CN111491578B - 组合的无创和微创机械能靶向 - Google Patents

组合的无创和微创机械能靶向 Download PDF

Info

Publication number
CN111491578B
CN111491578B CN201880079368.8A CN201880079368A CN111491578B CN 111491578 B CN111491578 B CN 111491578B CN 201880079368 A CN201880079368 A CN 201880079368A CN 111491578 B CN111491578 B CN 111491578B
Authority
CN
China
Prior art keywords
wave
mechanical
directing device
directing
orientation
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
Application number
CN201880079368.8A
Other languages
English (en)
Chinese (zh)
Other versions
CN111491578A (zh
Inventor
马丁·布鲁耶特
史蒂文·迪昂
路易斯-菲力浦·里尔
史蒂文·阿莱斯
马尔旺·阿博德
达斯汀·阿莱斯
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.)
Macao One Person Co
Original Assignee
Les Solutions Medicales Soundbite Inc
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 Les Solutions Medicales Soundbite Inc filed Critical Les Solutions Medicales Soundbite Inc
Publication of CN111491578A publication Critical patent/CN111491578A/zh
Application granted granted Critical
Publication of CN111491578B publication Critical patent/CN111491578B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • 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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • 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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/2202—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
    • 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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • 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
    • A61B17/225—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 for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • 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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22014—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
    • 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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22024—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement with a part reflecting mechanical vibrations, e.g. for focusing
    • 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
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0052—Ultrasound therapy using the same transducer for therapy and imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0056—Beam shaping elements
    • A61N2007/006—Lenses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0056—Beam shaping elements
    • A61N2007/0069—Reflectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
CN201880079368.8A 2017-12-08 2018-12-10 组合的无创和微创机械能靶向 Active CN111491578B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762596200P 2017-12-08 2017-12-08
US62/596,200 2017-12-08
PCT/IB2018/059831 WO2019111239A1 (en) 2017-12-08 2018-12-10 Combined non-invasive and minimally-invasive mechanical energy targeting

Publications (2)

Publication Number Publication Date
CN111491578A CN111491578A (zh) 2020-08-04
CN111491578B true CN111491578B (zh) 2023-11-21

Family

ID=66750841

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880079368.8A Active CN111491578B (zh) 2017-12-08 2018-12-10 组合的无创和微创机械能靶向

Country Status (5)

Country Link
US (1) US12279783B2 (enExample)
EP (1) EP3720370B1 (enExample)
JP (1) JP7411549B2 (enExample)
CN (1) CN111491578B (enExample)
WO (1) WO2019111239A1 (enExample)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016073490A1 (en) 2014-11-03 2016-05-12 Cagent Vascular, Llc Serration balloon
US11311454B2 (en) * 2019-03-28 2022-04-26 Softwave Tissue Regeneration Technologies, Llc Handheld acoustic shock wave or pressure pulse application device and methods of use
US20230241422A1 (en) * 2019-05-24 2023-08-03 John F. Warlick Methods to treat cancer, inflammations and tumors
US10792054B1 (en) 2019-07-11 2020-10-06 Eduardo Lorenzo Catheter for thromboembolic disease with mechanic waves, injection and ejection
US20210171887A1 (en) * 2019-11-11 2021-06-10 Vivax Bio, Llc Apparatus and method for levitational biofabrication of organ and tissue engineered constructs using tissue spheroids and magnetoacoustic bifield

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3930600A1 (de) * 1989-09-07 1991-04-04 Schubert Werner Dilitationssonde und aehnliche/zusaetzliche vorrichtungen
US5595178A (en) * 1994-10-02 1997-01-21 Hmt High Medical Technologies Gmbh System, method and apparatus for treatment of degenerative bone
CN1216910A (zh) * 1996-04-24 1999-05-19 加利福尼亚大学董事会 光－声血栓溶解方法
CN101683549A (zh) * 2008-09-28 2010-03-31 重庆海扶(Hifu)技术有限公司 一种超声波发生装置及含有该装置的超声治疗系统
CN101686830A (zh) * 2007-07-11 2010-03-31 皇家飞利浦电子股份有限公司 具有可调整的流体透镜的超声组件
WO2011094379A1 (en) * 2010-01-28 2011-08-04 Cook Medical Technologies Llc Apparatus and method for destruction of vascular thrombus

