CN114869353B - 用于身体通路导航和可视化的系统 - Google Patents

用于身体通路导航和可视化的系统

Info

Publication number
CN114869353B
CN114869353B CN202210318557.4A CN202210318557A CN114869353B CN 114869353 B CN114869353 B CN 114869353B CN 202210318557 A CN202210318557 A CN 202210318557A CN 114869353 B CN114869353 B CN 114869353B
Authority
CN
China
Prior art keywords
ultrasound probe
elongate member
end cap
working channel
configuration
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
CN202210318557.4A
Other languages
English (en)
Chinese (zh)
Other versions
CN114869353A (zh
Inventor
肖恩·P·弗勒里
皮特·L·代顿
赖安·V·威尔士
保罗·史密斯
斯科特·E·布雷克比尔
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 Scimed Inc
Original Assignee
Scimed Life Systems 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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of CN114869353A publication Critical patent/CN114869353A/zh
Application granted granted Critical
Publication of CN114869353B publication Critical patent/CN114869353B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089—Hoods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4455—Features of the external shape of the probe, e.g. ergonomic aspects
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A61B2010/045—Needles
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Endoscopes (AREA)
CN202210318557.4A 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统 Active CN114869353B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201762464166P 2017-02-27 2017-02-27
US62/464,166 2017-02-27
CN201880013438.XA CN110325121B (zh) 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统
PCT/US2018/019669 WO2018157038A1 (en) 2017-02-27 2018-02-26 Systems for body passage navigation and visualization

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201880013438.XA Division CN110325121B (zh) 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统

Publications (2)

Publication Number Publication Date
CN114869353A CN114869353A (zh) 2022-08-09
CN114869353B true CN114869353B (zh) 2025-08-12

Family

ID=61750515

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202210318557.4A Active CN114869353B (zh) 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统
CN201880013438.XA Active CN110325121B (zh) 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201880013438.XA Active CN110325121B (zh) 2017-02-27 2018-02-26 用于身体通路导航和可视化的系统

Country Status (8)

Country Link
US (2) US11202617B2 (enExample)
EP (1) EP3585270B1 (enExample)
JP (3) JP6795701B2 (enExample)
KR (3) KR20220056245A (enExample)
CN (2) CN114869353B (enExample)
AU (1) AU2018224224B2 (enExample)
CA (1) CA3046556C (enExample)
WO (1) WO2018157038A1 (enExample)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020079762A1 (ja) * 2018-10-16 2020-04-23 オリンパス株式会社 ガイドチューブ、超音波プローブ、超音波観察システム、及び超音波観察システムの使用方法
WO2020236595A1 (en) * 2019-05-17 2020-11-26 Boston Scientific Scimed, Inc. Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port
US11564655B2 (en) 2019-07-03 2023-01-31 Olympus Medical Systems Corporation Real-time sampling device
CN110292403A (zh) * 2019-07-04 2019-10-01 南京市胸科医院 一种支气管超声探测与活检同步取样的装置及方法
WO2022000533A1 (zh) * 2020-07-02 2022-01-06 江苏钱璟医疗器械有限公司 多腔管以及内窥镜组件
US12290313B2 (en) * 2020-09-28 2025-05-06 Boston Scientific Scimed, Inc. Dual-function medical devices with diagnostic and therapeutic tools
WO2022229947A1 (en) * 2021-04-25 2022-11-03 V.T.M. (Virtual Tape Measure) Technologies Ltd. A distal end of a probe configured for passing through a working channel in an endoscopic device
CN117615695A (zh) * 2021-05-12 2024-02-27 波士顿科学国际有限公司 用于在体腔内定位细长构件的装置、系统和方法
JP7732823B2 (ja) * 2021-09-27 2025-09-02 富士フイルム株式会社 超音波内視鏡用バルーン
US20250221611A1 (en) * 2022-03-29 2025-07-10 Intuitive Surgical Operations, Inc. Needle sensor derived image plane
CN116898385A (zh) * 2023-07-04 2023-10-20 北京大学 一种插入器械及内窥镜
CN117547329A (zh) * 2023-12-29 2024-02-13 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备
WO2025139662A1 (zh) * 2023-12-29 2025-07-03 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备

