DE60233401D1 - Medizinisches exzisions- und ultraschall-behandlungssystem - Google Patents

Medizinisches exzisions- und ultraschall-behandlungssystem

Info

Publication number
DE60233401D1
DE60233401D1 DE60233401T DE60233401T DE60233401D1 DE 60233401 D1 DE60233401 D1 DE 60233401D1 DE 60233401 T DE60233401 T DE 60233401T DE 60233401 T DE60233401 T DE 60233401T DE 60233401 D1 DE60233401 D1 DE 60233401D1
Authority
DE
Germany
Prior art keywords
tissue
medical
retaining
ultrasound
treatment system
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.)
Expired - Lifetime
Application number
DE60233401T
Other languages
English (en)
Inventor
Inder Raj Makin
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.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery 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 Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Application granted granted Critical
Publication of DE60233401D1 publication Critical patent/DE60233401D1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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
    • A61B8/12—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
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
    • A61B8/4488—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer the transducer being a phased array
    • 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
    • A61N7/022—Localised ultrasound hyperthermia intracavitary
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/2202—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • 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
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • 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
    • A61B2090/3929—Active 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
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • A61B2090/3975—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0078—Ultrasound therapy with multiple treatment transducers
DE60233401T 2001-05-29 2002-05-28 Medizinisches exzisions- und ultraschall-behandlungssystem Expired - Lifetime DE60233401D1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US29413501P 2001-05-29 2001-05-29
US10/153,510 US20030014093A1 (en) 2001-05-29 2002-05-22 Excisional and ultrasound medical treatment system
PCT/US2002/016697 WO2002096505A2 (en) 2001-05-29 2002-05-28 Excisional and ultrasound medical treatment system

Publications (1)

Publication Number Publication Date
DE60233401D1 true DE60233401D1 (de) 2009-10-01

Family

ID=23132036

Family Applications (3)

Application Number Title Priority Date Filing Date
DE60235541T Expired - Lifetime DE60235541D1 (de) 2001-05-29 2002-05-28 Aufspannbare medizinische ultraschall-wandler
DE60238838T Expired - Lifetime DE60238838D1 (de) 2001-05-29 2002-05-28 Gewebe-haltesystem für medizinische ultraschallbehandlung
DE60233401T Expired - Lifetime DE60233401D1 (de) 2001-05-29 2002-05-28 Medizinisches exzisions- und ultraschall-behandlungssystem

Family Applications Before (2)

Application Number Title Priority Date Filing Date
DE60235541T Expired - Lifetime DE60235541D1 (de) 2001-05-29 2002-05-28 Aufspannbare medizinische ultraschall-wandler
DE60238838T Expired - Lifetime DE60238838D1 (de) 2001-05-29 2002-05-28 Gewebe-haltesystem für medizinische ultraschallbehandlung

Country Status (9)

Country Link
US (12) US20030013960A1 (de)
EP (8) EP1397075B1 (de)
JP (10) JP2004532691A (de)
AT (3) ATE439807T1 (de)
AU (4) AU2002314816B2 (de)
CA (7) CA2449062A1 (de)
DE (3) DE60235541D1 (de)
ES (1) ES2356808T3 (de)
WO (10) WO2002096501A2 (de)

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WO2002096507A3 (en) 2003-11-20
US20030018270A1 (en) 2003-01-23
JP2004530481A (ja) 2004-10-07
EP1401530A4 (de) 2006-10-04
CA2448957A1 (en) 2002-12-05
WO2002096508A3 (en) 2003-07-24
EP1397073B1 (de) 2009-08-19
ATE459293T1 (de) 2010-03-15
EP1397073A2 (de) 2004-03-17
WO2002096501A3 (en) 2004-03-11
CA2449068A1 (en) 2002-12-05
WO2002096304A8 (en) 2004-04-29
WO2002096481A2 (en) 2002-12-05
JP2004537350A (ja) 2004-12-16
WO2002096508A8 (en) 2003-10-30
EP1397075B1 (de) 2010-03-03
US20030018266A1 (en) 2003-01-23
US20030032898A1 (en) 2003-02-13
US20030013960A1 (en) 2003-01-16
WO2002096501A2 (en) 2002-12-05
EP1432355A2 (de) 2004-06-30
US20030069502A1 (en) 2003-04-10
WO2002096503A3 (en) 2003-09-25
CA2449015A1 (en) 2002-12-05
ATE494041T1 (de) 2011-01-15
WO2002096506A9 (en) 2004-05-13
JP2004532689A (ja) 2004-10-28
US20130226040A1 (en) 2013-08-29
WO2002096506A2 (en) 2002-12-05
US7806892B2 (en) 2010-10-05
US20030013972A1 (en) 2003-01-16
EP1401530A2 (de) 2004-03-31
WO2002096304A1 (en) 2002-12-05
CA2449062A1 (en) 2002-12-05
CA2449568A1 (en) 2002-12-05
WO2002096505A3 (en) 2003-11-06
JP2004532688A (ja) 2004-10-28
WO2002096502A2 (en) 2002-12-05
EP1427343A2 (de) 2004-06-16
WO2002096506A3 (en) 2003-10-30
AU2002312086B2 (en) 2007-06-14
WO2002096508A2 (en) 2002-12-05
EP1397074A2 (de) 2004-03-17
EP1397070A2 (de) 2004-03-17
WO2002096304A9 (en) 2004-07-22
EP2289443A2 (de) 2011-03-02
EP1432355A4 (de) 2006-10-04
EP1427343A4 (de) 2006-07-12
WO2002096502A9 (en) 2004-04-22
US9005144B2 (en) 2015-04-14
DE60235541D1 (de) 2010-04-15
AU2002312085B2 (en) 2007-06-21
US7473224B2 (en) 2009-01-06
EP1397075A2 (de) 2004-03-17
ATE439807T1 (de) 2009-09-15
US20030013970A1 (en) 2003-01-16
WO2002096503A2 (en) 2002-12-05
CA2449012A1 (en) 2002-12-05
JP2004532686A (ja) 2004-10-28
AU2002314816B2 (en) 2007-06-21
EP1397075A4 (de) 2006-07-19
JP2004532691A (ja) 2004-10-28
WO2002096507A2 (en) 2002-12-05
US20030013971A1 (en) 2003-01-16
US8333721B2 (en) 2012-12-18
EP2289443A3 (de) 2014-10-01
US20030014093A1 (en) 2003-01-16
JP2004528925A (ja) 2004-09-24
WO2002096502A3 (en) 2004-03-18
WO2002096504A9 (en) 2004-04-29
EP2289443B1 (de) 2016-04-20
EP1397073A4 (de) 2006-07-12
WO2002096506A8 (en) 2003-05-15
CA2448906A1 (en) 2002-12-05
EP1397070A4 (de) 2006-07-12
US20030092988A1 (en) 2003-05-15
WO2002096504A2 (en) 2002-12-05
WO2002096481A3 (en) 2003-04-17
JP2004535860A (ja) 2004-12-02
EP1397074B1 (de) 2011-01-05
JP2004532690A (ja) 2004-10-28
AU2002303862B2 (en) 2007-09-06
WO2002096504A3 (en) 2003-11-06
EP1397074A4 (de) 2006-07-12
WO2002096505A2 (en) 2002-12-05
DE60238838D1 (de) 2011-02-17
JP2004528924A (ja) 2004-09-24
ES2356808T3 (es) 2011-04-13
WO2002096508A9 (en) 2003-12-24
US20100312151A1 (en) 2010-12-09

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