CN112087977B - 用于穿刺组织的方法和装置 - Google Patents

用于穿刺组织的方法和装置 Download PDF

Info

Publication number
CN112087977B
CN112087977B CN201980029845.4A CN201980029845A CN112087977B CN 112087977 B CN112087977 B CN 112087977B CN 201980029845 A CN201980029845 A CN 201980029845A CN 112087977 B CN112087977 B CN 112087977B
Authority
CN
China
Prior art keywords
marker
puncture device
support member
assembly
proximal
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
CN201980029845.4A
Other languages
English (en)
Chinese (zh)
Other versions
CN112087977A (zh
Inventor
约翰·保罗·乌尔班斯基
马班·萨米-扎法尔甘迪
玛丽亚·卢克
詹姆斯·迪伦·克莱因
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.)
Boston Scientific Medical Device Ltd
Original Assignee
Baylis Medical Co 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 Baylis Medical Co Inc filed Critical Baylis Medical Co Inc
Priority to CN202111345543.3A priority Critical patent/CN114145817A/zh
Publication of CN112087977A publication Critical patent/CN112087977A/zh
Application granted granted Critical
Publication of CN112087977B publication Critical patent/CN112087977B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3476Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1487Trocar-like, i.e. devices producing an enlarged transcutaneous opening
    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366Detecting abnormal QRS complex, e.g. widening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61B5/6851Guide wires
    • 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
    • A61B5/6867Arrangements 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
    • A61B5/6869Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • 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
    • 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
    • A61M25/09041Mechanisms for insertion of guide wires
    • 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
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00148Coatings on the energy applicator with metal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00357Endocardium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1435Spiral
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/144Wire
    • 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
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • A61B2090/3941Photoluminescent markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3995Multi-modality markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Robotics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CN201980029845.4A 2018-05-08 2019-05-07 用于穿刺组织的方法和装置 Active CN112087977B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111345543.3A CN114145817A (zh) 2018-05-08 2019-05-07 在穿刺线上制造至少一个位置标记物的方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862668396P 2018-05-08 2018-05-08
US62/668,396 2018-05-08
PCT/IB2019/053745 WO2019215618A1 (en) 2018-05-08 2019-05-07 Methods and devices for puncturing tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202111345543.3A Division CN114145817A (zh) 2018-05-08 2019-05-07 在穿刺线上制造至少一个位置标记物的方法

Publications (2)

Publication Number Publication Date
CN112087977A CN112087977A (zh) 2020-12-15
CN112087977B true CN112087977B (zh) 2021-10-26

Family

ID=68467981

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201980029845.4A Active CN112087977B (zh) 2018-05-08 2019-05-07 用于穿刺组织的方法和装置
CN202111345543.3A Pending CN114145817A (zh) 2018-05-08 2019-05-07 在穿刺线上制造至少一个位置标记物的方法

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN202111345543.3A Pending CN114145817A (zh) 2018-05-08 2019-05-07 在穿刺线上制造至少一个位置标记物的方法

Country Status (9)

Country Link
US (3) US11497549B2 (enExample)
EP (4) EP3790488B1 (enExample)
JP (5) JP7337846B2 (enExample)
KR (2) KR20220093014A (enExample)
CN (2) CN112087977B (enExample)
AU (1) AU2019265782B2 (enExample)
BR (1) BR112020022839A2 (enExample)
CA (1) CA3099451A1 (enExample)
WO (2) WO2019215621A1 (enExample)

