FR3122565B1 - Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical - Google Patents

Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical Download PDF

Info

Publication number
FR3122565B1
FR3122565B1 FR2104761A FR2104761A FR3122565B1 FR 3122565 B1 FR3122565 B1 FR 3122565B1 FR 2104761 A FR2104761 A FR 2104761A FR 2104761 A FR2104761 A FR 2104761A FR 3122565 B1 FR3122565 B1 FR 3122565B1
Authority
FR
France
Prior art keywords
conductivity
medical device
threshold
transfer function
real number
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
FR2104761A
Other languages
English (en)
Other versions
FR3122565A1 (fr
Inventor
Stéphane BETTE
Silva Jimmy Da
Thibault Chandanson
Guillaume Morel
Maurice Bourlion
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.)
Centre National de la Recherche Scientifique CNRS
Institut National de la Sante et de la Recherche Medicale INSERM
SpineGuard SA
Sorbonne Universite
Original Assignee
Centre National de la Recherche Scientifique CNRS
Institut National de la Sante et de la Recherche Medicale INSERM
SpineGuard SA
Sorbonne Universite
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 Centre National de la Recherche Scientifique CNRS, Institut National de la Sante et de la Recherche Medicale INSERM, SpineGuard SA, Sorbonne Universite filed Critical Centre National de la Recherche Scientifique CNRS
Priority to FR2104761A priority Critical patent/FR3122565B1/fr
Priority to US17/661,719 priority patent/US20220361896A1/en
Priority to BR112023023039A priority patent/BR112023023039A2/pt
Priority to CN202280043649.4A priority patent/CN117545445A/zh
Priority to EP22725907.4A priority patent/EP4333762A1/fr
Priority to PCT/EP2022/061868 priority patent/WO2022233882A1/fr
Priority to JP2023568557A priority patent/JP2024516871A/ja
Publication of FR3122565A1 publication Critical patent/FR3122565A1/fr
Application granted granted Critical
Publication of FR3122565B1 publication Critical patent/FR3122565B1/fr
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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0537—Measuring body composition by impedance, e.g. tissue hydration or fat content
    • 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
    • A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
    • 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
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • 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
    • A61B34/30—Surgical robots
    • A61B34/32—Surgical robots operating autonomously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/063—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using impedance measurements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • 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
    • 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
    • A61B17/1622—Drill handpieces
    • 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
    • A61B17/1626—Control means; Display units
    • 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
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • 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
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4504—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538—Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4566—Evaluating the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (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)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Robotics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Human Computer Interaction (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)

Abstract

Dispositif médical de pénétration (25) d’une structure osseuse, comprenant une unité de traitement (50) établissant une fonction de transfert associant une valeur de conductivité électrique S à une valeur de profondeur d, et configurée pour émettre un signal d’avertissement lorsque la fonction de transfert vérifie au moins un des critères suivants :- franchissement de seuil de conductivité : la valeur de conductivité électrique franchit un seuil de conductivité choisi parmi un seuil de conductivité absolu : Na x Ds, où Ds est une étendue de valeurs de conductivité électrique, et Na est un nombre réel compris entre 0 et 1, etun seuil de conductivité relatif : Nr x MS(d) où MS est une moyenne des valeurs de conductivité électrique, et Nr est un nombre réel compris entre 0 et 5,- franchissement d’un gradient de conductivité critique : une pente p(d) de la fonction de transfert franchit un gradient de conductivité critique, la pente p(d) étant telle que où Ec est une épaisseur de couche d’os cortical en millimètre, k est un nombre réel positif compris entre 0 et 5. Figure de l’abrégé : Figure 1
FR2104761A 2021-05-05 2021-05-05 Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical Active FR3122565B1 (fr)

Priority Applications (7)

Application Number Priority Date Filing Date Title
FR2104761A FR3122565B1 (fr) 2021-05-05 2021-05-05 Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical
US17/661,719 US20220361896A1 (en) 2021-05-05 2022-05-02 Medical devices and methods for penetrating an anatomical structure based on sensed electrical characteristics
CN202280043649.4A CN117545445A (zh) 2021-05-05 2022-05-03 用于基于感测的电特性穿透解剖结构的医疗设备和方法
EP22725907.4A EP4333762A1 (fr) 2021-05-05 2022-05-03 Dispositifs médicaux et procédés de pénétration d'une structure anatomique sur la base de caractéristiques électriques détectées
BR112023023039A BR112023023039A2 (pt) 2021-05-05 2022-05-03 Dispositivos médicos e métodos para penetrar uma estrutura anatômica com base nas características elétricas sensoreadas
PCT/EP2022/061868 WO2022233882A1 (fr) 2021-05-05 2022-05-03 Dispositifs médicaux et procédés de pénétration d'une structure anatomique sur la base de caractéristiques électriques détectées
JP2023568557A JP2024516871A (ja) 2021-05-05 2022-05-03 感知された電気特性に基づいて解剖学的構造に穿刺するための医療装置及び方法

