JP4993982B2 - カテーテル装置および治療装置 - Google Patents
カテーテル装置および治療装置 Download PDFInfo
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- JP4993982B2 JP4993982B2 JP2006257195A JP2006257195A JP4993982B2 JP 4993982 B2 JP4993982 B2 JP 4993982B2 JP 2006257195 A JP2006257195 A JP 2006257195A JP 2006257195 A JP2006257195 A JP 2006257195A JP 4993982 B2 JP4993982 B2 JP 4993982B2
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- catheter
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- atherectomy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
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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
- A61B17/3205—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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/0035—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0062—Arrangements for scanning
- A61B5/0066—Optical coherence imaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
- A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
- A61B5/416—Evaluating particular organs or parts of the immune or lymphatic systems the spleen
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6853—Catheters with a balloon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
- A61B8/4254—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient using sensors mounted on the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5269—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving detection or reduction of artifacts
- A61B8/5276—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving detection or reduction of artifacts due to motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/18—Shielding or protection of sensors from environmental influences, e.g. protection from mechanical damage
- A61B2562/182—Electrical shielding, e.g. using a Faraday cage
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/113—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
- A61B5/7207—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts
- A61B5/721—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
Description
図1はアテレクトミーを実施するための本発明によるカテーテル装置を示し、
図2は本発明による第2の実施例を示し、
図3はカテーテル装置を有する本発明による治療装置を示し、
図4は図3の治療装置によるセンサ読取りの概略図を示す。
2 駆動軸
3 OCT信号線
4 IVUS信号線
5 位置センサシステムの信号線
6 IVUSセンサ
7 OCTセンサ
8 カテーテル先端
9 カッター
10 位置センサ
11 カテーテル外被
13 バルーン
14 カテーテル
15 信号インターフェースおよび駆動ユニット
16 回転カップリング
17 画像化カテーテル
18 チューブ
19 治療装置
20 患者用テーブル
21 X線源
22 高電圧発生装置
23 システム制御部
24 X線検出器
25 前処理ユニット
26 生理学的センサのための接続部
27 信号処理部
28 アテレクトミーカテーテルのための接続部
29 信号インターフェース
30 データバス
31 OCTのための前処理ユニット
32 IVUSのための前処理ユニット
33 位置センサのための前処理ユニット
34 OCTのための画像処理ユニット
35 IVUSのための画像処理ユニット
36 位置センサのための画像処理ユニット
37 電源ユニット
38 X線画像のための画像処理ユニット
39 画像データメモリ
40 較正ユニット
41 画像補正ユニット
42 画像融合および/または再構成ユニット
43 インターフェース
44 ディスプレイユニット
45 入力ユニット
Claims (20)
- アテレクトミーを実施するためのカテーテル装置(1)において、アテレクトミーカテーテルと、前記アテレクトミーカテーテルに配置された光コヒーレンス断層画像化(OCT)センサ(7)および血管内超音波(IVUS)センサ(6)と、前記アテレクトミーカテーテルの位置を決定するための位置センサ(10)と、画像処理ユニット(34,35,36,38)とを含み、前記画像処理ユニット(34,35,36,38)は、前記OCTセンサ(7)、IVUSセンサ(6)および位置センサ(10)のデータに基づく複合化された2Dおよび3Dの少なくとも一方の撮影画像を作成し、前記OCTセンサ(7)、IVUSセンサ(6)および位置センサ(10)のデータの読み取りは相互に時間的にずらされてクロック同期で行われるカテーテル装置。
- 前記位置センサ(10)と協働して前記アテレクトミーカテーテルの位置を検出する磁気センサが前記アテレクトミーカテーテルの先端に配置されている請求項1記載のカテーテル装置。
- 前記アテレクトミーカテーテル先端を偏向させるために機械的制御手段を有する請求項1又は2記載のカテーテル装置。
