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 PDFInfo
- 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
Links
Images
Classifications
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- 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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- 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
- A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1487—Trocar-like, i.e. devices producing an enlarged transcutaneous opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6851—Guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
- A61B5/6869—Heart
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- 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
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
-
- 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/00148—Coatings on the energy applicator with metal
-
- 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
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
-
- 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
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00357—Endocardium
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1435—Spiral
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/144—Wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2055—Optical tracking systems
-
- 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
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication 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
-
- 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
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
-
- 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
- A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
-
- 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
- A61B2090/3937—Visible markers
-
- 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
- A61B2090/3937—Visible markers
- A61B2090/3941—Photoluminescent markers
-
- 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
- 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
- A61B2090/3995—Multi-modality markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details 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
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details 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
- A61B2218/007—Aspiration
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Cardiology (AREA)
- Plasma & Fusion (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Otolaryngology (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Robotics (AREA)
- Physiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Media Introduction/Drainage Providing Device (AREA)
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) | US20210068892A1 (https=) |
| EP (4) | EP4252689A3 (https=) |
| JP (5) | JP7203343B2 (https=) |
| KR (2) | KR102463750B1 (https=) |
| CN (2) | CN112087977B (https=) |
| AU (1) | AU2019265782B2 (https=) |
| BR (1) | BR112020022839A2 (https=) |
| CA (1) | CA3099451A1 (https=) |
| WO (2) | WO2019215618A1 (https=) |
Families Citing this family (41)
| 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 |
| EP4138691B1 (en) | 2020-04-22 | 2025-06-18 | Boston Scientific Medical Device Limited | Sheath assembly and/or dilator assembly |
| CA3173440A1 (en) | 2020-05-11 | 2021-11-18 | Matthew DICICCO | An electrosurgical device with automatic shut-off |
| US20210353356A1 (en) | 2020-05-14 | 2021-11-18 | Singlepass Transsepat, Inc. | Tubular large bore transseptal crossing sheath |
| EP4167890A4 (en) * | 2020-06-17 | 2024-07-31 | Boston Scientific Medical Device Limited | ELECTROANATOMIC MAPPING SYSTEM |
| CA3181848A1 (en) * | 2020-06-19 | 2021-12-23 | Christian Balkovec | Deflectable elongated guidewire assembly |
| WO2022009074A1 (en) * | 2020-07-08 | 2022-01-13 | Baylis Medical Company Inc. | System of medical devices and method for pericardial puncture |
| WO2022010185A1 (ko) | 2020-07-09 | 2022-01-13 | 주식회사 엘지화학 | 광학 디바이스 |
| JP7524454B2 (ja) * | 2020-07-17 | 2024-07-29 | 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 | 心膜穿刺のためのシステム及び方法 |
| EP4196030A4 (en) * | 2020-08-12 | 2024-09-25 | Boston Scientific Medical Device Limited | SYSTEM OF MEDICAL DEVICES AND METHODS FOR PERICARDIAL PUNCTURE |
| WO2022046777A1 (en) | 2020-08-25 | 2022-03-03 | Cross Vascular, Inc. | Transseptal crossing system |
| WO2022049519A1 (en) | 2020-09-04 | 2022-03-10 | Baylis Medical Company Inc. | Guidewire having guidewire markers |
| EP4210614A4 (en) * | 2020-09-10 | 2024-09-25 | Boston Scientific Medical Device Limited | STYLUS, SYSTEM COMPRISING A STYLUS AND METHOD FOR CARRYING OUT A MEDICAL PROCEDURE WITH A STYLUS |
| EP4216858A4 (en) * | 2020-09-22 | 2024-10-23 | 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 |
| WO2022176604A1 (ja) * | 2021-02-22 | 2022-08-25 | 株式会社カネカ | 穿刺デバイス |
| 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 |
| US12564706B2 (en) * | 2022-03-17 | 2026-03-03 | Boston Scientific Medical Device Limited | Enhanced dilator and methods of using the same |
| 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 |
| WO2024056867A1 (en) * | 2022-09-15 | 2024-03-21 | Boston Scientific Medical Device Limited | Apparatus 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 |
| CN121038709A (zh) | 2022-12-27 | 2025-11-28 | 透壁系统有限责任公司 | 导管和致动器系统及方法 |
| US12490963B2 (en) | 2022-12-27 | 2025-12-09 | Transmural Systems Llc | Tissue cutting systems and methods |
| WO2024145061A1 (en) | 2022-12-27 | 2024-07-04 | Transmural Systems Llc | Catheter and actuator systems and methods |
