CA2129639A1 - Apparatus and method for interstitial treatment - Google Patents
Apparatus and method for interstitial treatmentInfo
- Publication number
- CA2129639A1 CA2129639A1 CA002129639A CA2129639A CA2129639A1 CA 2129639 A1 CA2129639 A1 CA 2129639A1 CA 002129639 A CA002129639 A CA 002129639A CA 2129639 A CA2129639 A CA 2129639A CA 2129639 A1 CA2129639 A1 CA 2129639A1
- Authority
- CA
- Canada
- Prior art keywords
- cannula
- locking
- organ
- distal end
- treatment
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000011282 treatment Methods 0.000 title claims abstract description 71
- 238000000034 method Methods 0.000 title claims abstract description 21
- 210000000056 organ Anatomy 0.000 claims abstract description 69
- 230000033001 locomotion Effects 0.000 claims abstract description 36
- 238000003780 insertion Methods 0.000 claims abstract description 23
- 230000037431 insertion Effects 0.000 claims abstract description 23
- 238000003745 diagnosis Methods 0.000 claims abstract description 21
- 230000004044 response Effects 0.000 claims abstract description 7
- 238000002604 ultrasonography Methods 0.000 claims description 14
- 150000001875 compounds Chemical class 0.000 claims description 7
- 238000010276 construction Methods 0.000 claims description 7
- 239000012530 fluid Substances 0.000 claims description 7
- 238000013519 translation Methods 0.000 claims description 6
- 238000001816 cooling Methods 0.000 claims description 4
- 239000012811 non-conductive material Substances 0.000 claims description 4
- 239000013307 optical fiber Substances 0.000 claims description 4
- 239000012809 cooling fluid Substances 0.000 claims description 3
- 239000002872 contrast media Substances 0.000 claims description 2
- 239000003814 drug Substances 0.000 claims description 2
- 229940079593 drug Drugs 0.000 claims description 2
- 238000012285 ultrasound imaging Methods 0.000 claims description 2
- 239000003779 heat-resistant material Substances 0.000 claims 1
- 238000003384 imaging method Methods 0.000 claims 1
- 239000012857 radioactive material Substances 0.000 claims 1
- 239000000835 fiber Substances 0.000 description 14
- 210000001519 tissue Anatomy 0.000 description 14
- 210000002307 prostate Anatomy 0.000 description 13
- 239000000463 material Substances 0.000 description 8
- 239000000523 sample Substances 0.000 description 7
- 230000006378 damage Effects 0.000 description 5
- 210000003708 urethra Anatomy 0.000 description 5
- 230000000881 depressing effect Effects 0.000 description 4
- 230000000994 depressogenic effect Effects 0.000 description 4
- 238000012546 transfer Methods 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 230000002262 irrigation Effects 0.000 description 3
- 238000003973 irrigation Methods 0.000 description 3
- 238000000608 laser ablation Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 239000004033 plastic Substances 0.000 description 3
- 229920003023 plastic Polymers 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 239000004020 conductor Substances 0.000 description 2
- 238000012631 diagnostic technique Methods 0.000 description 2
- 230000010339 dilation Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 230000002285 radioactive effect Effects 0.000 description 2
- 210000005070 sphincter Anatomy 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 230000000451 tissue damage Effects 0.000 description 2
- 231100000827 tissue damage Toxicity 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- BTFMCMVEUCGQDX-UHFFFAOYSA-N 1-[10-[3-[4-(2-hydroxyethyl)-1-piperidinyl]propyl]-2-phenothiazinyl]ethanone Chemical compound C12=CC(C(=O)C)=CC=C2SC2=CC=CC=C2N1CCCN1CCC(CCO)CC1 BTFMCMVEUCGQDX-UHFFFAOYSA-N 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- ACFIXJIJDZMPPO-NNYOXOHSSA-N NADPH Chemical compound C1=CCC(C(=O)N)=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](COP(O)(=O)OP(O)(=O)OC[C@@H]2[C@H]([C@@H](OP(O)(O)=O)[C@@H](O2)N2C3=NC=NC(N)=C3N=C2)O)O1 ACFIXJIJDZMPPO-NNYOXOHSSA-N 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- ZVNYJIZDIRKMBF-UHFFFAOYSA-N Vesnarinone Chemical compound C1=C(OC)C(OC)=CC=C1C(=O)N1CCN(C=2C=C3CCC(=O)NC3=CC=2)CC1 ZVNYJIZDIRKMBF-UHFFFAOYSA-N 0.000 description 1
- 235000018936 Vitellaria paradoxa Nutrition 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 238000012512 characterization method Methods 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 238000010891 electric arc Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000007429 general method Methods 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 229930027945 nicotinamide-adenine dinucleotide Natural products 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 229960004265 piperacetazine Drugs 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000009102 step therapy Methods 0.000 description 1
- 238000004381 surface treatment Methods 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22072—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22074—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
- A61B2017/22077—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with a part piercing the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2238—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with means for selectively laterally deflecting the tip of the fibre
