DK2892435T3 - Interventionsindretning - Google Patents

Interventionsindretning Download PDF

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Publication number
DK2892435T3
DK2892435T3 DK13759192.1T DK13759192T DK2892435T3 DK 2892435 T3 DK2892435 T3 DK 2892435T3 DK 13759192 T DK13759192 T DK 13759192T DK 2892435 T3 DK2892435 T3 DK 2892435T3
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Denmark
Prior art keywords
needle
instrument
end piece
piece
proximal
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DK13759192.1T
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English (en)
Inventor
Daniel Fossum Bratbak
Ståle Nordgård
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Norwegian Univ Sci & Tech Ntnu
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Priority claimed from GB201215949A external-priority patent/GB201215949D0/en
Priority claimed from GB201215950A external-priority patent/GB201215950D0/en
Application filed by Norwegian Univ Sci & Tech Ntnu filed Critical Norwegian Univ Sci & Tech Ntnu
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Publication of DK2892435T3 publication Critical patent/DK2892435T3/da

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/43—Enzymes; Proenzymes; Derivatives thereof
    • A61K38/46—Hydrolases (3)
    • A61K38/48—Hydrolases (3) acting on peptide bonds (3.4)
    • A61K38/4886—Metalloendopeptidases (3.4.24), e.g. collagenase
    • A61K38/4893—Botulinum neurotoxin (3.4.24.69)
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/20—Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/24—Ampoule syringes, i.e. syringes with needle for use in combination with replaceable ampoules or carpules, e.g. automatic
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/28—Syringe ampoules or carpules, i.e. ampoules or carpules provided with a needle
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3286—Needle tip design, e.g. for improved penetration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/06—Antimigraine agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A61P27/02—Ophthalmic agents
    • 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
    • A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • 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
    • A61B2034/2055—Optical 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
    • A61B2034/2068—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • 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
    • A61B2090/372—Details of monitor hardware
    • 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
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • 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
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/20—Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • A61M2005/206—With automatic needle insertion
    • 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
    • A61M2209/00—Ancillary equipment
    • A61M2209/01—Remote controllers for specific apparatus
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/06—Head
    • A61M2210/0687—Skull, cranium

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • Surgery (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Anesthesiology (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Epidemiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Immunology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Pain & Pain Management (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Radiology & Medical Imaging (AREA)
  • Dermatology (AREA)
  • Surgical Instruments (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Claims (15)

