CA3099451A1 - Methods and devices for puncturing tissue - Google Patents

Methods and devices for puncturing tissue Download PDF

Info

Publication number
CA3099451A1
CA3099451A1 CA3099451A CA3099451A CA3099451A1 CA 3099451 A1 CA3099451 A1 CA 3099451A1 CA 3099451 A CA3099451 A CA 3099451A CA 3099451 A CA3099451 A CA 3099451A CA 3099451 A1 CA3099451 A1 CA 3099451A1
Authority
CA
Canada
Prior art keywords
puncture device
marker
supporting member
assembly
puncture
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.)
Pending
Application number
CA3099451A
Other languages
English (en)
French (fr)
Inventor
John Paul Urbanski
Mahban Samiee-Zafarghandy
Maria Luk
James Dylan Klein
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Medical Device Ltd
Original Assignee
Baylis Medical Co Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Baylis Medical Co Inc filed Critical Baylis Medical Co Inc
Publication of CA3099451A1 publication Critical patent/CA3099451A1/en
Pending legal-status Critical Current

Links

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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1487—Trocar-like, i.e. devices producing an enlarged transcutaneous opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61B5/6851—Guide wires
    • 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
    • A61B5/6867—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 specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide wires
    • 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
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • 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
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1435—Spiral
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/3941—Photoluminescent markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3995—Multi-modality markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Robotics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CA3099451A 2018-05-08 2019-05-07 Methods and devices for puncturing tissue Pending CA3099451A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862668396P 2018-05-08 2018-05-08
US62/668,396 2018-05-08
PCT/IB2019/053745 WO2019215618A1 (en) 2018-05-08 2019-05-07 Methods and devices for puncturing tissue

Publications (1)

Publication Number Publication Date
CA3099451A1 true CA3099451A1 (en) 2019-11-14

Family

ID=68467981

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3099451A Pending CA3099451A1 (en) 2018-05-08 2019-05-07 Methods and devices for puncturing tissue

Country Status (9)

Country Link
US (3) US20210068892A1 (https=)
EP (4) EP3790487B1 (https=)
JP (5) JP7203343B2 (https=)
KR (2) KR20220093014A (https=)
CN (2) CN114145817A (https=)
AU (1) AU2019265782B2 (https=)
BR (1) BR112020022839A2 (https=)
CA (1) CA3099451A1 (https=)
WO (2) WO2019215618A1 (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021255556A1 (en) 2020-06-17 2021-12-23 Baylis Medical Company Inc. Electroanatomical mapping system

