ES2820769T3 - Sistema para la administración dirigida de agentes terapéuticos al tejido - Google Patents

Sistema para la administración dirigida de agentes terapéuticos al tejido Download PDF

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Publication number
ES2820769T3
ES2820769T3 ES15771375T ES15771375T ES2820769T3 ES 2820769 T3 ES2820769 T3 ES 2820769T3 ES 15771375 T ES15771375 T ES 15771375T ES 15771375 T ES15771375 T ES 15771375T ES 2820769 T3 ES2820769 T3 ES 2820769T3
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Spain
Prior art keywords
cannula
lumen
guidewire
target tissue
electrodes
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ES15771375T
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English (en)
Spanish (es)
Inventor
Kevin Weadock
Jeffrey Hammond
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Ethicon Inc
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Ethicon Inc
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    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09166—Guide wires having radio-opaque features
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip
    • 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
    • A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation

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Families Citing this family (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PL2558154T3 (pl) 2010-04-16 2020-11-30 Clearpoint Neuro, Inc. Systemy chirurgiczne MRI zawierające kaniule chirurgiczne kompatybilne z MRI do transferu substancji do i/lub od pacjenta
US9798856B2 (en) * 2012-03-21 2017-10-24 Koninklijke Philips N.V. Clinical workstation integrating medical imaging and biopsy data and methods using same
US9867974B2 (en) * 2015-06-01 2018-01-16 Wisconsin Alumni Research Foundation Microfluidic device for multiplexed point source administration of compounds
KR20180035209A (ko) * 2015-07-24 2018-04-05 킴벌리-클라크 월드와이드, 인크. 종양에 대한 활성제의 더 나은 전달 방법
WO2017142698A1 (en) 2016-02-17 2017-08-24 MRI Interventions, Inc. Intrabody surgical fluid transfer assemblies with adjustable exposed cannula to needle tip length, related systems and methods
US10188449B2 (en) * 2016-05-23 2019-01-29 Covidien Lp System and method for temperature enhanced irreversible electroporation
RU2635002C9 (ru) * 2016-12-23 2018-04-04 Общество С Ограниченной Ответственностью "Вектор+" (Ооо "Вектор+") Устройство для разового и хронического канюлирования грудного протока
WO2018129127A1 (en) * 2017-01-06 2018-07-12 The Trustees Of The University Of Pennsylvania Lymph node access needle
US10709444B2 (en) * 2017-01-24 2020-07-14 Allergan Industrie Sas Thread insertion devices
EP3551086B1 (en) * 2017-03-27 2025-05-14 Boston Scientific Scimed, Inc. Systems to effect movement of tissue structures
CN110141759A (zh) * 2018-02-12 2019-08-20 崔建春 乳管内多重定位引流装置
AU2019257771A1 (en) * 2018-04-27 2020-11-26 CoapTech, Inc. Systems, apparatus, and methods for placing a guidewire for a gastrostomy tube
WO2019216953A1 (en) 2018-05-09 2019-11-14 MRI Interventions, Inc. Mri compatible intrabody fluid transfer systems and related devices and methods
US11253237B2 (en) * 2018-05-09 2022-02-22 Clearpoint Neuro, Inc. MRI compatible intrabody fluid transfer systems and related devices and methods
JP2022524979A (ja) 2019-03-01 2022-05-11 ランパート ヘルス リミテッド ライアビリティー カンパニー 癌治療のための免疫学的方法及び化学療法を併用する医薬組成物
US11684750B2 (en) 2019-10-08 2023-06-27 Clearpoint Neuro, Inc. Extension tube assembly and related medical fluid transfer systems and methods
WO2021127416A1 (en) * 2019-12-20 2021-06-24 Convergascent Llc. Planning and navigation in superselective drug delivery via the tracheobronchial airway
KR102362824B1 (ko) * 2020-06-01 2022-02-11 숙명여자대학교산학협력단 생체 내에서 항암 물질을 생성하는 방법 및 장치
CN113967054A (zh) * 2020-07-23 2022-01-25 北京术锐技术有限公司 一种单孔手术装置及医疗设备系统
EP4251076A4 (en) * 2020-11-25 2025-01-01 New Medtek Devices Pty Ltd DEVICE AND METHOD FOR RECTAL ANESTHESIA
US20240032981A1 (en) * 2020-12-21 2024-02-01 The Pann State Research Foundation Fluid delivery system and related methods of use
IL305126A (en) 2021-02-12 2023-10-01 Rampart Health L L C A therapeutic preparation and a method that combines immunotherapy with a cancer vaccine for the treatment of cancer
US20220273898A1 (en) * 2021-02-28 2022-09-01 Maurizio Radicioni Assembly for tracheal instillation of fluid medicaments in infants supported by non-invasive ventilation
WO2022248957A1 (en) * 2021-05-22 2022-12-01 Snipe Medical Ltd Tumor ablation tools and techniques
CN113397707B (zh) * 2021-07-16 2024-12-17 上海市第六人民医院 一种辅助测量组件及其辅助测量方法
DE102022115568A1 (de) * 2022-06-22 2023-12-28 Rheinisch-Westfälische Technische Hochschule Aachen, Körperschaft des öffentlichen Rechts Katheter zur lokalen Behandlung von Tumorgewebe in intravasalen und intraluminalen Räumen
EP4784009A1 (en) * 2023-10-11 2026-08-05 Boston Scientific Scimed, Inc. Endoluminal treatment systems, devices, and related methods

