JP6981967B2 - 撮像プローブおよびデリバリデバイスを含む撮像システム - Google Patents
撮像プローブおよびデリバリデバイスを含む撮像システム Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
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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
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0661—Endoscope light sources
- A61B1/0676—Endoscope light sources at distal tip of an endoscope
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
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- 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
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0233—Special features of optical sensors or probes classified in A61B5/00
-
- 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
- A61B5/0073—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by tomography, i.e. reconstruction of 3D images from 2D projections
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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
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/12—Devices for detecting or locating foreign bodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/486—Diagnostic techniques involving generating temporal series of image data
- A61B6/487—Diagnostic techniques involving generating temporal series of image data involving fluoroscopy
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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
- A61B8/06—Measuring blood flow
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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
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
- H04N23/00—Cameras or camera modules comprising electronic image sensors; Control thereof
- H04N23/50—Constructional details
- H04N23/555—Constructional details for picking-up images in sites, inaccessible due to their dimensions or hazardous conditions, e.g. endoscopes or borescopes
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
- H04N23/00—Cameras or camera modules comprising electronic image sensors; Control thereof
- H04N23/56—Cameras or camera modules comprising electronic image sensors; Control thereof provided with illuminating means
Description
(a)本願のいずれかの請求項に記載に基づいて撮像プローブを選択すること、
(b)少なくとも1つのデリバリデバイスを選択すること、
(c)患者の血管内で第1デリバリデバイスを進めることであって、第1デリバリデバイスは、第1遠位端部を有して成る第1デリバリカテーテルを有して成ること、
(d)撮像プローブの光学アセンブリが患者部位に近接して位置するように第1デリバリカテーテル内で撮像プローブを進めること、
(e)撮像プローブの長尺シャフトを引き戻し引き戻しの間、患者部位の画像データを収集すること、および
(f)収集した画像データに基づいて1またはそれより多くの画像を形成すること。
光学アセンブリは、画像データの収集中に第1デリバリカテーテル内に配置されてよい。第1デリバカテーテルは、透明セグメントを有して成ってよく、光学アセンブリは、画像データの収集中に透明セグメント内に存在することができる。光学アセンブリは、画像データの収集の間、第1デリバリカテーテルの遠位端部に対して遠位に配置してよい。
Claims (26)
- 長尺シャフトと、回転可能な光学コアと、光学アセンブリとを有して成る撮像プローブ
と、
長尺シャフトを回転することなく、光学アセンブリを回転するように構成され、また、配置される回転アセンブリと、
引き込みアセンブリと
を有して成る撮像システムであって、
長尺シャフトは、近位端部と、遠位部分と、近位端部と遠位部分との間で延在するルーメンとを有して成り、
回転可能な光学コアは、長尺シャフトのルーメン内に配置され、近位端部および遠位
端部を有して成り、インターフェースユニットと光学的および機械的に接続されるように
構成され、
光学アセンブリは、長尺シャフトのルーメン内で光学コアの遠位端部に配置され、組織に光を供給し、また、組織から反射される光を集めるように構成され、
引き込みアセンブリは、長尺シャフトを引き戻すように構成され、また、配置される線形駆動アセンブリを有して成り、線形駆動アセンブリは光学コアおよびその遠位端部に配置される光学アセンブリを長尺シャフトと一緒に引き込むように構成され、また、配置され、
撮像プローブは、供給される光および反射される光に基づいて患者部位から画像データを集めるように構成され、また、配置される撮像システム。 - 長尺シャフトの遠位部分は、光学アセンブリを囲む観察部分を有して成る請求項1に記載の撮像システム。
- 観察部分は、20mmまたはそれより短い長さを有する請求項2に記載の撮像システム。
- 観察部分は、長尺シャフトの他の部分より柔らかいおよび/または可撓性を有する材料を有して成る請求項2に記載の撮像システム。
