CN109303591B - 前列腺水摘除术 - Google Patents
前列腺水摘除术 Download PDFInfo
- Publication number
- CN109303591B CN109303591B CN201810948516.7A CN201810948516A CN109303591B CN 109303591 B CN109303591 B CN 109303591B CN 201810948516 A CN201810948516 A CN 201810948516A CN 109303591 B CN109303591 B CN 109303591B
- Authority
- CN
- China
- Prior art keywords
- probe
- prostate
- tissue
- water jet
- capsule
- 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.)
- Active
Links
- 238000011471 prostatectomy Methods 0.000 title abstract 2
- 210000002307 prostate Anatomy 0.000 claims abstract description 104
- 210000001519 tissue Anatomy 0.000 claims abstract description 102
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 76
- 239000002775 capsule Substances 0.000 claims abstract description 46
- 238000013459 approach Methods 0.000 claims abstract description 24
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 8
- 239000000523 sample Substances 0.000 claims description 120
- 238000002271 resection Methods 0.000 claims description 27
- 239000003595 mist Substances 0.000 claims description 21
- 238000000034 method Methods 0.000 abstract description 32
- 238000005520 cutting process Methods 0.000 abstract description 14
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 239000012530 fluid Substances 0.000 description 84
- 210000003708 urethra Anatomy 0.000 description 67
- 238000002679 ablation Methods 0.000 description 15
- 230000008901 benefit Effects 0.000 description 11
- 210000000056 organ Anatomy 0.000 description 11
- 238000002604 ultrasonography Methods 0.000 description 11
- 238000013461 design Methods 0.000 description 8
- 230000007159 enucleation Effects 0.000 description 8
- 238000000926 separation method Methods 0.000 description 7
- 238000012800 visualization Methods 0.000 description 7
- 239000000969 carrier Substances 0.000 description 6
- 238000013467 fragmentation Methods 0.000 description 6
- 238000006062 fragmentation reaction Methods 0.000 description 6
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- 230000003287 optical effect Effects 0.000 description 4
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- 210000003484 anatomy Anatomy 0.000 description 3
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- 239000012528 membrane Substances 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 206010051482 Prostatomegaly Diseases 0.000 description 2
- 238000004873 anchoring Methods 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 230000000875 corresponding effect Effects 0.000 description 2
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000007789 gas Substances 0.000 description 2
- 238000010348 incorporation Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
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- 206010001233 Adenoma benign Diseases 0.000 description 1
- 206010007247 Carbuncle Diseases 0.000 description 1
- 102000008186 Collagen Human genes 0.000 description 1
- 108010035532 Collagen Proteins 0.000 description 1
- 229910052689 Holmium Inorganic materials 0.000 description 1
- 206010036940 Prostatic adenoma Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
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- 229920001436 collagen Polymers 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
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- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
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- KJZYNXUDTRRSPN-UHFFFAOYSA-N holmium atom Chemical compound [Ho] KJZYNXUDTRRSPN-UHFFFAOYSA-N 0.000 description 1
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- 238000004519 manufacturing process Methods 0.000 description 1
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- 210000004908 prostatic fluid Anatomy 0.000 description 1
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- 210000005070 sphincter Anatomy 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
-
- 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
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
