Medical device
A medical device includes a liquid circulation unit that enables transfer of a liquid (a perfusion liquid) supplied from a port unit of a second hub of an energy application device to a distal end portion of a first shaft of a catheter device. The energy application device is relatively movable forward and backward with respect to the catheter device so that an energy application unit can be disposed at a predetermined position on the distal end side of the first shaft.
1. A medical device comprising:
a catheter device that includes:
a first shaft that is configured to be insertable into a blood vessel and has one or more openings formed at a distal end portion; and
a first hub disposed at a proximal end portion of the first shaft;
an energy application device that includes:
an energy application unit configured to apply energy to a surrounding nerve outside the blood vessel, the energy being for ablating the surrounding nerve running in parallel with the blood vessel;
a second hub in which an electrical connector unit that supplies electrical energy to the energy application unit is disposed, the second hub including a port unit for inwardly supplying a predetermined liquid;
a conductive unit that has an elongated shape and connects the electrical connector unit and the energy application unit; and
a second shaft that extends from the second hub to a side of the energy application unit, accommodates at least part of a proximal end side of the conductive unit, and is inserted into the first hub; and
a liquid circulation unit that allows the liquid supplied from the port unit to be sent to the distal end portion of the first shaft, wherein
the energy application device is relatively movable forward and backward with respect to the catheter device, so that the energy application unit can be placed at a predetermined position on a distal end side of the first shaft,
the liquid circulation unit is a fluid communication passage that includes the port unit of the second hub, an internal space of the second hub, a lumen of the second shaft, an internal space disposed immediately inside the first hub, and a lumen of the first shaft, wherein these components are in serial communication, and
the liquid circulation unit includes a clearance around the electrical connector unit in the internal space of the second hub.
2. The medical device according to claim 1 , wherein
the second shaft is inserted into the first hub, to allow a distal end portion of the second shaft to move between a first position defined in the first hub and a second position defined closer to a proximal end side in the first hub than the first position, and
the liquid circulation unit is provided in both a state where the distal end portion of the second shaft is located at the first position and a state where the distal end portion of the second shaft is located at the second position.
3. The medical device according to claim 1 , wherein
the one or more openings include:
a first opening formed at a distal end of the first shaft; and
a plurality of second openings that is located on a proximal end side of the first opening and is open toward a lateral side of the first shaft.
4. The medical device according to claim 3 , wherein the plurality of second openings is open in a direction not to face an inner wall of the blood vessel in a state where the first shaft is inserted in the blood vessel.
5. The medical device according to claim 4 , wherein
the distal end portion of the first shaft includes:
a curved portion that has a shape curved with respect to a predetermined first reference axis; and
a linear portion that is located on a proximal end side of the curved portion, and extends substantially linearly along a second reference axis extending in a direction intersecting with the first reference axis.
6. The medical device according to claim 5 , wherein the curved portion is a spiral portion that extends spirally around the first reference axis.
7. The medical device according to claim 5 , wherein
the first shaft includes:
a first portion included in the curved portion;
a second portion that is located on a proximal end side of the first portion, wherein the plurality of second openings are formed in the second portion; and
a third portion that is located on a proximal end side of the second portion, and is included in the linear portion, and
an inner diameter of the second portion and the third portion is larger than an inner diameter of the first portion.
8. The medical device according to claim 1 , wherein the energy application unit is capable of emitting a microwave or an ultrasonic wave as the energy.