CN106535746B - 用于脉管处置的设备、系统和方法 - Google Patents

用于脉管处置的设备、系统和方法 Download PDF

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Publication number
CN106535746B
CN106535746B CN201580037855.4A CN201580037855A CN106535746B CN 106535746 B CN106535746 B CN 106535746B CN 201580037855 A CN201580037855 A CN 201580037855A CN 106535746 B CN106535746 B CN 106535746B
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China
Prior art keywords
vessel
treatment
instrument
image
pressure
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CN201580037855.4A
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English (en)
Chinese (zh)
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CN106535746A (zh
Inventor
F·梅里特
J·戴维斯
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.)
Koninklijke Philips NV
Philips Image Guided Therapy Corp
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Koninklijke Philips NV
Volcano Corp
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    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • A61B5/68—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
    • A61B5/685—Microneedles
    • 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 for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02158—Measuring pressure in heart or blood vessels by means inserted into the body provided with two or more sensor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • 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
    • A61B5/4848—Monitoring or testing the effects of treatment, e.g. of medication
    • 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
    • A61B5/6847—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
    • A61B5/6862—Stents
    • 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
    • A61B5/6876—Blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/7425—Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • 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
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • A61B2562/0247—Pressure sensors

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Human Computer Interaction (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Robotics (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
CN201580037855.4A 2014-07-11 2015-07-10 用于脉管处置的设备、系统和方法 Active CN106535746B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462023296P 2014-07-11 2014-07-11
US62/023,296 2014-07-11
PCT/IB2015/055217 WO2016005944A1 (en) 2014-07-11 2015-07-10 Devices, systems, and methods for treatment of vessels

Publications (2)

Publication Number Publication Date
CN106535746A CN106535746A (zh) 2017-03-22
CN106535746B true CN106535746B (zh) 2021-02-19

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US (1) US10098702B2 (enExample)
EP (1) EP3166479B1 (enExample)
JP (1) JP6564014B2 (enExample)
CN (1) CN106535746B (enExample)
WO (1) WO2016005944A1 (enExample)

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10780298B2 (en) 2013-08-22 2020-09-22 The Regents Of The University Of Michigan Histotripsy using very short monopolar ultrasound pulses
ES3039972T3 (en) 2014-08-27 2025-10-28 St Jude Medical Systems Ab System for evaluating a cardiac system by determining minimum ratio pd/pa (distal pressure/arterial pressure)
US11311200B1 (en) 2014-08-27 2022-04-26 Lightlab Imaging, Inc. Systems and methods to measure physiological flow in coronary arteries
JP6849592B2 (ja) 2014-12-08 2021-03-24 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 経皮的冠状動脈介入治療のための患者教育
US11135454B2 (en) 2015-06-24 2021-10-05 The Regents Of The University Of Michigan Histotripsy therapy systems and methods for the treatment of brain tissue
EP3732690A1 (en) 2017-08-30 2020-11-04 Koninklijke Philips N.V. Coronary artery health state prediction based on a model and imaging data
EP4070720B1 (en) * 2018-02-23 2023-11-08 Boston Scientific Scimed, Inc. Methods for assessing a vessel with sequential physiological measurements
WO2019183432A1 (en) 2018-03-23 2019-09-26 Boston Scientific Scimed, Inc. Medical device with pressure sensor
JP7138189B2 (ja) 2018-04-06 2022-09-15 ボストン サイエンティフィック サイムド，インコーポレイテッド 圧力センサ付き医療装置
JP7102544B2 (ja) * 2018-04-18 2022-07-19 ボストン サイエンティフィック サイムド，インコーポレイテッド 逐次生理学的測定による血管の評価方法
CN109480873B (zh) * 2018-10-25 2021-08-10 苏州润迈德医疗科技有限公司 基于肺动脉ct图像的血管排序方法
AU2019389001B2 (en) 2018-11-28 2025-08-14 Histosonics, Inc. Histotripsy systems and methods
GB201905335D0 (en) * 2019-04-16 2019-05-29 Sonck Jeroen Means and devices for assessing coronary artery disease
USD926199S1 (en) 2019-05-17 2021-07-27 Opsens, Inc. Display screen or portion thereof with graphical user interface
EP4087492A1 (en) * 2020-01-06 2022-11-16 Koninklijke Philips N.V. Intraluminal imaging based detection and visualization of intraluminal treatment anomalies
IL300851A (en) 2020-08-27 2023-04-01 Univ Michigan Regents Ultrasonic transducer with transmit-receive capability for focused ultrasound
US12087000B2 (en) 2021-03-05 2024-09-10 Boston Scientific Scimed, Inc. Systems and methods for vascular image co-registration
AU2023366591A1 (en) 2022-10-28 2025-04-24 Histosonics, Inc. Histotripsy systems and methods
WO2024221001A2 (en) 2023-04-20 2024-10-24 Histosonics, Inc. Histotripsy systems and associated methods including user interfaces and workflows for treatment planning and therapy