-
- 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
- A61B2018/00547—Prostate
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/206—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the laser light passing along a liquid-filled conduit
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361808197P | 2013-04-03 | 2013-04-03 | |
| US61/808,197 | 2013-04-03 | ||
| CN201480031880.7A CN105263426B (zh) | 2013-04-03 | 2014-04-03 | 前列腺水摘除术 |
| PCT/US2014/032879 WO2014165703A1 (en) | 2013-04-03 | 2014-04-03 | Water enucleation of the prostate |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480031880.7A Division CN105263426B (zh) | 2013-04-03 | 2014-04-03 | 前列腺水摘除术 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109303591A CN109303591A (zh) | 2019-02-05 |
| CN109303591B true CN109303591B (zh) | 2022-06-21 |
Family
ID=51654983
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810948516.7A Active CN109303591B (zh) | 2013-04-03 | 2014-04-03 | 前列腺水摘除术 |
| CN201480031880.7A Active CN105263426B (zh) | 2013-04-03 | 2014-04-03 | 前列腺水摘除术 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480031880.7A Active CN105263426B (zh) | 2013-04-03 | 2014-04-03 | 前列腺水摘除术 |
Country Status (6)
| Country | Link |
|---|---|
| US (4) | US10098656B2 (enExample) |
| EP (1) | EP2981219B1 (enExample) |
| JP (5) | JP6741573B2 (enExample) |
| CN (2) | CN109303591B (enExample) |
| BR (1) | BR112015025426B1 (enExample) |
| WO (1) | WO2014165703A1 (enExample) |
Families Citing this family (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10016620B2 (en) | 2010-02-04 | 2018-07-10 | Procept Biorobotics Incorporation | Tissue sampling and cancer treatment apparatus |
| WO2016037132A1 (en) | 2014-09-05 | 2016-03-10 | Procept Biorobotics Corporation | Gene analysis and generation of stem cell methods and apparatus |
| US10588609B2 (en) | 2010-02-04 | 2020-03-17 | Procept Biorobotics Corporation | Gene analysis and generation of stem cell methods and apparatus |
| CN109303591B (zh) | 2013-04-03 | 2022-06-21 | 普罗赛普特生物机器人公司 | 前列腺水摘除术 |
| BR112016005036A2 (pt) | 2013-09-06 | 2020-04-07 | Procept Biorobotics Corp | aparelho para ressecção de tecido guiada por imagem automatizada |
| ES2782083T3 (es) | 2014-06-24 | 2020-09-10 | Procept Biorobotics Corp | Aparato de muestreo de tejidos y tratamiento del cáncer |
| JP6651471B2 (ja) | 2014-06-30 | 2020-02-19 | プロセプト バイオロボティクス コーポレイション | 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 |
| JP2017532095A (ja) | 2014-09-05 | 2017-11-02 | プロセプト バイオロボティクス コーポレイション | 標的器官画像の処理マッピングと一体化された医師制御組織切除 |
| FR3034305B1 (fr) * | 2015-04-03 | 2021-10-15 | Scaljet | Scalpel |
| WO2017161331A1 (en) | 2016-03-18 | 2017-09-21 | Procept Biorobotics Corporation | Minimally invasive methods and systems for hemostasis in a bleeding closed tissue volume |
| US10987131B2 (en) | 2017-05-25 | 2021-04-27 | Coopersurgical, Inc. | Tissue containment systems and related methods |
| WO2019246580A1 (en) | 2018-06-21 | 2019-12-26 | Procept Biorobotics Corporation | Artificial intelligence for robotic surgery |
| RU2698623C1 (ru) * | 2018-08-03 | 2019-08-28 | Петр Витальевич Глыбочко | Способ прогнозирования риска осложнений монополярной трансуретральной энуклеации доброкачественной гиперплазии предстательной железы |
| CN113767223B (zh) | 2019-03-01 | 2023-10-27 | 普罗赛普特生物机器人公司 | 泵筒和操纵台 |
| CN113795205B (zh) | 2019-03-07 | 2024-10-11 | 普罗赛普特生物机器人公司 | 从手术部位的材料移除 |
| CN113784682B (zh) | 2019-03-07 | 2024-09-20 | 普罗赛普特生物机器人公司 | 用于组织切除和成像的机器人臂和方法 |
| EP3934508B1 (en) | 2019-03-07 | 2025-10-15 | PROCEPT BioRobotics Corporation | Stiff sheath for imaging probe |
| US11071601B2 (en) * | 2019-11-11 | 2021-07-27 | Procept Biorobotics Corporation | Surgical probes for tissue resection with robotic arms |
| US20210338263A1 (en) * | 2020-05-01 | 2021-11-04 | Vanderbilt University | System and device for waterjet necrosectomy |
| US11096753B1 (en) | 2020-06-26 | 2021-08-24 | Procept Biorobotics Corporation | Systems and methods for defining and modifying range of motion of probe used in patient treatment |
