CN102781357B - 具有组织鉴别能力的介入式消融装置 - Google Patents

具有组织鉴别能力的介入式消融装置 Download PDF

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Publication number
CN102781357B
CN102781357B CN201180010637.3A CN201180010637A CN102781357B CN 102781357 B CN102781357 B CN 102781357B CN 201180010637 A CN201180010637 A CN 201180010637A CN 102781357 B CN102781357 B CN 102781357B
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China
Prior art keywords
ablation
tissue
sensor
sensors
interventional
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CN201180010637.3A
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English (en)
Chinese (zh)
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CN102781357A (zh
Inventor
B·H·W·亨德里克斯
G·W·吕卡森
R·纳沙贝
W·C·J·比尔霍夫
A·E·德雅尔丹
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Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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    • 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
    • A61B18/1477—Needle-like probes
    • 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
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A61B2017/00061—Light spectrum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • 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
    • 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
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • 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
    • A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)
  • Investigating, Analyzing Materials By Fluorescence Or Luminescence (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
CN201180010637.3A 2010-02-26 2011-02-22 具有组织鉴别能力的介入式消融装置 Active CN102781357B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP10154770 2010-02-26
EP10154770.1 2010-02-26
PCT/IB2011/050727 WO2011104664A1 (en) 2010-02-26 2011-02-22 Interventional ablation device with tissue discriminating capability

Publications (2)

Publication Number Publication Date
CN102781357A CN102781357A (zh) 2012-11-14
CN102781357B true CN102781357B (zh) 2016-08-03

Family

ID=44306976

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201180010637.3A Active CN102781357B (zh) 2010-02-26 2011-02-22 具有组织鉴别能力的介入式消融装置

Country Status (6)

Country Link
US (2) US20120316558A1 (https=)
EP (1) EP2538863B1 (https=)
JP (1) JP6045916B2 (https=)
CN (1) CN102781357B (https=)
RU (1) RU2012140962A (https=)
WO (1) WO2011104664A1 (https=)

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WO2011025640A1 (en) * 2009-08-27 2011-03-03 New Jersey Institute Of Technology Integrated fiber optic raman spectroscopy and radio frequency ablation
JP5807386B2 (ja) * 2011-05-24 2015-11-10 住友電気工業株式会社 生体組織変性装置
EP2804556B1 (en) * 2012-01-20 2021-05-12 Koninklijke Philips N.V. An electro-surgical system, an electro-surgical device
WO2014118733A2 (en) * 2013-01-31 2014-08-07 David Prutchi Ablation catheter with insulation
US10722292B2 (en) 2013-05-31 2020-07-28 Covidien Lp Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure
EP2818127B1 (de) * 2013-06-20 2016-03-16 Erbe Elektromedizin GmbH Elektrochirurgisches Instrument mit Lichtleiter
US20150157405A1 (en) * 2013-12-05 2015-06-11 Biosense Webster (Israel) Ltd. Needle catheter utilizing optical spectroscopy for tumor identification and ablation
WO2016009366A1 (en) * 2014-07-16 2016-01-21 Koninklijke Philips N.V. Ultrasound tracking apparatus for disposable biopsy needles
US20160051221A1 (en) * 2014-08-25 2016-02-25 Covidien Lp System and Method for Planning, Monitoring, and Confirming Treatment
EP3258870A1 (en) * 2015-02-17 2017-12-27 Koninklijke Philips N.V. Device and method for assisting in tissue ablation
EP3725213B1 (en) * 2015-06-10 2024-12-25 Boston Scientific Scimed, Inc. Bodily substance detection by evaluating photoluminescent response to excitation radiation
KR101714310B1 (ko) * 2016-04-01 2017-03-08 하효은 스마트 종양추적 전기 수술기
US10478254B2 (en) 2016-05-16 2019-11-19 Covidien Lp System and method to access lung tissue
US11219489B2 (en) 2017-10-31 2022-01-11 Covidien Lp Devices and systems for providing sensors in parallel with medical tools
CN111714202A (zh) * 2019-03-18 2020-09-29 刘珈 肿瘤消融监测组件、装置及系统
US12295643B2 (en) * 2019-12-04 2025-05-13 Biosense Webster (Israel) Ltd. Intravascular needle with flex circuit
US11633224B2 (en) 2020-02-10 2023-04-25 Icecure Medical Ltd. Cryogen pump
WO2022047152A1 (en) * 2020-08-27 2022-03-03 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Composition analysis techniques for ultrasonic ablation
US12426934B2 (en) 2022-02-28 2025-09-30 Icecure Medical Ltd. Cryogen flow control
US12215811B2 (en) 2022-07-18 2025-02-04 Icecure Medical Ltd. Cryogenic system connector
US12527613B2 (en) 2023-09-11 2026-01-20 Icecure Medical Ltd. Cryoprobe