Family Cites Families (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2706145B2 (ja) * 1989-05-12 1998-01-28 オリンパス光学工業株式会社 体腔内診断用超音波探触子
JPH06500248A (ja) * 1990-08-21 1994-01-13 ボストン　サイエンティフィック　コーポレーション 音響撮像カテーテルその他
JPH0663042A (ja) * 1992-08-20 1994-03-08 Olympus Optical Co Ltd 体腔内超音波プローブ装置
JPH0663045A (ja) * 1992-08-20 1994-03-08 Olympus Optical Co Ltd 超音波内視鏡
JPH0663042U (ja) 1993-02-12 1994-09-06 時之助 池田 服薬報知器
JPH07136169A (ja) * 1993-11-10 1995-05-30 Fuji Photo Optical Co Ltd 超音波プローブ
US5474075A (en) * 1993-11-24 1995-12-12 Thomas Jefferson University Brush-tipped catheter for ultrasound imaging
JP2891086B2 (ja) * 1994-01-07 1999-05-17 富士写真光機株式会社 体内検査装置の処置具挿通路
JPH08131442A (ja) * 1994-11-04 1996-05-28 Olympus Optical Co Ltd 超音波内視鏡
JP3543027B2 (ja) 1995-04-10 2004-07-14 オリンパス株式会社 プローブ用湾曲シース
JP3092479B2 (ja) * 1995-05-31 2000-09-25 富士写真光機株式会社 超音波プローブ用キャップ
IL125417A (en) * 1996-02-02 2004-03-28 Transvascular Inc Apparatus for blocking flow through blood vessels
JPH10216133A (ja) * 1997-02-10 1998-08-18 Olympus Optical Co Ltd 超音波プローブ
JP2000126122A (ja) 1998-10-21 2000-05-09 Olympus Optical Co Ltd 体腔内診断装置
JP4363719B2 (ja) 1999-10-08 2009-11-11 オリンパス株式会社 超音波ガイド下穿刺システム装置
JP2003164455A (ja) * 2001-11-30 2003-06-10 Olympus Optical Co Ltd 超音波内視鏡とその超音波内視鏡用の気管チューブ
JP2003299657A (ja) * 2002-04-11 2003-10-21 Olympus Optical Co Ltd 超音波診断装置
US20060064009A1 (en) 2004-09-21 2006-03-23 Webler William E Vessel imaging devices and methods
JP4472497B2 (ja) 2004-11-22 2010-06-02 オリンパス株式会社 内視鏡
JP2006198162A (ja) * 2005-01-20 2006-08-03 Fuji Photo Film Co Ltd 超音波プローブ
US20080015569A1 (en) * 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US20060252993A1 (en) * 2005-03-23 2006-11-09 Freed David I Medical devices and systems
US20080004528A1 (en) * 2006-01-25 2008-01-03 Fitzsimons Thomas P Ultrasound medical system and methods
US8016749B2 (en) 2006-03-21 2011-09-13 Boston Scientific Scimed, Inc. Vision catheter having electromechanical navigation
WO2008008796A2 (en) * 2006-07-10 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
JP2008043669A (ja) 2006-08-21 2008-02-28 Fujifilm Corp 管内移動体用アクチュエータ、管内移動体、内視鏡用移動装置、並びに内視鏡
US8202216B2 (en) * 2007-03-08 2012-06-19 Warsaw Orthopedic, Inc. Tissue retractor
JP2010227129A (ja) 2009-03-25 2010-10-14 Fujifilm Corp 管内移動体用アクチュエータおよびその制御方法、内視鏡
JP5322761B2 (ja) * 2009-04-28 2013-10-23 オリンパス株式会社 内視鏡用アダプタ
US20100305557A1 (en) * 2009-06-02 2010-12-02 Chu Michael S H HTA Sheath with Removable Scope
US9642513B2 (en) * 2009-06-18 2017-05-09 Endochoice Inc. Compact multi-viewing element endoscope system
JP5285649B2 (ja) * 2010-03-31 2013-09-11 富士フイルム株式会社 内視鏡用フード
US20130225996A1 (en) 2012-02-28 2013-08-29 Spiration, Inc. Lung biopsy needle
US9295455B2 (en) 2012-04-20 2016-03-29 Terumo Kabushiki Kaisha Biopsy system and biopsy method
KR102057322B1 (ko) 2013-03-15 2019-12-19 데비코어 메디컬 프로덕츠, 인코포레이티드 생검 디바이스
EP3125772A4 (en) * 2014-04-02 2018-03-14 The Board of Trustees of The Leland Stanford Junior University Biopsy devices, systems, and methods for use
US11234581B2 (en) * 2014-05-02 2022-02-01 Endochoice, Inc. Elevator for directing medical tool

