CN112334086B - 辅助定位热消融设备 - Google Patents

辅助定位热消融设备 Download PDF

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Publication number
CN112334086B
CN112334086B CN201980043569.7A CN201980043569A CN112334086B CN 112334086 B CN112334086 B CN 112334086B CN 201980043569 A CN201980043569 A CN 201980043569A CN 112334086 B CN112334086 B CN 112334086B
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CN
China
Prior art keywords
thermal
ablation device
thermal ablation
path
ablation
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Active
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CN201980043569.7A
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English (en)
Chinese (zh)
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CN112334086A (zh
Inventor
J·L·库斯特拉
A·J·奥尔德塔简艾莱威尔特
D·宾内卡普
J·G·格伦
E·范戴克
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Koninklijke Philips NV
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Koninklijke Philips NV
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Classifications

    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1869—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument interstitially inserted into the body, e.g. needles
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B2034/2065—Tracking using image or pattern recognition
    • 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
    • A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/032—Transmission computed tomography [CT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/54—Control of apparatus or devices for radiation diagnosis
    • A61B6/542—Control of apparatus or devices for radiation diagnosis involving control of exposure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Robotics (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Surgical Instruments (AREA)
CN201980043569.7A 2018-05-28 2019-05-08 辅助定位热消融设备 Active CN112334086B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP18174504.3 2018-05-28
EP18174504.3A EP3574861A1 (en) 2018-05-28 2018-05-28 System and method for assisting in positioning a thermal ablation device
PCT/EP2019/061797 WO2019228767A1 (en) 2018-05-28 2019-05-08 Assisting in positioning a thermal ablation device

Publications (2)

Publication Number Publication Date
CN112334086A CN112334086A (zh) 2021-02-05
CN112334086B true CN112334086B (zh) 2024-08-02

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201980043569.7A Active CN112334086B (zh) 2018-05-28 2019-05-08 辅助定位热消融设备

Country Status (5)

Country Link
US (1) US12186023B2 (https=)
EP (2) EP3574861A1 (https=)
JP (1) JP7420746B2 (https=)
CN (1) CN112334086B (https=)
WO (1) WO2019228767A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3895645A1 (en) * 2020-04-14 2021-10-20 Koninklijke Philips N.V. Ablation planning system
CN111743626B (zh) * 2020-07-03 2021-09-10 海杰亚（北京）医疗器械有限公司 肿瘤穿刺路径获得设备及存储介质
US20230355301A1 (en) * 2022-05-03 2023-11-09 Medtronic, Inc. Ablation assistance using numeric modeling
US20250262007A1 (en) * 2024-02-21 2025-08-21 Varian Medical Systems, Inc. Temperature volume histogram generation apparatus and method
CN118634024B (zh) * 2024-05-30 2025-02-25 默华医疗科技(广州)有限公司 可伸缩调节的射频消融方法及系统

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106132330A (zh) * 2014-03-22 2016-11-16 远藤护理有限公司 用于消融治疗计划和消融装置的手术中位置更新的系统和方法

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Publication number Priority date Publication date Assignee Title
US20090171203A1 (en) * 2006-05-02 2009-07-02 Ofer Avital Cryotherapy Insertion System and Method
US9002076B2 (en) * 2008-04-15 2015-04-07 Medtronic, Inc. Method and apparatus for optimal trajectory planning
WO2011080666A1 (en) 2009-12-30 2011-07-07 Koninklijke Philips Electronics N.V. Dynamic ablation device
CN103209653B (zh) * 2010-11-18 2017-04-26 皇家飞利浦电子股份有限公司 用于概率消融规划的系统
CN103717167B (zh) * 2011-07-28 2017-06-27 皇家飞利浦有限公司 消融规划系统
DE102011083522B4 (de) 2011-09-27 2015-06-18 Friedrich-Alexander-Universität Erlangen-Nürnberg Verfahren und Vorrichtung zur Visualisierung der Qualität eines Ablationsvorgangs
EP2994196A2 (en) * 2013-05-08 2016-03-16 Koninklijke Philips N.V. Hifu treatment optimization in vicinity of sensitive zones
EP3300769B1 (en) * 2014-09-22 2020-06-17 Koninklijke Philips N.V. Radiation therapy planning optimization and visualization
US10695129B2 (en) * 2015-03-26 2020-06-30 Koninklijke Philips N.V. System and method for tumor ablation treatment planning including core tumor, margin and healthy tissue coverage
US20160317230A1 (en) * 2015-04-30 2016-11-03 Covidien Lp Computer-readable media storing programs for microwave ablation planning and procedure
US20170319276A1 (en) * 2016-05-03 2017-11-09 Covidien Lp Systems and methods facilitating application of an appropriate thermal dosage in microwave ablation procedures
US10828509B2 (en) * 2018-02-13 2020-11-10 Varian Medical Systems International Ag Optimizing radiation dose to overlapping structures

Patent Citations (1)

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Publication number Priority date Publication date Assignee Title
CN106132330A (zh) * 2014-03-22 2016-11-16 远藤护理有限公司 用于消融治疗计划和消融装置的手术中位置更新的系统和方法

Also Published As

Publication number Publication date
JP2021525147A (ja) 2021-09-24
CN112334086A (zh) 2021-02-05
US20210137606A1 (en) 2021-05-13
JP7420746B2 (ja) 2024-01-23
US12186023B2 (en) 2025-01-07
EP3801345B1 (en) 2024-07-10
EP3574861A1 (en) 2019-12-04
WO2019228767A1 (en) 2019-12-05
EP3801345A1 (en) 2021-04-14

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