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR2104761A FR3122565B1 (fr) 2021-05-05 2021-05-05 Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical
FR2104761 2021-05-05

Publications (2)

Publication Number Publication Date
FR3122565A1 FR3122565A1 (fr) 2022-11-11
FR3122565B1 true FR3122565B1 (fr) 2023-12-22

Family

ID=76375274

Family Applications (1)

Application Number Title Priority Date Filing Date
FR2104761A Active FR3122565B1 (fr) 2021-05-05 2021-05-05 Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical

Country Status (7)

Country Link
US (1) US20220361896A1 (fr)
EP (1) EP4333762A1 (fr)
JP (1) JP2024516871A (fr)
CN (1) CN117545445A (fr)
BR (1) BR112023023039A2 (fr)
FR (1) FR3122565B1 (fr)
WO (1) WO2022233882A1 (fr)

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2835732B1 (fr) * 2002-02-11 2004-11-12 Spinevision Dispositif permettant le suivi de la penetration d'un moyen de penetration dans des elements anatomiques
FR3034643B1 (fr) * 2015-04-07 2021-09-24 Spineguard Systeme medical destine a penetrer dans une structure anatomique d'un patient
FR3072559B1 (fr) 2017-10-24 2023-03-24 Spineguard Systeme medical comprenant un bras robotise et un dispositif medical destine a penetrer dans une structure anatomique

Also Published As

Publication number Publication date
BR112023023039A2 (pt) 2024-01-23
FR3122565A1 (fr) 2022-11-11
EP4333762A1 (fr) 2024-03-13
JP2024516871A (ja) 2024-04-17
CN117545445A (zh) 2024-02-09
WO2022233882A1 (fr) 2022-11-10
US20220361896A1 (en) 2022-11-17

Similar Documents

Publication Publication Date Title
Gushiken et al. Cryptococcosis
Montero-Odasso et al. Age alone is not adequate to determine health-care resource allocation during the COVID-19 pandemic
Goodman et al. The epidemiologic field investigation: science and judgment in public health practice
Shklarov Double vision uncertainty: The bilingual researcher and the ethics of cross-language research
Ziersch et al. “It is not an acceptable disease”: A qualitative study of HIV-related stigma and discrimination and impacts on health and wellbeing for people from ethnically diverse backgrounds in Australia
Al-Jiffry et al. Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function
Berg et al. Asymmetry in noise-induced hearing loss: evaluation of two competing theories
Barbosa Regional and socioeconomic differences in the coverage of the Papanicolau test in Brazil: data from the Brazilian Health Survey 2013
Yoon et al. Poor prognosis in elderly patients who refused surgery because of economic burden and medical problem after hip fracture
Rice et al. Group sex and prevalent sexually transmitted infections among men who have sex with men
FR3122565B1 (fr) Dispositif médical de pénétration d’une structure anatomique et système médical comprenant un tel dispositif médical
Matsuda et al. A nationwide multicenter study of the Cochlin tomo-protein detection test: clinical characteristics of perilymphatic fistula cases
Gardashkhani et al. Post–intensive care syndrome in Covid-19 patients discharged from the intensive care unit
Brookmeyer et al. Understanding the effects of forced sex on sexually transmitted disease acquisition and sexually transmitted disease care: Findings from the national survey of family growth (2011–2013)
Kahn et al. Screening for syphilis in arrestees: usefulness for community-wide syphilis surveillance and control
Vijay et al. Lesson of the month 1: Lemierre's syndrome: a reminder of the ‘forgotten disease’
Siregar et al. Serum VEGF levels in Helicobacter pylori infection and correlation with Helicobacter pylori cagA and vacA genes
Glenn ‘Fake news’ or trust in authorities? The problems of uncertainty at a time of medical crisis
Sadarang Prevalence and factors affecting discrimination towards people living with HIV/AIDS in Indonesia
Wu et al. The association between culture positivity and long-term mortality in critically ill surgical patients
Jansen et al. Herpes simplex induced necrotizing tonsillitis in an immunocompromised patient with ulcerative colitis
Rahama et al. Prevalence of Intensive-care-unit-acquired Thrombocytopenia in a Tertiary Care Hospital in Sudan
Bennani et al. Nosocomial pneumonia in mechanically ventilated patients: prospective study in intensive care unit of Fez university hospital
van der Zaag-Loonen et al. Probable benign paroxysmal positional vertigo converts into definite BPPV in one in six Patients
Herring et al. Peer reviewed: Exploring spatial differences between 2 US firearm mortality data sets in 2017

Legal Events

Date Code Title Description
PLFP Fee payment

Year of fee payment: 2

PLSC Publication of the preliminary search report

Effective date: 20221111

PLFP Fee payment

Year of fee payment: 3