Families Citing this family (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9668881B1 (en) 2013-03-15 2017-06-06 Surgentec, Llc Bone graft delivery system and method for using same
US12551237B2 (en) 2017-11-01 2026-02-17 University Of Maryland, Baltimore Apparatus and method for septal punch
US12263314B2 (en) * 2019-03-20 2025-04-01 Canon U.S.A., Inc. Imaging catheter with radiopaque markers
USD963855S1 (en) * 2019-09-04 2022-09-13 Boston Scientific Medical Device Limited Electrosurgical device with a curve
USD950727S1 (en) * 2019-09-04 2022-05-03 Baylis Medical Company Inc. Medical device with a curve with a proximal curve indicator
US20210220620A1 (en) * 2020-01-22 2021-07-22 Baylis Medical Company Inc. Medical guidewire assembly having identification device
US20230172658A1 (en) * 2020-04-09 2023-06-08 Boston Scientific Medical Device Limited Catheter and perforation system including catheter
JP2023523707A (ja) 2020-04-22 2023-06-07 ボストン サイエンティフィック メディカル デバイス リミテッド シースアセンブリ及び/又はダイレータアセンブリ
EP4149379A4 (en) * 2020-05-11 2024-06-19 Boston Scientific Medical Device Limited ELECTROSURGICAL DEVICE WITH AUTOMATIC SHUT-OFF
US20210353356A1 (en) * 2020-05-14 2021-11-18 Singlepass Transsepat, Inc. Tubular large bore transseptal crossing sheath
AU2021291158B2 (en) * 2020-06-17 2023-11-30 Boston Scientific Medical Device Limited Electroanatomical mapping system
US12599338B2 (en) 2020-06-19 2026-04-14 Boston Scientific Medical Device Limited Deflectable elongated guidewire assembly
JP7571275B2 (ja) * 2020-07-08 2024-10-22 ボストン サイエンティフィック メディカル デバイス リミテッド 医療装置のシステム及び心膜穿刺の方法
US12321072B2 (en) 2020-07-09 2025-06-03 Lg Chem, Ltd. Optical device
WO2022013791A1 (en) * 2020-07-17 2022-01-20 Baylis Medical Company Inc. System and method for pericardial puncture
WO2022034441A1 (en) * 2020-08-12 2022-02-17 Baylis Medical Company Inc. System of medical devices and method for pericardial puncture
WO2022046777A1 (en) 2020-08-25 2022-03-03 Cross Vascular, Inc. Transseptal crossing system
EP4208115A4 (en) * 2020-09-04 2024-10-02 Boston Scientific Medical Device Limited Guidewire having guidewire markers
JP7633388B2 (ja) * 2020-09-10 2025-02-19 ボストン サイエンティフィック メディカル デバイス リミテッド スタイレット、スタイレットを含むシステム、及びスタイレットを使用して医療処置を実行するための方法
CA3196411A1 (en) * 2020-09-22 2022-03-31 Boston Scientific Medical Device Limited Medical puncture device
CN116744849A (zh) * 2021-01-12 2023-09-12 波士顿科学医疗设备有限公司 微导管
CN116916994B (zh) * 2021-02-22 2026-04-17 株式会社钟化 穿刺设备
US20220370121A1 (en) * 2021-05-20 2022-11-24 Biosense Webster (Israel) Ltd. Tissue puncture using high articulation microcatheter and electrically active guidewire
WO2023023568A1 (en) * 2021-08-19 2023-02-23 Percassist, Inc. Pericardial access and anchor systems
IL314065A (en) * 2022-01-06 2024-09-01 Us Health Systems and methods for cutting tissues
CN119031954A (zh) * 2022-03-17 2024-11-26 波士顿科学医疗设备有限公司 增强型扩张器
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US20230380890A1 (en) * 2022-05-26 2023-11-30 Biosense Webster (Israel) Ltd. Transseptal tissue puncture apparatuses, systems, and methods
US20240032985A1 (en) * 2022-07-28 2024-02-01 Boston Scientific Medical Device Limited Method for determining puncture entry location using electroanatomic mapping
US20240090919A1 (en) * 2022-09-15 2024-03-21 Boston Scientific Medical Device Limited Apparatus and method for tissue puncture during pericardiocentesis
US20240099768A1 (en) * 2022-09-22 2024-03-28 Biosense Webster (Israel) Ltd. Two-segment deflectin catheter with side exit guidwire lumen
US12490963B2 (en) 2022-12-27 2025-12-09 Transmural Systems Llc Tissue cutting systems and methods
WO2024145059A1 (en) 2022-12-27 2024-07-04 Transmural Systems Llc Tissue cutting systems and methods
JP2026501602A (ja) 2022-12-27 2026-01-16 トランスミューラル システムズ エルエルシー カテーテル及びアクチュエータシステム及び方法
CN120676915A (zh) 2022-12-28 2025-09-19 阿特拉弗斯医疗股份有限公司 用于给组织结构穿孔的方法、系统和装置
CN121368459A (zh) * 2023-06-01 2026-01-20 爱德华兹生命科学公司 心包空间通路
WO2024253965A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Layered core insulated guidewire
CN121463915A (zh) * 2023-07-07 2026-02-03 波士顿科学医学有限公司 具有内部电极的电解剖标测设备
US20250041021A1 (en) * 2023-08-04 2025-02-06 Boston Scientific Medical Device Limited Positional markers for catheter wires
AU2024338448A1 (en) * 2023-09-05 2026-03-19 Protaryx Medical Inc. Apparatus and method for septal penetration
CN119214754B (zh) * 2024-09-29 2025-09-26 苏州康多机器人有限公司 一种智能穿刺装置及手术机器人

