CN106535773A - 肝内分流的设备和方法 - Google Patents

肝内分流的设备和方法 Download PDF

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Publication number
CN106535773A
CN106535773A CN201580038298.8A CN201580038298A CN106535773A CN 106535773 A CN106535773 A CN 106535773A CN 201580038298 A CN201580038298 A CN 201580038298A CN 106535773 A CN106535773 A CN 106535773A
Authority
CN
China
Prior art keywords
pin
conduit
needle
catheter
air bag
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
CN201580038298.8A
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English (en)
Chinese (zh)
Inventor
D·德齐科
J·斯蒂加尔
J·乌塞尔
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
Original Assignee
Koninklijke Philips NV
Volcano Corp
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 Koninklijke Philips NV, Volcano Corp filed Critical Koninklijke Philips NV
Priority to CN202211532605.6A priority Critical patent/CN116172611A/zh
Publication of CN106535773A publication Critical patent/CN106535773A/zh
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • 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
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06—Measuring blood flow
    • 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
    • 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
    • A61B8/0891—Clinical applications for diagnosis of blood vessels
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461—Displaying means of special interest
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
    • 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
    • A61B2017/22051—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22054—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
    • 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
    • A61B2017/22051—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22069—Immobilising; Stabilising
    • 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
    • A61B2017/22051—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22071—Steering
    • 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
    • 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
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Gastroenterology & Hepatology (AREA)
CN201580038298.8A 2014-07-15 2015-07-14 肝内分流的设备和方法 Pending CN106535773A (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211532605.6A CN116172611A (zh) 2014-07-15 2015-07-14 肝内分流的设备和方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462024520P 2014-07-15 2014-07-15
US62/024,520 2014-07-15
PCT/IB2015/055302 WO2016009337A2 (en) 2014-07-15 2015-07-14 Devices and methods for intrahepatic shunts

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202211532605.6A Division CN116172611A (zh) 2014-07-15 2015-07-14 肝内分流的设备和方法

Publications (1)

Publication Number Publication Date
CN106535773A true CN106535773A (zh) 2017-03-22

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CN201580038298.8A Pending CN106535773A (zh) 2014-07-15 2015-07-14 肝内分流的设备和方法
CN202211532605.6A Pending CN116172611A (zh) 2014-07-15 2015-07-14 肝内分流的设备和方法

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Country Status (5)

Country Link
US (1) US11369346B2 (enExample)
EP (1) EP3169249B1 (enExample)
JP (1) JP6400826B2 (enExample)
CN (2) CN106535773A (enExample)
WO (1) WO2016009337A2 (enExample)

Cited By (8)

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CN109464228A (zh) * 2017-09-06 2019-03-15 首都医科大学附属北京佑安医院 门肝静脉分流自膨胀支架及植入装置
CN112533528A (zh) * 2018-09-07 2021-03-19 波士顿科学国际有限公司 用于测量门静脉压力的装置和方法
CN112739270A (zh) * 2018-07-17 2021-04-30 1929803安大略Dba 弗洛索尼克斯医疗公司 用于检测液流的超声波贴片
CN113033121A (zh) * 2021-04-14 2021-06-25 兰州大学 门静脉高压经颈静脉肝内门体分流术支架直径的选择方法
CN113349984A (zh) * 2020-03-04 2021-09-07 太阳雨林（厦门）生物医药有限公司 Tips术中分流道扩张辅助装置
CN113456049A (zh) * 2021-06-23 2021-10-01 上海交通大学 一种肝脏硬化检测系统
CN114680831A (zh) * 2022-03-22 2022-07-01 上海交通大学 基于fbg的血管狭窄感知系统
US12350468B2 (en) 2018-03-09 2025-07-08 1929803 Ontario Corp. Dynamically controllable patient fluid control device