Families Citing this family (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9668881B1 (en) 2013-03-15 2017-06-06 Surgentec, Llc Bone graft delivery system and method for using same
US12551237B2 (en) 2017-11-01 2026-02-17 University Of Maryland, Baltimore Apparatus and method for septal punch
US12263314B2 (en) * 2019-03-20 2025-04-01 Canon U.S.A., Inc. Imaging catheter with radiopaque markers
USD963855S1 (en) * 2019-09-04 2022-09-13 Boston Scientific Medical Device Limited Electrosurgical device with a curve
USD950727S1 (en) * 2019-09-04 2022-05-03 Baylis Medical Company Inc. Medical device with a curve with a proximal curve indicator
US20210220620A1 (en) * 2020-01-22 2021-07-22 Baylis Medical Company Inc. Medical guidewire assembly having identification device
EP4132626A4 (en) * 2020-04-09 2024-04-24 Boston Scientific Medical Device Limited Catheter and perforation system including catheter
CA3173410A1 (en) 2020-04-22 2021-10-28 Jackie Leung Sheath assembly and/or dilator assembly
EP4149379A4 (en) * 2020-05-11 2024-06-19 Boston Scientific Medical Device Limited ELECTROSURGICAL DEVICE WITH AUTOMATIC SHUT-OFF
US12016619B2 (en) * 2020-05-14 2024-06-25 Circa Scientific, Inc. Transseptal crossing system for single pass large bore access
US12599338B2 (en) 2020-06-19 2026-04-14 Boston Scientific Medical Device Limited Deflectable elongated guidewire assembly
CA3188620A1 (en) * 2020-07-08 2022-01-13 Boston Scientific Medical Device Limited System of medical devices and method for pericardial puncture
EP4180864A4 (en) 2020-07-09 2024-01-03 Lg Chem, Ltd. OPTICAL DEVICE
EP4181809A4 (en) * 2020-07-17 2024-08-14 Boston Scientific Medical Device Limited System and method for pericardial puncture
EP4196030A4 (en) * 2020-08-12 2024-09-25 Boston Scientific Medical Device Limited SYSTEM OF MEDICAL DEVICES AND METHODS FOR PERICARDIAL PUNCTURE
EP4203828A4 (en) 2020-08-25 2024-09-18 Cross Vascular, Inc. TRANSSEPTAL CROSSING SYSTEM
WO2022049519A1 (en) 2020-09-04 2022-03-10 Baylis Medical Company Inc. Guidewire having guidewire markers
JP7633388B2 (ja) * 2020-09-10 2025-02-19 ボストン サイエンティフィック メディカル デバイス リミテッド スタイレット、スタイレットを含むシステム、及びスタイレットを使用して医療処置を実行するための方法
CA3196411A1 (en) * 2020-09-22 2022-03-31 Boston Scientific Medical Device Limited Medical puncture device
CN116744849A (zh) * 2021-01-12 2023-09-12 波士顿科学医疗设备有限公司 微导管
WO2022176604A1 (ja) * 2021-02-22 2022-08-25 株式会社カネカ 穿刺デバイス
US20220370121A1 (en) * 2021-05-20 2022-11-24 Biosense Webster (Israel) Ltd. Tissue puncture using high articulation microcatheter and electrically active guidewire
WO2023023568A1 (en) * 2021-08-19 2023-02-23 Percassist, Inc. Pericardial access and anchor systems
IL314065A (en) * 2022-01-06 2024-09-01 Us Health Systems and methods for cutting tissues
US12564706B2 (en) * 2022-03-17 2026-03-03 Boston Scientific Medical Device Limited Enhanced dilator and methods of using the same
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US20230380890A1 (en) * 2022-05-26 2023-11-30 Biosense Webster (Israel) Ltd. Transseptal tissue puncture apparatuses, systems, and methods
US20240032985A1 (en) * 2022-07-28 2024-02-01 Boston Scientific Medical Device Limited Method for determining puncture entry location using electroanatomic mapping
JP2025531198A (ja) * 2022-09-15 2025-09-19 ボストン サイエンティフィック メディカル デバイス リミテッド 心膜穿刺術中の組織穿刺用の装置
US20240099768A1 (en) * 2022-09-22 2024-03-28 Biosense Webster (Israel) Ltd. Two-segment deflectin catheter with side exit guidwire lumen
US12490963B2 (en) 2022-12-27 2025-12-09 Transmural Systems Llc Tissue cutting systems and methods
IL321815A (en) 2022-12-27 2025-08-01 Transmural Systems Llc Catheter and actuator systems and methods
WO2024145061A1 (en) 2022-12-27 2024-07-04 Transmural Systems Llc Catheter and actuator systems and methods
EP4642357A2 (en) 2022-12-28 2025-11-05 Atraverse Medical, Inc. Methods, systems, and apparatuses for perforating tissue structures
EP4698083A1 (en) * 2023-06-01 2026-02-25 Edwards Lifesciences Corporation Pericardial space access
WO2024253965A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Layered core insulated guidewire
US20250009278A1 (en) * 2023-07-07 2025-01-09 Boston Scientific Scimed, Inc. Electroanatomical mapping device with internal electrode
CN121712466A (zh) * 2023-08-04 2026-03-20 波士顿科学医疗设备有限公司 针对导管导线的位置标记
AU2024338448A1 (en) * 2023-09-05 2026-03-19 Protaryx Medical Inc. Apparatus and method for septal penetration
CN119214754B (zh) * 2024-09-29 2025-09-26 苏州康多机器人有限公司 一种智能穿刺装置及手术机器人

