EP3349639A4 - Sonde pédiculaire endoscopique éclairée à surveillance dynamique en temps réel de la proximité par rapport aux nerfs - Google Patents

Sonde pédiculaire endoscopique éclairée à surveillance dynamique en temps réel de la proximité par rapport aux nerfs Download PDF

Info

Publication number
EP3349639A4
EP3349639A4 EP16847542.4A EP16847542A EP3349639A4 EP 3349639 A4 EP3349639 A4 EP 3349639A4 EP 16847542 A EP16847542 A EP 16847542A EP 3349639 A4 EP3349639 A4 EP 3349639A4
Authority
EP
European Patent Office
Prior art keywords
nerves
proximity
real time
time monitoring
dynamic real
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.)
Withdrawn
Application number
EP16847542.4A
Other languages
German (de)
English (en)
Other versions
EP3349639A1 (fr
Inventor
Avery M. JACKSON III
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority claimed from PCT/US2016/052484 external-priority patent/WO2017049288A1/fr
Publication of EP3349639A1 publication Critical patent/EP3349639A1/fr
Publication of EP3349639A4 publication Critical patent/EP3349639A4/fr
Withdrawn legal-status Critical Current

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
    • A61B1/00087—Tools
    • 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
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00043—Operational features of endoscopes provided with output arrangements
    • A61B1/00045—Display arrangement
    • 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
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
    • 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
    • A61B1/015—Control of fluid supply or evacuation
    • 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
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A61B1/05—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • 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
    • A61B1/06—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 with illuminating arrangements
    • 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
    • A61B1/313—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 for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3135—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 for introducing through surgical openings, e.g. laparoscopes for examination of the epidural or the spinal space
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • 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
    • A61B5/389—Electromyography [EMG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • 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
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4058—Detecting, measuring or recording for evaluating the nervous system for evaluating the central nervous system
    • A61B5/407—Evaluating the spinal cord
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
EP16847542.4A 2015-09-17 2016-09-19 Sonde pédiculaire endoscopique éclairée à surveillance dynamique en temps réel de la proximité par rapport aux nerfs Withdrawn EP3349639A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201562219798P 2015-09-17 2015-09-17
PCT/US2016/052484 WO2017049288A1 (fr) 2015-09-17 2016-09-19 Sonde pédiculaire endoscopique éclairée à surveillance dynamique en temps réel de la proximité par rapport aux nerfs

Publications (2)

Publication Number Publication Date
EP3349639A1 EP3349639A1 (fr) 2018-07-25
EP3349639A4 true EP3349639A4 (fr) 2019-05-01

Family

ID=62388373

Family Applications (1)

Application Number Title Priority Date Filing Date
EP16847542.4A Withdrawn EP3349639A4 (fr) 2015-09-17 2016-09-19 Sonde pédiculaire endoscopique éclairée à surveillance dynamique en temps réel de la proximité par rapport aux nerfs

Country Status (2)

Country Link
EP (1) EP3349639A4 (fr)
CN (1) CN108135441A (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20210298591A1 (en) * 2018-08-09 2021-09-30 Optical Spine, Llc Translucent illuminated endoscopic probe
WO2020086254A1 (fr) * 2018-10-22 2020-04-30 Medtronic Xomed, Inc. Ensembles sonde de stimulation et procédés d'utilisation
CN110123316A (zh) * 2019-04-11 2019-08-16 中国科学院苏州生物医学工程技术研究所 一种无创喉肌电监测装置
CN113303802A (zh) * 2020-05-22 2021-08-27 河南省洛阳正骨医院（河南省骨科医院） 一种用于脊柱外科手术用脊椎探针

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0724865A1 (fr) * 1995-02-01 1996-08-07 Ethicon Endo-Surgery, Inc. Instrument chirurgical de pénétration et de dissection
EP0973453A2 (fr) * 1996-05-10 2000-01-26 Andrew Michael Wild Ensemble instrument chirurgical destine a etre utilise en chirurgie endoscopique
US20050177159A1 (en) * 2001-06-27 2005-08-11 Guzman Pamela C. Minimally invasive orthopaedic apparatus and methods
US20150080755A1 (en) * 2012-05-16 2015-03-19 Avery M. Jackson, III Illuminated Endoscopic Pedicle Probe With Electromyographic Monitoring