| AU2023415276A1 (en) | 2022-12-28 | 2025-07-10 | Atraverse Medical, Inc. | Methods, systems, and apparatuses for perforating tissue structures |
| WO2024249426A1 (en) * | 2023-06-01 | 2024-12-05 | Edwards Lifesciences Corporation | Pericardial space access |
| EP4723990A1 (en) * | 2023-06-09 | 2026-04-15 | Boston Scientific Scimed, Inc. | Layered core insulated guidewire |
| WO2025014727A1 (en) * | 2023-07-07 | 2025-01-16 | Boston Scientific Scimed, Inc. | Electroanatomical mapping device with internal electrode |
| WO2025031995A1 (en) * | 2023-08-04 | 2025-02-13 | 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)
| 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 |
| WO1998007523A1 (en) * | 1996-08-23 | 1998-02-26 | Pursley Matt D | Apparatus 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 |
| ATE506891T1 (de) * | 2002-08-24 | 2011-05-15 | St Jude Medical Atrial Fibrill | Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion |
| US10493259B2 (en) * | 2003-01-21 | 2019-12-03 | Baylis Medical Company Inc. | Medical apparatus for fluid communication |
| US20040143262A1 (en) * | 2003-01-21 | 2004-07-22 | Baylis Medical Company Inc. | Surgical perforation device and method with pressure monitoring and staining abilities |
| 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 |
| US20070179575A1 (en) | 2005-07-21 | 2007-08-02 | Esch Brady D | Thermal therapeutic catheter with location detection enhancement |
| 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 |
| US20110087261A1 (en) | 2008-03-11 | 2011-04-14 | Umc Utrecht Holding B.V. | Device and Method for Transseptal Puncturing |
| CN102076269B (zh) * | 2008-05-16 | 2015-01-28 | 伊西康有限责任公司 | 编码的异功能缝线和方法 |
| CN102341067B (zh) * | 2009-03-03 | 2014-08-06 | 马尼株式会社 | 标记物及支架 |
| 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 |
| US20140018732A1 (en) * | 2011-01-10 | 2014-01-16 | 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 |
| CN104023663B (zh) * | 2011-12-29 | 2018-12-21 | 圣犹达医疗用品电生理部门有限公司 | 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统 |
| 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 |
| JP6301926B2 (ja) * | 2012-08-09 | 2018-03-28 | ユニバーシティ オブ アイオワ リサーチ ファウンデーション | カテーテル、カテーテルシステム、及び組織構造を刺通する方法 |
| 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 |
| JP6462600B2 (ja) * | 2013-03-14 | 2019-01-30 | ベイリス メディカル カンパニー インコーポレイテッドBaylis Medical Company Inc. | ルーメンを有する電気外科手術デバイス |
| 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 |
| CA2905589A1 (en) * | 2013-03-15 | 2014-09-18 | Baylis Medical Company Inc. | Electrosurgical device having a distal aperture |
| CA2911661C (en) | 2013-05-08 | 2021-06-01 | 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 |
| US10327811B2 (en) * | 2013-10-25 | 2019-06-25 | Creganna Unlimited Company | Transseptal crossing needle device |
| EP2881058B1 (en) * | 2013-12-09 | 2018-02-14 | Chenes LLC | Cooled RF electrode |
| EP3099256B1 (en) * | 2014-01-29 | 2023-06-07 | Boston Scientific Medical Device Limited | Side-port catheter |
| CA3190740A1 (en) * | 2014-03-24 | 2015-10-01 | Boston Scientific Medical Device Limited | Medical apparatus for fluid communication |
| WO2016027198A1 (en) * | 2014-08-21 | 2016-02-25 | Koninklijke Philips N.V. | Device and methods for crossing occlusions |
| 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 |
| US10779883B2 (en) * | 2015-09-09 | 2020-09-22 | Baylis Medical Company Inc. | Epicardial access system and methods |
| 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 |
| EP3380188B1 (en) | 2016-03-18 | 2021-06-02 | Teleflex Life Sciences Limited | 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 |
| CN121775304A (zh) | 2016-11-01 | 2026-04-03 | 波士顿科学医疗设备有限公司 | 一种医用扩张器 |
-
2019
- 2019-05-07 US US17/053,139 patent/US20210068892A1/en active Pending
- 2019-05-07 KR KR1020207035220A patent/KR102463750B1/ko active Active
- 2019-05-07 JP JP2020562143A patent/JP7203343B2/ja active Active
- 2019-05-07 CA CA3099451A patent/CA3099451A1/en active Pending
- 2019-05-07 EP EP23185702.0A patent/EP4252689A3/en active Pending
- 2019-05-07 EP EP19800092.9A patent/EP3790487B1/en active Active
- 2019-05-07 EP EP25168296.9A patent/EP4555954A3/en active Pending
- 2019-05-07 KR KR1020227021877A patent/KR20220093014A/ko not_active Ceased
- 2019-05-07 JP JP2020562113A patent/JP7337846B2/ja active Active
- 2019-05-07 EP EP19800741.1A patent/EP3790488B1/en active Active
- 2019-05-07 AU AU2019265782A patent/AU2019265782B2/en active Active
- 2019-05-07 CN CN201980029845.4A patent/CN112087977B/zh active Active
- 2019-05-07 WO PCT/IB2019/053745 patent/WO2019215618A1/en not_active Ceased
- 2019-05-07 WO PCT/IB2019/053751 patent/WO2019215621A1/en not_active Ceased
- 2019-05-07 US US17/053,430 patent/US11497549B2/en active Active
- 2019-05-07 BR BR112020022839-7A patent/BR112020022839A2/pt not_active IP Right Cessation
- 2019-05-07 CN CN202111345543.3A patent/CN114145817A/zh active Pending
-
2022
- 2022-10-06 US US17/938,376 patent/US20230040020A1/en active Pending
- 2022-12-15 JP JP2022200286A patent/JP7682842B2/ja active Active
-
2023
- 2023-08-23 JP JP2023135327A patent/JP7639079B2/ja active Active
-
2025
- 2025-05-14 JP JP2025080929A patent/JP2025113282A/ja active Pending
Also Published As
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN112087977B (zh) | 用于穿刺组织的方法和装置 | |
| CN110114027B (zh) | 用于穿刺组织的方法和装置 | |
| US20210275246A1 (en) | Methods and Devices for Puncturing Tissue | |
| 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. |