Also Published As

Publication number Publication date
KR20190121807A (ko) 2019-10-28
JP7196144B2 (ja) 2022-12-26
AU2018224224A1 (en) 2019-06-13
US11202617B2 (en) 2021-12-21
JP7664215B2 (ja) 2025-04-17
US12239485B2 (en) 2025-03-04
JP2023021302A (ja) 2023-02-10
CN110325121A (zh) 2019-10-11
CA3046556A1 (en) 2018-08-30
AU2018224224B2 (en) 2020-05-21
KR102431658B1 (ko) 2022-08-11
CA3046556C (en) 2021-10-12
US20220096050A1 (en) 2022-03-31
US20180242948A1 (en) 2018-08-30
CN110325121B (zh) 2022-04-19
KR20220056245A (ko) 2022-05-04
JP2021035570A (ja) 2021-03-04
KR102894009B1 (ko) 2025-12-03
KR20230154284A (ko) 2023-11-07
EP3585270B1 (en) 2025-10-29
WO2018157038A1 (en) 2018-08-30
EP3585270A1 (en) 2020-01-01
JP6795701B2 (ja) 2020-12-02
CN114869353A (zh) 2022-08-09
JP2020503116A (ja) 2020-01-30

Similar Documents

Publication Publication Date Title
JP7664215B2 (ja) 身体通路のナビゲーションおよび可視化用システム
US20260069257A1 (en) Device for collecting a biological sample
US5025778A (en) Endoscope with potential channels and method of using the same
US6793661B2 (en) Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms
JP4920235B2 (ja) 透明な拡張器およびその使用方法
CN105025973A (zh) 用于操纵体管腔或体腔的侧壁，以便提供该侧壁的增强可视化和/或对该侧壁的增强接近性，和/或用于相对于该侧壁稳定仪器的方法和设备
US8870817B2 (en) Methods of using an adjustable variable stiffness medical device
JP2004202236A (ja) 体の内腔の拡張に用いるための医療器具、内視鏡と共に用いる医療器具、および、医療器具を用いて体の内腔を拡張する方法
JPH05503434A (ja) 結腸鏡等の管状光ファイバー器具の挿入手段
JP2017515620A (ja) 生検デバイス、システム及びその使用方法
CN108348279B (zh) 用于针递送的护套
US20250325169A1 (en) Devices, systems, and methods for an instrument accessory
JP7076044B2 (ja) バルーンカテーテル
WO2025194248A1 (en) Systems and methods for continuous balloon assisted endoscopy
CN120302929A (zh) 用于对曲折的身体通路进行导航的可扩张装置和系统以及相关联的方法
WO2021075229A1 (ja) 気管支鏡、及びその使用方法

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