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0724865A1 (fr) * 1995-02-01 1996-08-07 Ethicon Endo-Surgery, Inc. Instrument chirurgical de pénétration et de dissection
EP0973453A2 (fr) * 1996-05-10 2000-01-26 Andrew Michael Wild Ensemble instrument chirurgical destine a etre utilise en chirurgie endoscopique
US20050177159A1 (en) * 2001-06-27 2005-08-11 Guzman Pamela C. Minimally invasive orthopaedic apparatus and methods
US20150080755A1 (en) * 2012-05-16 2015-03-19 Avery M. Jackson, III Illuminated Endoscopic Pedicle Probe With Electromyographic Monitoring

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2017049288A1 *

Also Published As

Publication number Publication date
CN108135441A (zh) 2018-06-08
EP3349639A1 (fr) 2018-07-25

Similar Documents

Publication Publication Date Title
IL249212A0 (en) Illuminated endoscopic pedicle probe with real-time dynamic monitoring in proximity to nerves
EP3115010A4 (fr) Instrument à ultrasons et sonde
EP3370629A4 (fr) Système de mesure destiné à être associé à un instrument de type fraise chirurgicale
EP3313275A4 (fr) Procédés et systèmes utilisant une analyse mathématique et l'apprentissage automatique afin de diagnostiquer une maladie
EP3119299A4 (fr) Instrumentation chirurgicale et procédé associé
EP3102096A4 (fr) Analyse de signaux associée à des sites de traitement
EP3179944A4 (fr) Système électro-chirurgical éclairé et procédé d'utilisation
EP3229899A4 (fr) Procédés et appareil pour détection et éclairage électrochirurgical
EP3171765A4 (fr) Collecte et analyse de données à des fins de diagnostic
EP3178411A4 (fr) Instrument chirurgical
EP3119296A4 (fr) Instrument chirurgical et procédé associé
EP3123948A4 (fr) Instrument chirurgical
EP3113666A4 (fr) Système et procédé de mesure endoscopique
EP3229684A4 (fr) Procédés de mesure d'un mouvement physiologiquement pertinent
EP3156806A4 (fr) Broche de sonde
EP3040033A4 (fr) Appareil de diagnostic par ultrasons et procédé d'évaluation de l'élasticité
EP3158338A4 (fr) Sondes optogénétiques pour mesurer un potentiel membranaire
EP3220815A4 (fr) Appareil de mesure de signaux bioélectriques
EP3243468A4 (fr) Sonde ultrasonore pour chirurgie arthroscopique et unité de sonde ultrasonore
EP3082613A4 (fr) Sonde photo-acoustique et appareil de diagnostic photo-acoustique
EP3107451A4 (fr) Dispositif de surveillance de santé
EP3094557A4 (fr) Mesure du jeu à l'extrémité
EP3121262A4 (fr) Appareil d'examen
EP3403576A4 (fr) Appareil de mesure de biosignal
EP3213692A4 (fr) Instrument chirurgical

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 20180315

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

DAV Request for validation of the european patent (deleted)
DAX Request for extension of the european patent (deleted)
A4 Supplementary search report drawn up and despatched

Effective date: 20190329

RIC1 Information provided on ipc code assigned before grant

Ipc: A61B 1/06 20060101ALI20190325BHEP

Ipc: A61B 1/00 20060101AFI20190325BHEP

Ipc: A61B 90/00 20160101ALI20190325BHEP

Ipc: A61B 1/05 20060101ALI20190325BHEP

Ipc: A61B 5/00 20060101ALI20190325BHEP

Ipc: A61B 5/0488 20060101ALI20190325BHEP

Ipc: A61B 1/015 20060101ALI20190325BHEP

Ipc: A61B 90/30 20160101ALI20190325BHEP

Ipc: A61B 1/313 20060101ALI20190325BHEP

Ipc: A61B 17/00 20060101ALI20190325BHEP

Ipc: A61B 17/16 20060101ALI20190325BHEP

Ipc: A61B 1/018 20060101ALI20190325BHEP

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION HAS BEEN WITHDRAWN

18W Application withdrawn

Effective date: 20191210