Family Cites Families (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5368581A (en) 1976-12-01 1978-06-19 Hitachi Ltd Semiconductor device
US5688269A (en) * 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5312401A (en) * 1991-07-10 1994-05-17 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US6030371A (en) * 1996-08-23 2000-02-29 Pursley; Matt D. Catheters and method for nonextrusion manufacturing of catheters
US20010051790A1 (en) * 1998-12-16 2001-12-13 Parker Fred T. Finishing technique for a guiding catheter
US6270476B1 (en) 1999-04-23 2001-08-07 Cryocath Technologies, Inc. Catheter
US6478793B1 (en) * 1999-06-11 2002-11-12 Sherwood Services Ag Ablation treatment of bone metastases
US6306132B1 (en) * 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
NO20010184A (no) * 2001-01-11 2002-04-22 Medinnova As Anordning for lokalisering av fossa ovalis
US8043287B2 (en) * 2002-03-05 2011-10-25 Kimberly-Clark Inc. Method of treating biological tissue
JP2004057815A (ja) * 2002-06-07 2004-02-26 Olympus Corp 内視鏡用処置具装置
JP4511935B2 (ja) * 2002-08-24 2010-07-28 サブラマニアム シー. クリシュナン 経中隔穿刺装置
US10493259B2 (en) * 2003-01-21 2019-12-03 Baylis Medical Company Inc. Medical apparatus for fluid communication
US7270662B2 (en) * 2004-01-21 2007-09-18 Naheed Visram Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device
US20040143262A1 (en) * 2003-01-21 2004-07-22 Baylis Medical Company Inc. Surgical perforation device and method with pressure monitoring and staining abilities
US8721634B2 (en) * 2005-07-21 2014-05-13 Covidien Lp Apparatus and method for ensuring thermal treatment of a hollow anatomical structure
US8308720B2 (en) * 2007-01-02 2012-11-13 Baylis Medical Company Inc. Cardiac electrosurgery
US9179932B2 (en) * 2007-01-02 2015-11-10 Baylis Medical Company Inc. Cardiac electrosurgery
US8155756B2 (en) * 2007-02-16 2012-04-10 Pacesetter, Inc. Motion-based optimization for placement of cardiac stimulation electrodes
US8900214B2 (en) 2007-03-30 2014-12-02 Onset Medical Corporation Expandable trans-septal sheath
US8500697B2 (en) * 2007-10-19 2013-08-06 Pressure Products Medical Supplies, Inc. Transseptal guidewire
EP2268214A1 (en) 2008-03-11 2011-01-05 UMC Utrecht Holding B.V. Device and method for transseptal puncturing
JP5689412B2 (ja) * 2008-05-16 2015-03-25 エシコン・エルエルシーEthicon, LLC コード化された異種機能性縫合糸及び方法
BRPI1014683B1 (pt) 2009-03-03 2020-01-07 Mani, Inc. Stent
US9980818B2 (en) * 2009-03-31 2018-05-29 Edwards Lifesciences Corporation Prosthetic heart valve system with positioning markers
US9072872B2 (en) 2010-10-29 2015-07-07 Medtronic, Inc. Telescoping catheter delivery system for left heart endocardial device placement
CA2824058A1 (en) * 2011-01-10 2012-07-19 Spotlight Technology Partners Llc Apparatus and methods for accessing and treating a body cavity, lumen, or ostium
CN202300672U (zh) 2011-10-26 2012-07-04 德尔福(上海)动力推进系统有限公司 集成进气压力传感器的电喷控制装置
WO2013101923A1 (en) * 2011-12-29 2013-07-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System for optimized coupling of ablation catheters to body tissues and evaluation of lesions formed by the catheters
US9821145B2 (en) * 2012-03-23 2017-11-21 Pressure Products Medical Supplies Inc. Transseptal puncture apparatus and method for using the same
US8961550B2 (en) * 2012-04-17 2015-02-24 Indian Wells Medical, Inc. Steerable endoluminal punch
WO2014025394A1 (en) * 2012-08-09 2014-02-13 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
US10321953B2 (en) * 2012-10-25 2019-06-18 Medtronic Holding Company Sàrl Surgical mapping tools and methods
US20140180072A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation System and Method for Precisely Locating an Intravascular Device
CN103908729B (zh) * 2012-12-28 2016-12-28 米特拉利根公司 能量辅助组织穿刺装置及其使用方法
EP4032491B1 (en) * 2013-03-14 2025-08-20 Boston Scientific Medical Device Limited Electrosurgical device having a lumen
US9693820B2 (en) 2013-03-15 2017-07-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System for detecting catheter electrodes entering into and exiting from an introducer
CA3220441A1 (en) * 2013-03-15 2015-09-17 Boston Scientific Medical Device Limited Electrosurgical device having a distal aperture
EP2967746B1 (en) * 2013-03-15 2019-05-08 Baylis Medical Company Inc. Electrosurgical device having a distal aperture
US9775643B2 (en) 2013-05-08 2017-10-03 Clph, Llc Catheters and dilators for trans-septal procedures and methods for making and using them
TWI527811B (zh) * 2013-05-09 2016-04-01 吉李德科學股份有限公司 作爲溴結構域抑制劑的苯並咪唑衍生物
WO2015019132A1 (en) 2013-08-07 2015-02-12 Baylis Medical Company Inc. Methods and devices for puncturing tissue
WO2015061734A1 (en) 2013-10-25 2015-04-30 Creganna-Tactx Medical Improved transseptal crossing needle device
EP2881058B1 (en) * 2013-12-09 2018-02-14 Chenes LLC Cooled RF electrode
US10864041B2 (en) * 2014-01-29 2020-12-15 Baylis Medical Company Inc. Side-port catheter
BR112016022204B1 (pt) * 2014-03-24 2022-05-24 Baylis Medical Company Inc Aparelho médico para comunicação por fluido
CN107072636A (zh) * 2014-08-21 2017-08-18 皇家飞利浦有限公司 用于穿通闭塞的装置和方法
US11027104B2 (en) * 2014-09-04 2021-06-08 Silk Road Medical, Inc. Methods and devices for transcarotid access
US9993266B2 (en) * 2014-09-13 2018-06-12 Indian Wells Medical, Inc. Steerable endoluminal punch
WO2016160348A1 (en) * 2015-03-31 2016-10-06 SPIRATION, INC., d/b/a OLYMPUS RESPIRATORY AMERICA Catheter access device
EP3346898B1 (en) * 2015-09-09 2021-04-28 Baylis Medical Company Inc. Needle for epicardial access comprising an insulation, an exposed tip and a side port
JP2017067469A (ja) 2015-09-28 2017-04-06 ソニー株式会社 情報処理装置、情報処理方法およびコンピュータプログラム
CA3012709C (en) * 2016-03-18 2022-07-12 Teleflex Innovations S.A.R.L. Pacing guidewire
CN106725643A (zh) * 2016-06-22 2017-05-31 苏州茵络医疗器械有限公司 用于血管腔内手术的破膜器
US12207836B2 (en) 2016-11-01 2025-01-28 Boston Scientific Medical Device Limited Methods and devices for puncturing tissue