Family Cites Families (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU3187900A (en) 1999-03-09 2000-09-28 Florence Medical Ltd. A method and system for pressure based measurements of cfr and additional clinical hemodynamic parameters
US6381350B1 (en) 1999-07-02 2002-04-30 The Cleveland Clinic Foundation Intravascular ultrasonic analysis using active contour method and system
US6200268B1 (en) 1999-09-10 2001-03-13 The Cleveland Clinic Foundation Vascular plaque characterization
US20020115931A1 (en) 2001-02-21 2002-08-22 Strauss H. William Localizing intravascular lesions on anatomic images
US7134994B2 (en) 2002-05-20 2006-11-14 Volcano Corporation Multipurpose host system for invasive cardiovascular diagnostic measurement acquisition and display
US7359554B2 (en) 2002-08-26 2008-04-15 Cleveland Clinic Foundation System and method for identifying a vascular border
US7074188B2 (en) 2002-08-26 2006-07-11 The Cleveland Clinic Foundation System and method of characterizing vascular tissue
WO2004062526A2 (en) 2003-01-16 2004-07-29 Galil Medical Ltd. Device, system, and method for detecting, localizing, and characterizing plaque-induced stenosis of a blood vessel
US7175597B2 (en) 2003-02-03 2007-02-13 Cleveland Clinic Foundation Non-invasive tissue characterization system and method
US20070038081A1 (en) 2003-09-04 2007-02-15 Koninklijke Philips Electronics N.V. Device and method for displaying ultrasound images of a vessel
US7215802B2 (en) 2004-03-04 2007-05-08 The Cleveland Clinic Foundation System and method for vascular border detection
SE0402145D0 (sv) 2004-09-08 2004-09-08 Radi Medical Systems Pressure measurement system
EP2712553A3 (en) 2005-01-11 2014-09-17 Volcano Corporation Vascular image co-registration
US7892177B2 (en) * 2005-02-28 2011-02-22 Scimed Life Systems, Inc. Systems and methods for estimating the length and position of a stent to be applied within a patient
WO2007002685A2 (en) 2005-06-24 2007-01-04 Volcano Corporation Co-registration of graphical image data representing three-dimensional vascular features
WO2010058398A2 (en) * 2007-03-08 2010-05-27 Sync-Rx, Ltd. Image processing and tool actuation for medical procedures
CA2939764C (en) 2008-09-11 2020-10-27 Acist Medical Systems, Inc. Physiological sensor delivery device and method
US8690776B2 (en) * 2009-02-17 2014-04-08 Inneroptic Technology, Inc. Systems, methods, apparatuses, and computer-readable media for image guided surgery
DE102009043069A1 (de) 2009-09-25 2011-04-07 Siemens Aktiengesellschaft Visualisierungsverfahren und Bildgebungssystem
US8311308B2 (en) * 2009-12-10 2012-11-13 Siemens Corporation Stent viewing using a learning based classifier in medical imaging
US8526700B2 (en) * 2010-10-06 2013-09-03 Robert E. Isaacs Imaging system and method for surgical and interventional medical procedures
GB201100136D0 (en) 2011-01-06 2011-02-23 Davies Helen C S Apparatus and method of characterising a narrowing in a filled tube
WO2012166332A1 (en) * 2011-05-27 2012-12-06 Lightlab Imaging, Inc. Optical coherence tomography and pressure based systems and methods
EP2744400B1 (en) * 2011-08-20 2017-05-24 Volcano Corporation Devices, systems, and methods for visually depicting a vessel and evaluating treatment options
US9339348B2 (en) 2011-08-20 2016-05-17 Imperial Colege of Science, Technology and Medicine Devices, systems, and methods for assessing a vessel
CA2896589A1 (en) 2012-12-31 2014-07-03 Volcano Corporation Devices, systems, and methods for assessment of vessels
WO2015010027A1 (en) 2013-07-19 2015-01-22 Volcano Corporation Devices, systems, and methods for assessment of vessels

Also Published As

Publication number Publication date
WO2016005944A1 (en) 2016-01-14
EP3166479A1 (en) 2017-05-17
US10098702B2 (en) 2018-10-16
JP6564014B2 (ja) 2019-08-21
CN106535746A (zh) 2017-03-22
EP3166479B1 (en) 2024-01-03
US20160008084A1 (en) 2016-01-14
JP2017526407A (ja) 2017-09-14

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Address after: Eindhoven, Netherlands

Patentee after: Royal Philips Co.,Ltd.

Patentee after: Philips image guided therapy Co.

Address before: Eindhoven, Netherlands

Patentee before: Royal Philips Co.,Ltd.

Patentee before: VOLCANO Corp.