| US11877818B2 (en) | 2020-06-26 | 2024-01-23 | Procept Biorobotics Corporation | Integration of robotic arms with surgical probes |
| EP4326174A4 (en) | 2021-04-20 | 2025-03-12 | PROCEPT BioRobotics Corporation | SURGICAL PROBE WITH INDEPENDENT ENERGY SOURCES |
| CN113633372B (zh) * | 2021-10-18 | 2022-03-01 | 北京智愈医疗科技有限公司 | 一种用于组织切除的消融工具阵列装置及其控制方法 |
| US12329582B2 (en) | 2022-02-17 | 2025-06-17 | Procept Biorobotics Corporation | Apparatus to detect tissue stretching during insertion of probes |
| CN115444513B (zh) * | 2022-04-24 | 2024-06-25 | 北京智愈医疗科技有限公司 | 一种自动水刀实现方法和设备 |
| US12329574B2 (en) | 2022-10-31 | 2025-06-17 | Procept Biorobotics Corporation | Fiducial systems for probe tracking and identification |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003005889A2 (en) * | 2001-07-10 | 2003-01-23 | Ams Research Corporation | Surgical kit for treating prostate tissue |
| CN102271595A (zh) * | 2008-11-06 | 2011-12-07 | 恩克斯特拉公司 | 用于bph的治疗的系统和方法 |
| CN102762168A (zh) * | 2010-02-19 | 2012-10-31 | 心血管系统股份有限公司 | 对生物管道局部应用治疗物质的治疗剂输送系统、装置和方法 |
| CN102905633A (zh) * | 2010-02-04 | 2013-01-30 | 普罗赛普特公司 | 多流体组织切除方法及设备 |
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| JPS63105755A (ja) * | 1986-10-21 | 1988-05-11 | 横河メディカルシステム株式会社 | 高圧水を用いた切断装置 |
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| JPH03275051A (ja) * | 1990-03-26 | 1991-12-05 | Young-Kin Wong | 前立腺切除用回転式レゼクトスコープ装置 |
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| JP6403695B2 (ja) | 2013-02-14 | 2018-10-10 | プロセプト バイオロボティクス コーポレイション | アクアアブレーションアクアビーム眼科手術方法および装置 |
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| CN109303591B (zh) | 2013-04-03 | 2022-06-21 | 普罗赛普特生物机器人公司 | 前列腺水摘除术 |
-
2014
- 2014-04-03 CN CN201810948516.7A patent/CN109303591B/zh active Active
- 2014-04-03 JP JP2016506627A patent/JP6741573B2/ja active Active
- 2014-04-03 WO PCT/US2014/032879 patent/WO2014165703A1/en not_active Ceased
- 2014-04-03 BR BR112015025426-8A patent/BR112015025426B1/pt active IP Right Grant
- 2014-04-03 US US14/244,452 patent/US10098656B2/en active Active
- 2014-04-03 CN CN201480031880.7A patent/CN105263426B/zh active Active
- 2014-04-03 EP EP14780121.1A patent/EP2981219B1/en active Active
-
2018
- 2018-09-04 US US16/121,489 patent/US11337719B2/en active Active
- 2018-12-21 JP JP2018239092A patent/JP2019069196A/ja not_active Withdrawn
-
2020
- 2020-10-09 JP JP2020170982A patent/JP2021007778A/ja not_active Withdrawn
-
2022
- 2022-04-21 US US17/660,081 patent/US12053201B2/en active Active
- 2022-12-26 JP JP2022208648A patent/JP2023030149A/ja not_active Withdrawn
-
2024
- 2024-07-01 US US18/761,040 patent/US20240350166A1/en active Pending
- 2024-08-22 JP JP2024140830A patent/JP2024159911A/ja active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003005889A2 (en) * | 2001-07-10 | 2003-01-23 | Ams Research Corporation | Surgical kit for treating prostate tissue |
| CN102271595A (zh) * | 2008-11-06 | 2011-12-07 | 恩克斯特拉公司 | 用于bph的治疗的系统和方法 |
| CN102905633A (zh) * | 2010-02-04 | 2013-01-30 | 普罗赛普特公司 | 多流体组织切除方法及设备 |
| CN102762168A (zh) * | 2010-02-19 | 2012-10-31 | 心血管系统股份有限公司 | 对生物管道局部应用治疗物质的治疗剂输送系统、装置和方法 |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2021007778A (ja) | 2021-01-28 |
| US11337719B2 (en) | 2022-05-24 |
| BR112015025426B1 (pt) | 2022-07-05 |
| WO2014165703A1 (en) | 2014-10-09 |
| CN109303591A (zh) | 2019-02-05 |
| JP2023030149A (ja) | 2023-03-07 |
| JP6741573B2 (ja) | 2020-08-19 |
| EP2981219A1 (en) | 2016-02-10 |
| CN105263426A (zh) | 2016-01-20 |
| US10098656B2 (en) | 2018-10-16 |
| EP2981219C0 (en) | 2024-08-28 |
| US20240350166A1 (en) | 2024-10-24 |
| JP2024159911A (ja) | 2024-11-08 |
| JP2016514572A (ja) | 2016-05-23 |
| EP2981219A4 (en) | 2016-11-16 |
| US12053201B2 (en) | 2024-08-06 |
| US20220240968A1 (en) | 2022-08-04 |
| BR112015025426A2 (pt) | 2017-07-18 |
| CN105263426B (zh) | 2018-08-28 |
| US20140303659A1 (en) | 2014-10-09 |
| US20190053820A1 (en) | 2019-02-21 |
| JP2019069196A (ja) | 2019-05-09 |
| EP2981219B1 (en) | 2024-08-28 |
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