- 前記アテレクトミーカテーテルが外部磁場によって制御可能であり、前記アテレクトミーカテーテルが少なくとも1つの永久磁石および少なくとも1つの電磁石またはそのいずれか一方を有する請求項1から3のいずれか1項に記載のカテーテル装置。
- 前記位置センサが電磁センサとして構成され、前記アテレクトミーカテーテル内に設けられた送信コイルと通信する受信コイル、または前記アテレクトミーカテーテル内に設けられた受信コイルと通信する送信コイルを有する請求項4記載のカテーテル装置。
- 前記受信コイルが鉄心を有し、選択的に受信アンテナまたは電磁石として磁気ナビゲーションのために使用可能である請求項5記載のカテーテル装置。
- 前記アテレクトミーカテーテル内のコイルが直交方向にまたは任意の角度に配置されている請求項5又は6記載のカテーテル装置。
- 前記OCTセンサ(7)およびIVUSセンサ(6)の少なくとも一方が、前記アテレクトミーカテーテルの縦軸線に対して横に向けられている請求項1から7のいずれか1項に記載のカテーテル装置。
- 前記OCTセンサ(7)およびIVUSセンサ(6)が別々にまたは共通に前記アテレクトミーカテーテルの縦軸線の周りを回転可能、または前記アテレクトミーカテーテルが駆動ユニットによって規定可能な速度で押し込み可能または引き戻し可能である請求項1から8のいずれか1項に記載のカテーテル装置。
- 前記画像処理ユニット(34,35,36,38)が、検査すべき体部分の中心線および包絡線の少なくとも一方を近似計算するように構成されている請求項1から9のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルの3D撮影画像が、前記画像処理ユニット(34,35,36,38)によって近似計算された包絡線に基づいて、他の解剖学的な画像データと共にレジストレーション処理されかつ画像融合される請求項10記載のカテーテル装置。
- 前記アテレクトミーカテーテルの3D撮影画像および解剖学的な画像データが共通な座標系に移行可能である請求項11記載のカテーテル装置。
- 呼吸または心臓またはその他の器官の運動によって生じるモーションアーチファクトが
、運動の周波数および振幅の少なくとも一方によって検出可能であり、コンピュータによる補正の枠内で考慮可能である請求項1から12のいずれか1項に記載のカテーテル装置。 - 前記アテレクトミーカテーテルが、電磁場に対するシールドのための被覆を有する請求項1から13のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルおよびそのセンサが系統電圧から電気的に減結合されている請求項1から14のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルがX線マーカーを有する請求項1から15のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルが、摩擦抵抗を低減するための被覆を備えている請求項1から16のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルが、その先端に、位置決めの維持のための少なくとも1つの膨張可能なバルーンを有する請求項1から17のいずれか1項に記載のカテーテル装置。
- 前記アテレクトミーカテーテルが、カテーテル先端に配置された温度センサおよび圧力センサの少なくとも一方を有する請求項1から18のいずれか1項に記載のカテーテル装置。
- 請求項1から19のいずれか1項に記載のカテーテル装置を有する治療装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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DE102005045373.2 | 2005-09-22 | ||
DE102005045373A DE102005045373A1 (de) | 2005-09-22 | 2005-09-22 | Kathetervorrichtung |
DE102005048892A DE102005048892B4 (de) | 2005-09-22 | 2005-09-22 | Vorrichtung zur Durchführung von Rotablation sowie medizinische Behandlungseinrichtung |
Publications (2)
Publication Number | Publication Date |
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JP2007083057A JP2007083057A (ja) | 2007-04-05 |
JP4993982B2 true JP4993982B2 (ja) | 2012-08-08 |
Family
ID=38235413
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006255464A Expired - Fee Related JP4993981B2 (ja) | 2005-09-22 | 2006-09-21 | ロタブレーションを実施するための装置 |
JP2006257195A Expired - Fee Related JP4993982B2 (ja) | 2005-09-22 | 2006-09-22 | カテーテル装置および治療装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006255464A Expired - Fee Related JP4993981B2 (ja) | 2005-09-22 | 2006-09-21 | ロタブレーションを実施するための装置 |
Country Status (3)
Country | Link |
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US (2) | US7753852B2 (ja) |
JP (2) | JP4993981B2 (ja) |
DE (2) | DE102005048892B4 (ja) |
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US20070066983A1 (en) | 2007-03-22 |
DE102005048892A1 (de) | 2007-04-05 |
JP4993981B2 (ja) | 2012-08-08 |
DE102005048892B4 (de) | 2009-01-15 |
JP2007083054A (ja) | 2007-04-05 |
DE102005045373A1 (de) | 2007-04-05 |
JP2007083057A (ja) | 2007-04-05 |
US7729745B2 (en) | 2010-06-01 |
US20070066890A1 (en) | 2007-03-22 |
US7753852B2 (en) | 2010-07-13 |
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