Family Cites Families (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5368581A (en) 1976-12-01 1978-06-19 Hitachi Ltd Semiconductor device
US5688269A (en) * 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5312401A (en) * 1991-07-10 1994-05-17 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
WO1998007523A1 (en) * 1996-08-23 1998-02-26 Pursley Matt D Apparatus and method for nonextrusion manufacturing of catheters
US20010051790A1 (en) * 1998-12-16 2001-12-13 Parker Fred T. Finishing technique for a guiding catheter
US6270476B1 (en) 1999-04-23 2001-08-07 Cryocath Technologies, Inc. Catheter
US6478793B1 (en) * 1999-06-11 2002-11-12 Sherwood Services Ag Ablation treatment of bone metastases
US6306132B1 (en) * 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
NO20010184A (no) * 2001-01-11 2002-04-22 Medinnova As Anordning for lokalisering av fossa ovalis
US8043287B2 (en) * 2002-03-05 2011-10-25 Kimberly-Clark Inc. Method of treating biological tissue
JP2004057815A (ja) 2002-06-07 2004-02-26 Olympus Corp 内視鏡用処置具装置
AU2003262896B2 (en) * 2002-08-24 2008-08-07 Subramaniam C. Krishnan Method and apparatus for locating the fossa ovalis and performing transseptal puncture
US10493259B2 (en) * 2003-01-21 2019-12-03 Baylis Medical Company Inc. Medical apparatus for fluid communication
US7270662B2 (en) * 2004-01-21 2007-09-18 Naheed Visram Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device
US20040143262A1 (en) * 2003-01-21 2004-07-22 Baylis Medical Company Inc. Surgical perforation device and method with pressure monitoring and staining abilities
US8636729B2 (en) 2005-07-21 2014-01-28 Covidien Lp Therapeutic system with energy application device and programmed power delivery
US9179932B2 (en) * 2007-01-02 2015-11-10 Baylis Medical Company Inc. Cardiac electrosurgery
US8308720B2 (en) * 2007-01-02 2012-11-13 Baylis Medical Company Inc. Cardiac electrosurgery
US8155756B2 (en) * 2007-02-16 2012-04-10 Pacesetter, Inc. Motion-based optimization for placement of cardiac stimulation electrodes
WO2008121888A1 (en) * 2007-03-30 2008-10-09 Onset Medical Corporation Expandable trans-septal sheath
US8500697B2 (en) * 2007-10-19 2013-08-06 Pressure Products Medical Supplies, Inc. Transseptal guidewire
EP2268214A1 (en) 2008-03-11 2011-01-05 UMC Utrecht Holding B.V. Device and method for transseptal puncturing
JP5689412B2 (ja) * 2008-05-16 2015-03-25 エシコン・エルエルシーEthicon, LLC コード化された異種機能性縫合糸及び方法
AU2010219752C1 (en) * 2009-03-03 2015-01-15 Mani, Inc. Marker and stent
US9980818B2 (en) 2009-03-31 2018-05-29 Edwards Lifesciences Corporation Prosthetic heart valve system with positioning markers
US9072872B2 (en) 2010-10-29 2015-07-07 Medtronic, Inc. Telescoping catheter delivery system for left heart endocardial device placement
WO2014141197A1 (en) 2013-03-14 2014-09-18 Baylis Medical Company Inc. Electrosurgical device having a lumen
CN103402576A (zh) * 2011-01-10 2013-11-20 聚光灯技术合伙有限责任公司 用于进入并治疗体腔、内腔或窦口的装置和方法
CN202300672U (zh) 2011-10-26 2012-07-04 德尔福（上海）动力推进系统有限公司 集成进气压力传感器的电喷控制装置
JP6224001B2 (ja) 2011-12-29 2017-11-01 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 身体組織に対するアブレーション・カテーテルの結合の最適化ならびにカテーテルによって形成される破壊部の評価のためのシステム
US9821145B2 (en) 2012-03-23 2017-11-21 Pressure Products Medical Supplies Inc. Transseptal puncture apparatus and method for using the same
US8961550B2 (en) 2012-04-17 2015-02-24 Indian Wells Medical, Inc. Steerable endoluminal punch
CA2881462C (en) * 2012-08-09 2020-07-14 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
US10321953B2 (en) * 2012-10-25 2019-06-18 Medtronic Holding Company Sàrl Surgical mapping tools and methods
US20140180072A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation System and Method for Precisely Locating an Intravascular Device
CN103908729B (zh) * 2012-12-28 2016-12-28 米特拉利根公司 能量辅助组织穿刺装置及其使用方法
CA3220441A1 (en) * 2013-03-15 2015-09-17 Boston Scientific Medical Device Limited Electrosurgical device having a distal aperture
US9693820B2 (en) 2013-03-15 2017-07-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System for detecting catheter electrodes entering into and exiting from an introducer
WO2014141077A1 (en) * 2013-03-15 2014-09-18 Baylis Medical Company Inc. Electrosurgical device having a distal aperture
CA2911661C (en) 2013-05-08 2021-06-01 Clph, Llc Catheters and dilators for trans-septal procedures and methods for making and using them
TWI527811B (zh) * 2013-05-09 2016-04-01 吉李德科學股份有限公司 作爲溴結構域抑制劑的苯並咪唑衍生物
WO2015019132A1 (en) 2013-08-07 2015-02-12 Baylis Medical Company Inc. Methods and devices for puncturing tissue
WO2015061734A1 (en) 2013-10-25 2015-04-30 Creganna-Tactx Medical Improved transseptal crossing needle device
ES2662931T3 (es) * 2013-12-09 2018-04-10 Chenes Llc Electrodo de RF enfriado
EP3099256B1 (en) * 2014-01-29 2023-06-07 Boston Scientific Medical Device Limited Side-port catheter
CA2943463C (en) * 2014-03-24 2023-07-18 Baylis Medical Company Inc. Medical apparatus for fluid communication
EP3182920B1 (en) * 2014-08-21 2024-03-13 Koninklijke Philips N.V. Device for crossing occlusions
US11027104B2 (en) * 2014-09-04 2021-06-08 Silk Road Medical, Inc. Methods and devices for transcarotid access
US9993266B2 (en) * 2014-09-13 2018-06-12 Indian Wells Medical, Inc. Steerable endoluminal punch
WO2016160348A1 (en) * 2015-03-31 2016-10-06 SPIRATION, INC., d/b/a OLYMPUS RESPIRATORY AMERICA Catheter access device
EP3865082B1 (en) * 2015-09-09 2024-10-30 Boston Scientific Medical Device Limited A needle for epicardial access
JP2017067469A (ja) 2015-09-28 2017-04-06 ソニー株式会社 情報処理装置、情報処理方法およびコンピュータプログラム
EP3380188B1 (en) * 2016-03-18 2021-06-02 Teleflex Life Sciences Limited Pacing guidewire
CN106725643A (zh) * 2016-06-22 2017-05-31 苏州茵络医疗器械有限公司 用于血管腔内手术的破膜器
WO2018083599A1 (en) 2016-11-01 2018-05-11 Baylis Medical Company Inc. Methods and devices for puncturing tissue