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3068730B2 (ja) * 1993-06-03 2000-07-24 アロカ株式会社 超音波治療装置
US5676692A (en) * 1996-03-28 1997-10-14 Indianapolis Center For Advanced Research, Inc. Focussed ultrasound tissue treatment method
AU758038B2 (en) 1998-06-30 2003-03-13 Onda Corporation Apparatus and method for inducing vibrations in a living body
US20130197555A1 (en) * 2002-07-01 2013-08-01 Recor Medical, Inc. Intraluminal devices and methods for denervation
US20050070961A1 (en) * 2003-07-15 2005-03-31 Terumo Kabushiki Kaisha Energy treatment apparatus
US8750983B2 (en) * 2004-09-20 2014-06-10 P Tech, Llc Therapeutic system
WO2006042168A1 (en) * 2004-10-06 2006-04-20 Guided Therapy Systems, L.L.C. Method and system for controlled thermal treatment of human superficial tissue
EP1921976A2 (en) * 2005-08-12 2008-05-21 University of Washington Method and apparatus for preparing organs and tissues for laparoscopic surgery
US8979776B2 (en) * 2008-05-02 2015-03-17 Daniel Gelbart Lithotripsy system with automatic 3D tracking
EP2451422B1 (en) * 2009-07-08 2016-10-12 Sanuwave, Inc. Usage of extracorporeal and intracorporeal pressure shock waves in medicine
US8617150B2 (en) * 2010-05-14 2013-12-31 Liat Tsoref Reflectance-facilitated ultrasound treatment
WO2013119662A1 (en) 2012-02-06 2013-08-15 Cornell University Catheter based system and method for thrombus removal using time reversal acoustics
US20140350401A1 (en) * 2012-06-30 2014-11-27 Yegor D. Sinelnikov Carotid body ablation via directed energy
US20140221828A1 (en) * 2013-02-05 2014-08-07 Muffin Incorporated Non-linear echogenic markers
US10322178B2 (en) * 2013-08-09 2019-06-18 The Trustees Of Columbia University In The City Of New York Systems and methods for targeted drug delivery
US10080906B2 (en) * 2015-09-30 2018-09-25 Btl Holdings Limited Methods and devices for tissue treatment using mechanical stimulation and electromagnetic field
US9974983B2 (en) * 2015-11-12 2018-05-22 SonaCare Medical, LLC Tissue stabilization for therapeutic ultrasound

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3930600A1 (de) * 1989-09-07 1991-04-04 Schubert Werner Dilitationssonde und aehnliche/zusaetzliche vorrichtungen
US5595178A (en) * 1994-10-02 1997-01-21 Hmt High Medical Technologies Gmbh System, method and apparatus for treatment of degenerative bone
CN1216910A (zh) * 1996-04-24 1999-05-19 加利福尼亚大学董事会 光－声血栓溶解方法
CN101686830A (zh) * 2007-07-11 2010-03-31 皇家飞利浦电子股份有限公司 具有可调整的流体透镜的超声组件
CN101683549A (zh) * 2008-09-28 2010-03-31 重庆海扶(Hifu)技术有限公司 一种超声波发生装置及含有该装置的超声治疗系统
WO2011094379A1 (en) * 2010-01-28 2011-08-04 Cook Medical Technologies Llc Apparatus and method for destruction of vascular thrombus

Also Published As

Publication number Publication date
CA3084914A1 (en) 2019-06-13
JP7411549B2 (ja) 2024-01-11
US12279783B2 (en) 2025-04-22
EP3720370A1 (en) 2020-10-14
JP2021505271A (ja) 2021-02-18
US20200383692A1 (en) 2020-12-10
CN111491578A (zh) 2020-08-04
EP3720370A4 (en) 2021-01-13
EP3720370B1 (en) 2022-12-07
WO2019111239A1 (en) 2019-06-13

Similar Documents

Publication Publication Date Title
JP7411549B2 (ja) 組合された非侵襲的および低侵襲的な機械的エネルギ標的化
JP7232757B2 (ja) バルーンカテーテルを通して機械的波動を送達するための装置
JP2021505271A5 (enExample)
ES2534504T3 (es) Sistema para ablación ultrasónica
US6755796B2 (en) Pressure-pulse therapy apparatus
US20020058890A1 (en) Laser and acoustic lens for lithotripsy
CN111712300A (zh) 动态变化介质中的超声聚焦
US20040006288A1 (en) Pressure-pulse therapy device for treatment of deposits
JP2004528925A (ja) 超音波治療用の組織保持システム
CN102596319A (zh) 通过去肾交感神经非侵入性地治疗高血压的方法及装置
ES2811092B2 (es) Sistema de fragmentacion controlada de solidos mediante haces acusticos de vortice
EP0575363A1 (en) Therapeutic endo-rectal probe, in particular for treatment of prostatic cancer
JPH0947458A (ja) 超音波治療装置及びアプリケータ
KR102499251B1 (ko) 기계적 파동을 전달하기 위한 카테터 디바이스
US7311678B2 (en) Pressure-pulse therapy apparatus
JP7026673B2 (ja) マーカを設けられた機械的導波路
CA3084914C (en) Combined non-invasive and minimally-invasive mechanical energy targeting
HK40032876A (en) Combined non-invasive and minimally-invasive mechanical energy targeting
HK40032876B (zh) 组合的无创和微创机械能靶向
AU2012232978B2 (en) Device for ablating body tissue
Visuri et al. Laser and acoustic lens for lithotripsy

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
REG Reference to a national code

Ref country code: HK

Ref legal event code: DE

Ref document number: 40032876

Country of ref document: HK

GR01 Patent grant
GR01 Patent grant
EE01 Entry into force of recordation of patent licensing contract
EE01 Entry into force of recordation of patent licensing contract

Application publication date: 20200804

Assignee: Jitong Medical Technology (Suzhou) Co.,Ltd.

Assignor: LES SOLUTIONS MEDICALES SOUNDBITE Inc.

Contract record no.: X2024990000593

Denomination of invention: Combination of non-invasive and minimally invasive mechanical energy targeting

Granted publication date: 20231121

License type: Exclusive License

Record date: 20241121

TR01 Transfer of patent right
TR01 Transfer of patent right

Effective date of registration: 20250811

Address after: No. 409, Avenida de Nangwan, Macau, China16th Floor, Room B105, China Law BuildingMacau, China

Patentee after: The Macao One Person Company

Country or region after: Macao, China

Address before: Quebec

Patentee before: LES SOLUTIONS MEDICALES SOUNDBITE Inc.

Country or region before: Canada