CN105636503B - 用于光学形状感测的多用途内腔设计 - Google Patents

用于光学形状感测的多用途内腔设计 Download PDF

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Publication number
CN105636503B
CN105636503B CN201480053951.3A CN201480053951A CN105636503B CN 105636503 B CN105636503 B CN 105636503B CN 201480053951 A CN201480053951 A CN 201480053951A CN 105636503 B CN105636503 B CN 105636503B
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China
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optical fiber
conduit
inner cavity
main body
instrument
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Chinese (zh)
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CN105636503A (zh
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M·L·弗莱克斯曼
D·P·努南
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Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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
    • A61B5/6852Catheters
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
    • G02B23/2407Optical details
    • G02B23/2461Illumination
    • G02B23/2469Illumination using optical fibres
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
    • G02B23/2476Non-optical details, e.g. housings, mountings, supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/0084Material properties low friction
    • A61B2017/00845Material properties low friction of moving parts with respect to each other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2061Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0261Strain gauges
    • A61B2562/0266Optical strain gauges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/091Guide wires having a lumen for drug delivery or suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/0915Guide wires having features for changing the stiffness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0102Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Robotics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Astronomy & Astrophysics (AREA)
  • General Physics & Mathematics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
  • Optical Transform (AREA)
  • Length Measuring Devices By Optical Means (AREA)
CN201480053951.3A 2013-09-30 2014-09-16 用于光学形状感测的多用途内腔设计 Active CN105636503B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361884161P 2013-09-30 2013-09-30
US61/884,161 2013-09-30
PCT/IB2014/064538 WO2015044832A1 (en) 2013-09-30 2014-09-16 Multipurpose lumen design for optical shape sensing

Publications (2)

Publication Number Publication Date
CN105636503A CN105636503A (zh) 2016-06-01
CN105636503B true CN105636503B (zh) 2019-05-21

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US (2) US9974617B2 (cg-RX-API-DMAC7.html)
EP (1) EP3054889B1 (cg-RX-API-DMAC7.html)
JP (2) JP6446440B2 (cg-RX-API-DMAC7.html)
CN (1) CN105636503B (cg-RX-API-DMAC7.html)
RU (1) RU2689023C2 (cg-RX-API-DMAC7.html)
WO (1) WO2015044832A1 (cg-RX-API-DMAC7.html)

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US10405908B2 (en) * 2014-12-18 2019-09-10 Warsaw Orthopedic, Inc. Apparatus and method for forming support device for effecting orthopedic stabilization
CN111297305B (zh) * 2015-05-01 2023-02-28 直观外科手术操作公司 医疗器械后端中的光纤管理
US11039890B2 (en) * 2015-06-24 2021-06-22 Koninklijke Philips N.V. System and method for tracking and determining characteristics of inflatable medical instruments using fiber-optical realshape data
WO2017114837A1 (en) * 2015-12-28 2017-07-06 Koninklijke Philips N.V. Elongated interventional device for optical shape sensing
JP6960923B2 (ja) * 2015-12-28 2021-11-05 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 光学形状感知用の細長介入デバイス
US11090006B2 (en) * 2016-02-03 2021-08-17 Cormetrics Llc Modular sensing guidewire
US11504064B2 (en) * 2016-07-28 2022-11-22 Evalve, Inc. Systems and methods for intra-procedural cardiac pressure monitoring
WO2018096491A1 (en) * 2016-11-28 2018-05-31 Koninklijke Philips N.V. Shape sensing of multiple over-the-wire devices
WO2018187708A1 (en) 2017-04-07 2018-10-11 Bard Access Systems, Inc. Optical fiber-based medical device tracking and monitoring system
GB201800340D0 (en) 2018-01-09 2018-02-21 Univ Edinburgh Imaging system and method
CN108577977B (zh) * 2018-03-19 2020-10-30 山东大学 穿刺针及穿刺针运动轨迹的三维重建方法及系统
US11617627B2 (en) * 2019-03-29 2023-04-04 Auris Health, Inc. Systems and methods for optical strain sensing in medical instruments
WO2021062067A1 (en) * 2019-09-24 2021-04-01 Ganz Robert A Material removal from within a patient
US11963740B2 (en) 2019-12-05 2024-04-23 Canon U.S.A., Inc. Lumen, stent, and/or artifact detection in one or more images, such as in optical coherence tomography images
US11974818B2 (en) * 2020-04-28 2024-05-07 Smith & Nephew, Inc. Surgical tracking methods and fiber optic shape sensing devices thereof
CN114131580B (zh) * 2021-12-30 2024-02-02 华中科技大学 可驱动软体机器人及其制备方法、形状感知方法及系统
US12303656B2 (en) * 2023-08-16 2025-05-20 Remedy Robotics, Inc. Image space controlled manual catheter

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Also Published As

Publication number Publication date
JP6446440B2 (ja) 2018-12-26
US11969221B2 (en) 2024-04-30
EP3054889B1 (en) 2020-06-24
WO2015044832A1 (en) 2015-04-02
RU2016116905A (ru) 2017-11-13
CN105636503A (zh) 2016-06-01
RU2689023C2 (ru) 2019-05-23
JP2019122759A (ja) 2019-07-25
JP7083305B2 (ja) 2022-06-10
US20160228199A1 (en) 2016-08-11
US20180235717A1 (en) 2018-08-23
US9974617B2 (en) 2018-05-22
JP2017500899A (ja) 2017-01-12
EP3054889A1 (en) 2016-08-17

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