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021255556A1 (en) 2020-06-17 2021-12-23 Baylis Medical Company Inc. Electroanatomical mapping system
EP4167890A4 (en) * 2020-06-17 2024-07-31 Boston Scientific Medical Device Limited ELECTROANATOMIC MAPPING SYSTEM

Also Published As

Publication number Publication date
EP3790487A1 (en) 2021-03-17
EP4555954A2 (en) 2025-05-21
KR20220093014A (ko) 2022-07-04
CN112087977B (zh) 2021-10-26
EP4252689A2 (en) 2023-10-04
CN112087977A (zh) 2020-12-15
JP2021522905A (ja) 2021-09-02
EP3790488B1 (en) 2025-06-25
JP7203343B2 (ja) 2023-01-13
JP7337846B2 (ja) 2023-09-04
JP2025113282A (ja) 2025-08-01
KR20200142095A (ko) 2020-12-21
US20230040020A1 (en) 2023-02-09
EP3790488A4 (en) 2022-05-04
JP7682842B2 (ja) 2025-05-26
EP3790488A1 (en) 2021-03-17
EP3790487B1 (en) 2023-08-23
US20210068892A1 (en) 2021-03-11
AU2019265782A1 (en) 2020-11-26
KR102463750B1 (ko) 2022-11-04
JP2023021358A (ja) 2023-02-10
WO2019215621A1 (en) 2019-11-14
BR112020022839A2 (pt) 2021-04-20
US11497549B2 (en) 2022-11-15
WO2019215618A1 (en) 2019-11-14
AU2019265782B2 (en) 2024-12-12
JP2023153314A (ja) 2023-10-17
JP2021523772A (ja) 2021-09-09
US20210228268A1 (en) 2021-07-29
EP4555954A3 (en) 2025-07-23
EP4252689A3 (en) 2024-02-28
EP3790487A4 (en) 2022-06-08
JP7639079B2 (ja) 2025-03-04
CN114145817A (zh) 2022-03-08

Similar Documents

Publication Publication Date Title
US20230040020A1 (en) Methods and Devices for Puncturing Tissue
US20250127537A1 (en) Methods and devices for puncturing tissue
EP3206603B1 (en) Fossa ovalis penetration apparatus
US12558155B2 (en) Methods and devices for puncturing tissue
EP3544531A1 (en) Endoscopic ultrasound guided access device
US20250381390A1 (en) Extraction devices and methods of extracting implanted medical devices

Legal Events

Date Code Title Description
EEER Examination request

Effective date: 20220822

D17 Fast track examination accepted

Free format text: ST27 STATUS EVENT CODE: A-2-2-D10-D17-D161 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: PPH RETAINED AFTER REVIEW

Effective date: 20250414

MFA Maintenance fee for application paid

Free format text: FEE DESCRIPTION TEXT: MF (APPLICATION, 6TH ANNIV.) - STANDARD

Year of fee payment: 6

U00 Fee paid

Free format text: ST27 STATUS EVENT CODE: A-2-2-U10-U00-U101 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE REQUEST RECEIVED

Effective date: 20250424

U11 Full renewal or maintenance fee paid

Free format text: ST27 STATUS EVENT CODE: A-2-2-U10-U11-U102 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE FEE PAYMENT PAID IN FULL

Effective date: 20250424

D22 Grant of ip right intended

Free format text: ST27 STATUS EVENT CODE: A-2-2-D10-D22-D128 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: ALLOWANCE REQUIREMENTS DETERMINED COMPLIANT

Effective date: 20260121

W00 Other event occurred

Free format text: ST27 STATUS EVENT CODE: A-2-2-W10-W00-W100 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: LETTER SENT

Effective date: 20260127