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US9839540B2 (en) 2011-01-14 2017-12-12 W. L. Gore & Associates, Inc. Stent
US9283072B2 (en) 2012-07-25 2016-03-15 W. L. Gore & Associates, Inc. Everting transcatheter valve and methods
US10376360B2 (en) 2012-07-27 2019-08-13 W. L. Gore & Associates, Inc. Multi-frame prosthetic valve apparatus and methods
US9931193B2 (en) 2012-11-13 2018-04-03 W. L. Gore & Associates, Inc. Elastic stent graft
US9968443B2 (en) 2012-12-19 2018-05-15 W. L. Gore & Associates, Inc. Vertical coaptation zone in a planar portion of prosthetic heart valve leaflet
US9144492B2 (en) 2012-12-19 2015-09-29 W. L. Gore & Associates, Inc. Truncated leaflet for prosthetic heart valves, preformed valve
US9101469B2 (en) 2012-12-19 2015-08-11 W. L. Gore & Associates, Inc. Prosthetic heart valve with leaflet shelving
US9737398B2 (en) 2012-12-19 2017-08-22 W. L. Gore & Associates, Inc. Prosthetic valves, frames and leaflets and methods thereof
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US10321986B2 (en) 2012-12-19 2019-06-18 W. L. Gore & Associates, Inc. Multi-frame prosthetic heart valve
US10966820B2 (en) 2012-12-19 2021-04-06 W. L. Gore & Associates, Inc. Geometric control of bending character in prosthetic heart valve leaflets
US10780298B2 (en) 2013-08-22 2020-09-22 The Regents Of The University Of Michigan Histotripsy using very short monopolar ultrasound pulses
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US9827094B2 (en) 2014-09-15 2017-11-28 W. L. Gore & Associates, Inc. Prosthetic heart valve with retention elements
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
US11324548B2 (en) * 2015-08-21 2022-05-10 Baylis Medical Company Inc. Transvascular electrosurgical devices and systems and methods of using the same
WO2017184153A1 (en) 2016-04-21 2017-10-26 W. L. Gore & Associates, Inc. Diametrically adjustable endoprostheses and associated systems and methods
US11617832B2 (en) 2016-08-17 2023-04-04 International Business Machines Corporation Portal system-based bionic pancreas
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AU2018334191B2 (en) 2017-09-12 2021-04-08 Edwards Lifesciences Corporation Leaflet frame attachment for prosthetic valves
CA3155761C (en) 2017-09-27 2025-11-18 Gore & Ass Prosthetic valves with mechanically coupled leaflets
CA3178271A1 (en) 2017-09-27 2019-04-04 W.L. Gore & Associates, Inc. Prosthetic valve with expandable frame and associated systems and methods
AU2018348022B2 (en) 2017-10-09 2021-07-08 W. L. Gore & Associates, Inc. Matched stent cover
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CA3078608C (en) 2017-10-31 2023-03-28 W.L. Gore & Associates, Inc. Prosthetic heart valve
US11439502B2 (en) 2017-10-31 2022-09-13 W. L. Gore & Associates, Inc. Medical valve and leaflet promoting tissue ingrowth
US10987218B2 (en) 2017-10-31 2021-04-27 W. L. Gore & Associates, Inc. Transcatheter deployment systems and associated methods
US11045224B2 (en) 2018-09-24 2021-06-29 University Of Maryland, Baltimore Apparatus and method for septal punch
US20200367867A1 (en) * 2017-11-24 2020-11-26 National University Hospital (Singapore) Pte Ltd Balloon-anchored biopsy device
US20210169523A1 (en) * 2017-12-27 2021-06-10 Jacob Cynamon Rail and/or anchor system for transjugular intrahepatic protosystemic shunt procedure
WO2020002177A1 (en) * 2018-06-28 2020-01-02 Koninklijke Philips N.V. Internal ultrasound assisted local therapeutic delivery
CN109044504A (zh) * 2018-09-25 2018-12-21 郑州大学第附属医院 一种新型的经颈静脉肝内穿刺套装
US11077288B2 (en) * 2018-11-15 2021-08-03 Biosense Webster (Israel) Ltd. Flushing balloon catheter for observation and removal of clots under vessel bifurcation conditions
CN109567751B (zh) * 2018-11-15 2021-09-24 陈圣开 一种用于术中测定肝硬化硬度的穿刺针
AU2019389001B2 (en) 2018-11-28 2025-08-14 Histosonics, Inc. Histotripsy systems and methods
US20200254214A1 (en) * 2019-02-12 2020-08-13 Timothy Patrick Murphy Portal vein access device and method for facilitating portal venous entry for creation of a percutaneous transjugular intrahepatic portosystemic shunt
US11497601B2 (en) 2019-03-01 2022-11-15 W. L. Gore & Associates, Inc. Telescoping prosthetic valve with retention element
EP3952790A1 (en) 2019-04-12 2022-02-16 W.L. Gore & Associates, Inc. Valve with multi-part frame and associated resilient bridging features
WO2021055264A1 (en) * 2019-09-19 2021-03-25 Edwards Lifesciences Corporation Transcatheter puncture needle system
AU2021213168A1 (en) 2020-01-28 2022-09-01 The Regents Of The University Of Michigan Systems and methods for histotripsy immunosensitization
CN115916315A (zh) * 2020-04-08 2023-04-04 贝克顿·迪金森公司 包括可操纵套管和铰接针或可操纵针的进入套件及其方法
CN111759428A (zh) * 2020-07-31 2020-10-13 戈洛夫特微创医疗器械(苏州)有限公司 Tips穿刺组件
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US12376879B2 (en) 2023-03-03 2025-08-05 Theraheart Inc. Expandable elements for shunting catheters
WO2024211764A1 (en) 2023-04-06 2024-10-10 Theraheart Inc. Slicing elements for shunting catheters
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