1. Indretning til indgreb i legemet, hvilken indretning omfatter: et endestykke (6) til indsættelse i legemet ved en distal ende deraf, hvilket endestykke inkluderer en stiv lumen til at holde et instrument (10) og føre instrumentet til den distale ende af endestykket; et legemsafsnit (4), som bærer lumenen og er stift forbundet dertil, hvilket legemsafsnit inkluderer et navigationsarray (14) til føring af indretningen under anvendelse af et kirurgisk navigationssystem og/eller inkluderer et forankringspunkt (16, 20, 22) for et standard navigationsarray; og et proksimalt stykke (2) til at holde en proksimal ende af instrumentet, hvor det proksimale stykke er positioneret ved en proksimal ende af endestykket og er forbundet til endestykket enten direkte eller via legemsafsnittet; kendetegnet ved, at det proksimale stykke omfatter en eller flere klemmer (24) til fastgørelse til instrumentet (10), hvor klemmen eller klemmerne er til at holde instrumentet på plads i forhold til endestykket og den distale ende deraf.
2. Indretning ifølge krav 1, hvor den distale ende af endestykket (6) omfatter en spids (8) til at gennembore legemet, hvilken spids har en tilspidset profil, som indsnævrer mod et punkt.
3. Indretning ifølge krav 1 eller 2, hvor endestykket (6) omfatter en skala eller anden markering til at vise indsættelsesdybden af endestykket i legemet.
4. Indretning ifølge et hvilket som helst af de foregående krav, som har et navigationsarray (14) stift forbundet dertil, hvilket array omfatter en flerhed af optiske markører (18) placeret i et plan med hinanden og ved kendte positioner i forhold til endestykket (6) eller en elektromagnetisk positionssensor ved en kendt position i forhold til endestykket.
5. Indretning ifølge krav 4, hvor navigationsarrayet (14) holdes i et spor (46) på legemsafsnittet (4) der tillader glidbar bevægelse i forhold til legemsafsnittet, og hvor navigationsarrayet er stift forbundet til instrumentet.
6. Indretning ifølge et hvilket som helst af de foregående krav, hvor det proksimale stykke (2) omfatter bevægelige dele til forbindelse til instrumentet (10) og til bevægelse med instrumentet, idet det bevæger sig i forhold til endestykket (6).
7. Indretning ifølge et hvilket som helst af de foregående krav, hvor navigationsarrayet (14) holdes i et spor (46) på legemsafsnittet der tillader glidbar bevægelse i forhold til legemsafsnittet (4), og hvor navigationsarrayet er stift forbundet til instrumentet (10) via en kobling mellem det proksimale stykke (2) og navigationsarrayet.
8. Indretning ifølge et hvilket som helst af de foregående krav, hvor indretningen er til injektion af substanser i legemet, og endestykket (6) er til at modtage og føre en nål (10).
9. Indretning ifølge et hvilket som helst af de foregående krav, hvor lumenen er dimensioneret til at modtage en nål (10) på 25G eller mindre.
10. Indretning ifølge et hvilket som helst af de foregående krav i kombination med en nål (10) som instrumentet, hvilken nål inkluderer en nålespids, som har en let afrundet ende og åbninger på hver side af spidsen fremfor ved den spidse ende.
11. Indretning ifølge krav 10, omfattende en beholder såsom en ampul (32) eller sprøjte (44), hvilken beholder er fastgjort til nålen ved legemsafsnittet (4) eller ved det proksimale stykke (2).
12. Indretning ifølge krav 11, omfattende en første, låsende mekanisme til at låse det proksimale stykke (2) og en anden, injektionsmekanisme til at indsuge og derefter injicere en substans fra beholderen (32, 44).
13. Indretning ifølge et hvilket som helst af kravene 1 til 8, i kombination med et instrument, hvor instrumentet er en peger, en neurostimulator, en nål til kernenålbiopsi, en nål til finnålbiopsi, en elektrode til elektrisk eller radiofrekvensablationsterapi eller en kanyle til kemisk ablativ terapi.
14. Billedført kirurgisk navigationssystem omfattende en indretning ifølge et hvilket som helst af de foregående krav og et computerprogramprodukt eksekverbart på det kirurgiske navigationssystem, hvor computerprogramproduktet indeholder instruktioner, som når eksekveret, vil konfigurere det billedførte kirurgiske navigationssystem til at føre endestykket (6) af indretningen mod et målsted i legemet.
15. Billedført kirurgisk navigationssystem ifølge krav 14, hvor computerprogramproduktet konfigurerer det billedførte kirurgiske navigationssystem til at føre endestykket (6) mod ganglion pterygopalatinum (SPG) langs en lateral tilgang.
DK13759192.1T 2012-09-06 2013-09-06 Interventionsindretning DK2892435T3 (da)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB201215949A GB201215949D0 (en) 2012-09-06 2012-09-06 Method
GB201215950A GB201215950D0 (en) 2012-09-06 2012-09-06 Intervention device
PCT/EP2013/068508 WO2014037524A1 (en) 2012-09-06 2013-09-06 Intervention device

Publications (1)

Publication Number Publication Date
DK2892435T3 true DK2892435T3 (da) 2018-12-03

Family

ID=49118519

Family Applications (2)

Application Number Title Priority Date Filing Date
DK13760029.2T DK2892436T3 (da) 2012-09-06 2013-09-06 Behandling af hovedpine med indsprøjtning af neuroinhibitorisk stof i ganglion sphenopalatinum eller ganglion oticum
DK13759192.1T DK2892435T3 (da) 2012-09-06 2013-09-06 Interventionsindretning

Family Applications Before (1)

Application Number Title Priority Date Filing Date
DK13760029.2T DK2892436T3 (da) 2012-09-06 2013-09-06 Behandling af hovedpine med indsprøjtning af neuroinhibitorisk stof i ganglion sphenopalatinum eller ganglion oticum

Country Status (10)

Country Link
US (4) US10716834B2 (da)
EP (2) EP2892435B1 (da)
AU (2) AU2013311572B2 (da)
CA (2) CA2883893C (da)
DK (2) DK2892436T3 (da)
ES (2) ES2729247T3 (da)
LT (1) LT2892436T (da)
PL (1) PL2892435T3 (da)
PT (1) PT2892435T (da)
WO (2) WO2014037524A1 (da)

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