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Electromagnetism (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Optics & Photonics (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Otolaryngology (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Laser Surgery Devices (AREA)
- Endoscopes (AREA)
- Polarising Elements (AREA)
- Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
- Beans For Foods Or Fodder (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Crystals, And After-Treatments Of Crystals (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US83211592A | 1992-02-06 | 1992-02-06 | |
US832,115 | 1992-02-06 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2129639A1 true CA2129639A1 (en) | 1993-08-19 |
Family
ID=25260734
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002129639A Abandoned CA2129639A1 (en) | 1992-02-06 | 1993-02-05 | Apparatus and method for interstitial treatment |
Country Status (13)
Country | Link |
---|---|
EP (1) | EP0652729A1 (en, 2012) |
JP (1) | JPH07507696A (en, 2012) |
KR (1) | KR950700032A (en, 2012) |
AU (1) | AU3613293A (en, 2012) |
BR (1) | BR9305845A (en, 2012) |
CA (1) | CA2129639A1 (en, 2012) |
CZ (1) | CZ189494A3 (en, 2012) |
DE (1) | DE9320803U1 (en, 2012) |
FI (1) | FI943653L (en, 2012) |
MX (1) | MX9300607A (en, 2012) |
NO (1) | NO942911L (en, 2012) |
SK (1) | SK94194A3 (en, 2012) |
WO (1) | WO1993015664A1 (en, 2012) |
Families Citing this family (125)
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US5667488A (en) * | 1992-08-12 | 1997-09-16 | Vidamed, Inc. | Transurethral needle ablation device and method for the treatment of the prostate |
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US7018377B2 (en) * | 1993-08-23 | 2006-03-28 | Refractec, Inc. | Method and apparatus for modifications of visual acuity by thermal means |
JPH07265329A (ja) * | 1994-03-31 | 1995-10-17 | Fuji Photo Optical Co Ltd | 穿刺高周波処置具 |
US5735846A (en) * | 1994-06-27 | 1998-04-07 | Ep Technologies, Inc. | Systems and methods for ablating body tissue using predicted maximum tissue temperature |
US5853409A (en) * | 1994-06-27 | 1998-12-29 | E.P. Technologies, Inc. | Systems and apparatus for sensing temperature in body tissue |
US6113591A (en) * | 1994-06-27 | 2000-09-05 | Ep Technologies, Inc. | Systems and methods for sensing sub-surface temperatures in body tissue |
US5800432A (en) * | 1995-05-01 | 1998-09-01 | Ep Technologies, Inc. | Systems and methods for actively cooling ablation electrodes using diodes |
US5688267A (en) * | 1995-05-01 | 1997-11-18 | Ep Technologies, Inc. | Systems and methods for sensing multiple temperature conditions during tissue ablation |
WO1996034570A1 (en) * | 1995-05-01 | 1996-11-07 | Ep Technologies, Inc. | Systems and methods for obtaining desired lesion characteristics while ablating body tissue |
US6053912A (en) * | 1995-05-01 | 2000-04-25 | Ep Techonologies, Inc. | Systems and methods for sensing sub-surface temperatures in body tissue during ablation with actively cooled electrodes |
US6030379A (en) * | 1995-05-01 | 2000-02-29 | Ep Technologies, Inc. | Systems and methods for seeking sub-surface temperature conditions during tissue ablation |
ATE207726T1 (de) * | 1995-05-01 | 2001-11-15 | Boston Scient Ltd | System zum erfühlen von unter-der-haut temperaturen in körpergewebe während ablation |
US6293943B1 (en) * | 1995-06-07 | 2001-09-25 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods which predict maximum tissue temperature |
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US6238389B1 (en) | 1997-09-30 | 2001-05-29 | Boston Scientific Corporation | Deflectable interstitial ablation device |
US5947984A (en) * | 1997-10-10 | 1999-09-07 | Ethicon Endo-Surger, Inc. | Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism |
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US10195014B2 (en) | 2005-05-20 | 2019-02-05 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
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-
1993
- 1993-02-04 MX MX9300607A patent/MX9300607A/es unknown
- 1993-02-05 CA CA002129639A patent/CA2129639A1/en not_active Abandoned
- 1993-02-05 WO PCT/US1993/001077 patent/WO1993015664A1/en not_active Application Discontinuation
- 1993-02-05 AU AU36132/93A patent/AU3613293A/en not_active Abandoned
- 1993-02-05 CZ CZ941894A patent/CZ189494A3/cs unknown
- 1993-02-05 JP JP5514216A patent/JPH07507696A/ja active Pending
- 1993-02-05 SK SK941-94A patent/SK94194A3/sk unknown
- 1993-02-05 BR BR9305845A patent/BR9305845A/pt not_active Application Discontinuation
- 1993-02-05 DE DE9320803U patent/DE9320803U1/de not_active Expired - Lifetime
- 1993-02-05 FI FI943653A patent/FI943653L/fi not_active Application Discontinuation
- 1993-02-05 KR KR1019940702707A patent/KR950700032A/ko not_active Withdrawn
- 1993-02-05 EP EP93904953A patent/EP0652729A1/en not_active Withdrawn
-
1994
- 1994-08-05 NO NO942911A patent/NO942911L/no unknown
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BR9305845A (pt) | 1997-02-18 |
EP0652729A1 (en) | 1995-05-17 |
CZ189494A3 (en) | 1995-06-14 |
FI943653A7 (fi) | 1994-10-05 |
FI943653L (fi) | 1994-10-05 |
NO942911D0 (en, 2012) | 1994-08-05 |
KR950700032A (ko) | 1995-01-16 |
JPH07507696A (ja) | 1995-08-31 |
AU3613293A (en) | 1993-09-03 |
WO1993015664A1 (en) | 1993-08-19 |
NO942911L (no) | 1994-09-22 |
SK94194A3 (en) | 1995-07-11 |
MX9300607A (es) | 1993-10-01 |
DE9320803U1 (de) | 1995-02-02 |
FI943653A0 (fi) | 1994-08-05 |
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