Family Cites Families (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5234426A (en) 1989-06-15 1993-08-10 Research Corporation Technologies, Inc. Helical-tipped lesion localization needle device and method of using the same
US5807395A (en) * 1993-08-27 1998-09-15 Medtronic, Inc. Method and apparatus for RF ablation and hyperthermia
US5855554A (en) 1997-03-17 1999-01-05 General Electric Company Image guided breast lesion localization device
US6010500A (en) * 1997-07-21 2000-01-04 Cardiac Pathways Corporation Telescoping apparatus and method for linear lesion ablation
US6205352B1 (en) 1997-11-19 2001-03-20 Oncology Innovations, Inc. Sentinel node identification using non-isotope means
US6371904B1 (en) 1998-12-24 2002-04-16 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US6306132B1 (en) 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
US6575991B1 (en) 1999-06-17 2003-06-10 Inrad, Inc. Apparatus for the percutaneous marking of a lesion
AU2002225251A1 (en) 2000-11-01 2002-05-15 David Mann A kit for obtaining an endoarterial biopsy sample
US6989004B2 (en) 2001-02-28 2006-01-24 Rex Medical, L.P. Apparatus for delivering ablation fluid to treat lesions
US7077842B1 (en) * 2001-08-03 2006-07-18 Cosman Jr Eric R Over-the-wire high frequency electrode
US8027712B2 (en) 2002-10-11 2011-09-27 Ion Beam Applications S.A. Elongated markers for soft tissue volume identification
CA2505961C (en) 2002-11-18 2011-10-11 Inrad, Inc. Apparatus for implanting a preloaded localization wire
EP1608225A4 (en) 2003-03-26 2007-07-04 Univ Minnesota HEAT METHOD AND COMPOSITIONS
US20050080410A1 (en) 2003-10-14 2005-04-14 Scimed Life Systems, Inc. Liquid infusion apparatus for radiofrequency tissue ablation
US20050165288A1 (en) * 2004-01-27 2005-07-28 Scimed Life Systems, Inc. Systems and methods for treating breast tissue
US8409111B2 (en) 2004-11-22 2013-04-02 Bard Peripheral Vascular, Inc. Removable localizing wire
US8765116B2 (en) 2005-03-24 2014-07-01 Medifocus, Inc. Apparatus and method for pre-conditioning/fixation and treatment of disease with heat activation/release with thermoactivated drugs and gene products
US20070002180A1 (en) * 2005-06-30 2007-01-04 Lexmark International, Inc. Strength parameter-based color conversion of digital images
US20070021803A1 (en) * 2005-07-22 2007-01-25 The Foundry Inc. Systems and methods for neuromodulation for treatment of pain and other disorders associated with nerve conduction
GB2422550A (en) 2005-12-05 2006-08-02 Kanagasabapathy Chandradeva A branched cannulation device
WO2008020967A2 (en) 2006-08-08 2008-02-21 Peak Biosciences, Inc. Catheter and array for anticancer therapy
US11395694B2 (en) * 2009-05-07 2022-07-26 St. Jude Medical, Llc Irrigated ablation catheter with multiple segmented ablation electrodes
US20090171293A1 (en) 2007-12-28 2009-07-02 Wilson-Cook Medical Inc. Self expanding wire guide
US8926606B2 (en) * 2009-04-09 2015-01-06 Virginia Tech Intellectual Properties, Inc. Integration of very short electric pulses for minimally to noninvasive electroporation
US8361066B2 (en) * 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100268029A1 (en) 2009-04-21 2010-10-21 Xlumena, Inc. Methods and apparatus for advancing a device from one body lumen to another
TW201203253A (en) * 2010-07-06 2012-01-16 Maxchip Electronics Corp One time programmable memory and the manufacturing method and operation method thereof
US9352172B2 (en) * 2010-09-30 2016-05-31 Hologic, Inc. Using a guide member to facilitate brachytherapy device swap
EP2613723B1 (en) * 2010-11-19 2017-10-25 St. Jude Medical Atrial Fibrillation Division Inc. Electrode catheter device with indifferent electrode for direct current tissue therapies
CN108607150B (zh) 2013-01-30 2021-01-12 血管通路股份有限公司 用于静脉穿刺和导管放置的系统和方法

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WO2016044145A1 (en) 2016-03-24
EP3194005A1 (en) 2017-07-26
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US10376674B2 (en) 2019-08-13
BR112017005078A2 (pt) 2017-12-05

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