Treatment method and medical device
Provided is a treatment method of being able to improve the obstruction of a biological lumen caused by stenosis of the biological lumen and the stagnation of a secretion. The treatment method includes a disposition step of disposing a dilation portion that can be dilated and deflated, and a collection portion, which is capable of removing a secretion S secreted from a biological lumen from a living body, in a stenosed site occurring in the biological lumen; a dilation step of widening the stenosed site after the disposition step by dilating the dilation portion in the stenosed site after the disposition step; and a removal step of removing the secretion from the living body by a removal portion.
1. A treatment method comprising:
introducing a sheath of a catheter into a biological lumen of a living body and in a direction toward a stenosed site in the biological lumen;
advancing a distal tip of the sheath from a proximal side of the stenosed site in the biological lumen through the stenosed site to a distal side of the stenosed site in the biological lumen;
positioning, while a portion of the sheath is disposed in the stenosed site, a shaft disposed inside a lumen of the sheath at a postion of the stenosed site;
withdrawing the sheath from the stenosed site while maintaining the shaft in the position of the stenosed site, wherein withdrawing the sheath exposes a portion of the shaft form the lumen of the sheath such that i) a dilation balloon portion of the shaft is arranged in the stenosed site, ii) a removal portion of the shaft comprising a plurality of protruding portuions is disposed on the distal side of the stenosed site, and iii) the sheath is disposed on the proximal side of the stenosed site, and wherein the plurality of protruding portions are capable of removing a secretion secreted from the biological lumen in the stenosed site;
widening the stenosed site by dilating the dilation balloon portion of the shaft while arranged in the stenosed site;
deflating the dilation balloon portion of the shaft while arranged in the stenosed site; and
removing the secretion from the biological lumen by moving the plurality of protruding portions from the distal side of the stenosed site into contact with the secretion in the stenosed site entrapping the secretion in the plurality of protruding portions and then moving the plurality of protruding portions and the secretion entrapped therein from the stenosed site to the proximal side of the stenosed site.
2. The treatment method according to claim 1 , wherein in the removal step, the secretion is removed from the living body with an operation of extracting the removal portion from the living body through the lumen of the sheath.
3. The treatment method according to claim 2 , wherein the secretion is collected in between the plurality of protruding portions as the plurality of protruding portions are moved from the distal side of the stenosed site to the proximal side of the stenosed site.
4. The treatment method according to claim 3 , wherein an exterior surface of the dilation balloon portion of the shaft is coated with a medicine capable of widening the stenosed site upon dilation of the dilation balloon portion of the shaft moving the exterior surface of the dilation balloon portion into contact with the stenosed site.
5. The treatment method according to claim 4 , wherein the biological lumen is a bronchus.
6. The treatment method according to claim 1 , wherein the secretion is collected in between the plurality of protruding portions as the plurality of protruding portions are moved from the distal side of the stenosed site to the proximal side of the stenosed site.
7. The treatment method according claim 1 , wherein an exterior surface of the dilation balloon portion of the shaft is coated with a medicine capable of widening the stenosed site upon dilation of the dilation balloon portion of the shaft moving the exterior surface of the dilation balloon portion into contact with the stenosed site.
8. The treatment method according claim 2 , wherein an exterior surface of the dilation balloon portion of the shaft is coated with a medicine capable of widening the stenosed site upon dilation of the dilation balloon portion of the shaft moving the exterior surface of the dilation balloon portion into contact with the stenosed site, and wherein the plurality of protruding portions are impregnated with the medicine.