JP2004503324A - 膨張性環状レンズによるエネルギー付与装置 - