2 and a grip 3. The tip of the bar-like member 2 is a locking part 4 inserted in a locking hole 12, and provided with a bent part 5 offset downward from the tip. The grip 3 is made of hard synthetic resin, and extended from the bar-like member 2 downward and obliquely backward with a gradient of 120°. The upside of the bar-like member 2 is provided with a clamping groove 6 substantially U-shaped in a front view. The clamping groove 6 has a width W smaller than the outside diameter ϕ of a tube body 0 of a gastrostoma tube 8 mentioned later, and three ribs 7 are formed in the vertical direction in the interior thereof. In mounting the gastrostoma tube 8 on the insert assisting implement 1, the locking part 4 is inserted in the locking hole 12 as shown in (a), the tube body 9 is pulled backward as shown in (b), and the tube body 9 is held in the clamping groove 6. Thus, an operator can perform hand technique with the grip 8 held in his one hand. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种插入辅助工具，允许操作者在将胃瘘管插入syrinx中时容易地执行手技术。解决方案：该插入辅助工具1包括：杆状构件2和手柄3.杆状构件2的尖端是插入锁定孔12中的锁定部分4，并且设置有弯曲部分 5从尖端向下偏移。把手3由硬质合成树脂制成，并从棒状部件2以120°的倾斜度向下倾斜向后延伸。杆状构件2的上侧设置有在前视图中大致U形的夹紧槽6。夹持槽6的宽度W小于后述的胃瘘管8的管体0的外径φ，在其内部沿垂直方向形成有三个肋7。在将胃瘘管8安装在刀片辅助工具1上时，如（a）所示，将锁定部4插入到锁定孔12中，如（b）所示将管体9向后拉，将管体9 被夹持在夹紧槽6中。因此，操作者可以用一只手握住把手8来执行手工技术。版权所有（C）2007，JPO＆INPIT

19. 发明专利

JP2009254579A Insertion attachment for indwelling catheter 审中-公开
标题翻译：用于连接导管的插入附件
公开(公告)号：JP2009254579A
公开(公告)日：2009-11-05
申请号：JP2008107100
申请日：2008-04-16
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide an insertion attachment for an indwelling catheter which inserts an indwelling catheter credibly into the body cavity via a fistula. SOLUTION: The insertion attachment 1 comprises a cylindrical member 2 made of stainless steel, a locking member 3 made of a synthetic resin and attached to the distal part of the cylindrical member, and a handle part 4 arranged on the rear end of the cylindrical member 2. The locking member 3 comprises an extended part 3a extending forward from the cylindrical member 2 and a step part 3b having a larger diameter than the extended part 3a. A guide passage 5 for inserting a guide wire G is formed in the inside of the cylindrical member 2 and the locking member 3. A lead-out passage 6 extending from the proximal end of the guide passage 5 to the lower end of the handle part 4 is formed in the inside of the handle part 4. The guide wire G is also inserted into the lead-out passage 6. A narrow grip groove 7 having a diameter smaller than the outer diameter of a tube unit of a gastric fistula catheter is formed on the upper part of the handle part 4. The extended part 3a is inserted into a penetrating hole formed in a bumper of the gastric fistula catheter. COPYRIGHT: (C)2010,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于留置导管的插入附件，其将留置导管通过瘘管可信地插入体腔。解决方案：插入附件1包括由不锈钢制成的圆柱形构件2，由合成树脂制成并附接到圆柱形构件的远端部分的锁定构件3和布置在圆柱形构件的后端上的把手部分4 圆柱形构件2.锁定构件3包括从圆柱形构件2向前延伸的延伸部分3a和具有比延伸部分3a更大的直径的台阶部分3b。用于插入导丝G的引导通道5形成在圆柱形构件2和锁定构件3的内部。引出通道6从引导通道5的近端延伸到手柄部分的下端 4形成在把手部分4的内部。导丝G也插入引出通道6.直径小于胃瘘导管的管单元外径的窄握持槽7是形成在把手部4的上部。延伸部3a插入形成在胃瘘导管的保险杠中的贯穿孔中。版权所有（C）2010，JPO＆INPIT

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