- 観察部分は、撮像プローブのコラム強度および/または捻れ強度に大きく影響を与えることがない材料を有して成る請求項4に記載の撮像システム。
- 光学アセンブリに対して近位の長尺シャフトの1またはそれより多くの部分は、不透明構造を含む請求項1に記載の撮像システム。
- 不透明構造は、ブレード構造を有して成る請求項6に記載の撮像システム。
- 不透明構造は、金属チューブを有して成る請求項6に記載の撮像システム。
- 金属チューブは、ニッケルチタン合金を有して成る請求項8に記載の撮像システム。
- 金属チューブは、ステンレススチールを有して成る請求項8に記載の撮像システム。
- 引き込みアセンブリは、5mm/秒〜60mm/秒の引き込み速度で光学アセンブリおよび長尺シャフトを引き戻す請求項1に記載の撮像システム。
- 引き込みアセンブリは、光学アセンブリおよび長尺シャフトの引き込みを含んで成る引き戻し手順を実施する請求項1に記載の撮像システム。
- 引き戻し手順は、20mm〜100mmの引き戻し長さを含む請求項12に記載の撮像システム。
- 引き戻し手順は、1秒〜15秒の時間で実施する請求項12に記載の撮像システム。
- 長尺シャフトに取り外し可能に取り付けられるクランプを更に有して成る請求項1に記載の撮像システム。
- 引き込みアセンブリは、クランプを押して長尺シャフトを引き込む請求項15に記載の撮像システム。
- クランプは、使用者が操作することによって長尺シャフトの前進、引き戻しおよび捻りの少なくとも1つを行うように構成されている請求項15に記載の撮像システム。
- クランプは、使用者が長尺シャフトの長さに沿ってクランプを再配置できるように、長尺シャフトの周囲で緩めるおよび/または締め付けることができるように構成されている請求項15に記載の撮像システム。
- 引き込みアセンブリは、長尺シャフトを前進させることなく開始位置に戻るように構成されている請求項1に記載の撮像システム。
- 回転可能光学コアを回転するように構成された1またはそれより多くの回転機構を有して成る請求項1に記載の撮像システム。
- 回転機構はモータを有して成る請求項20に記載の画像システム。
- 撮像システムの1またはそれより多くの要素は、ディスポーザブルである要素または再使用可能な要素の少なくとも1つである請求項1に記載の撮像システム。
- 1またはそれより多くの要素は、滅菌可能である再使用可能な要素を有して成る請求項22に記載の撮像システム。
- 撮像プローブは、長尺シャフトと光学アセンブリとの間で相対的な動きを防止するように構成され、また、配置される請求項1に記載の撮像システム。
- 撮像プローブは、回転可能な光学コアに回転可能に取り付けられ、また、長尺シャフトに固定して取り付けられるコネクタを更に有して成り、コネクタは、長尺シャフトと回転可能な光学コアとの間の相対的な動きを防止するように構成され、また、配置される請求項24に記載の撮像システム。
- 収集された画像データに基づいて1またはそれより多くの画像を表示するように構成されるディスプレイを更に有して成る請求項1に記載の撮像システム。
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JP2021117103A JP7404310B2 (ja) | 2015-08-31 | 2021-07-15 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
JP2023210219A JP2024037873A (ja) | 2015-08-31 | 2023-12-13 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
Applications Claiming Priority (5)
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US201562212173P | 2015-08-31 | 2015-08-31 | |
US62/212,173 | 2015-08-31 | ||
US201662368387P | 2016-07-29 | 2016-07-29 | |
US62/368,387 | 2016-07-29 | ||
PCT/US2016/049415 WO2017040484A1 (en) | 2015-08-31 | 2016-08-30 | Imaging system includes imaging probe and delivery devices |
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JP2021117103A Division JP7404310B2 (ja) | 2015-08-31 | 2021-07-15 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
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JP2018527995A JP2018527995A (ja) | 2018-09-27 |
JP2018527995A5 JP2018527995A5 (ja) | 2019-10-03 |
JP6981967B2 true JP6981967B2 (ja) | 2021-12-17 |
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JP2018510969A Active JP6981967B2 (ja) | 2015-08-31 | 2016-08-30 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
JP2021117103A Active JP7404310B2 (ja) | 2015-08-31 | 2021-07-15 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
JP2023210219A Pending JP2024037873A (ja) | 2015-08-31 | 2023-12-13 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
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JP2021117103A Active JP7404310B2 (ja) | 2015-08-31 | 2021-07-15 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
JP2023210219A Pending JP2024037873A (ja) | 2015-08-31 | 2023-12-13 | 撮像プローブおよびデリバリデバイスを含む撮像システム |
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US (4) | US10631718B2 (ja) |
EP (1) | EP3344126A4 (ja) |
JP (3) | JP6981967B2 (ja) |
WO (1) | WO2017040484A1 (ja) |
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