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WO1999066851A1 (en) * 1998-06-25 1999-12-29 Cardima, Inc. Ep catheter
WO2001074252A2 (en) * 2000-03-31 2001-10-11 Rita Medical Systems Inc. Tissue biopsy and treatment apparatus and method
WO2002047565A2 (en) * 2000-12-13 2002-06-20 Cardiac Pacemakers, Inc. Rf ablation system and method having automatic temperature control
US20020123749A1 (en) * 2001-03-01 2002-09-05 Jain Mudit K. Ablation catheter with transducer for providing one or more of pressure, temperature and fluid flow data for use in controlling ablation therapy
US20060173359A1 (en) * 2002-09-30 2006-08-03 Lin Wei C Optical apparatus for guided liver tumor treatment and methods
US20080119846A1 (en) * 2006-10-11 2008-05-22 Rioux Robert F Methods and apparatus for percutaneous patient access and subcutaneous tissue tunneling

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JPH10243947A (ja) * 1997-03-04 1998-09-14 Olympus Optical Co Ltd 高周波装置
US20050234437A1 (en) * 1999-07-14 2005-10-20 Cardiofocus, Inc. Deflectable sheath catheters with out-of-plane bent tip
JP2001037775A (ja) * 1999-07-26 2001-02-13 Olympus Optical Co Ltd 治療装置
US7520877B2 (en) * 2000-06-07 2009-04-21 Wisconsin Alumni Research Foundation Radiofrequency ablation system using multiple prong probes
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JP4111829B2 (ja) * 2001-01-11 2008-07-02 リタ メディカル システムズ インコーポレイテッド 骨処置器具
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WO1999066851A1 (en) * 1998-06-25 1999-12-29 Cardima, Inc. Ep catheter
WO2001074252A2 (en) * 2000-03-31 2001-10-11 Rita Medical Systems Inc. Tissue biopsy and treatment apparatus and method
WO2002047565A2 (en) * 2000-12-13 2002-06-20 Cardiac Pacemakers, Inc. Rf ablation system and method having automatic temperature control
US20020123749A1 (en) * 2001-03-01 2002-09-05 Jain Mudit K. Ablation catheter with transducer for providing one or more of pressure, temperature and fluid flow data for use in controlling ablation therapy
US20060173359A1 (en) * 2002-09-30 2006-08-03 Lin Wei C Optical apparatus for guided liver tumor treatment and methods
US20080119846A1 (en) * 2006-10-11 2008-05-22 Rioux Robert F Methods and apparatus for percutaneous patient access and subcutaneous tissue tunneling

Also Published As

Publication number Publication date
JP6045916B2 (ja) 2016-12-14
EP2538863A1 (en) 2013-01-02
US20120316558A1 (en) 2012-12-13
CN102781357A (zh) 2012-11-14
WO2011104664A1 (en) 2011-09-01
EP2538863B1 (en) 2019-07-03
US20190183566A1 (en) 2019-06-20
JP2013520269A (ja) 2013-06-06
RU2012140962A (ru) 2014-04-10

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