Also Published As

Publication number Publication date
EP3790488A4 (en) 2022-05-04
US11497549B2 (en) 2022-11-15
WO2019215618A1 (en) 2019-11-14
JP2021522905A (ja) 2021-09-02
JP2025113282A (ja) 2025-08-01
JP2021523772A (ja) 2021-09-09
BR112020022839A2 (pt) 2021-04-20
AU2019265782A1 (en) 2020-11-26
KR20220093014A (ko) 2022-07-04
EP4555954A3 (en) 2025-07-23
CN114145817A (zh) 2022-03-08
AU2019265782B2 (en) 2024-12-12
EP3790487A1 (en) 2021-03-17
US20210068892A1 (en) 2021-03-11
EP3790487A4 (en) 2022-06-08
JP7203343B2 (ja) 2023-01-13
EP3790488B1 (en) 2025-06-25
KR20200142095A (ko) 2020-12-21
CA3099451A1 (en) 2019-11-14
US20230040020A1 (en) 2023-02-09
US20210228268A1 (en) 2021-07-29
CN112087977A (zh) 2020-12-15
JP7682842B2 (ja) 2025-05-26
EP4252689A3 (en) 2024-02-28
JP7337846B2 (ja) 2023-09-04
EP3790487B1 (en) 2023-08-23
EP4252689A2 (en) 2023-10-04
KR102463750B1 (ko) 2022-11-04
JP2023153314A (ja) 2023-10-17
JP2023021358A (ja) 2023-02-10
EP4555954A2 (en) 2025-05-21
JP7639079B2 (ja) 2025-03-04
EP3790488A1 (en) 2021-03-17
WO2019215621A1 (en) 2019-11-14

Similar Documents

Publication Publication Date Title
JP7682842B2 (ja) 組織を穿刺するための方法及びデバイス
CN110114027B (zh) 用于穿刺组织的方法和装置
CN118871049A (zh) 医疗设备
US20230181236A1 (en) System of medical devices and method for pericardial puncture
CA3146937A1 (en) Medical sheath and systems and methods for using medical sheath
US20250381390A1 (en) Extraction devices and methods of extracting implanted medical devices
CN116744849A (zh) 微导管

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
GR01 Patent grant
GR01 Patent grant
TR01 Transfer of patent right
TR01 Transfer of patent right

Effective date of registration: 20220914

Address after: Ireland Galway

Patentee after: Boston Scientific Medical Devices Ltd.

Address before: Quebec, CAN

Patentee before: BAYLIS MEDICAL Co.,Inc.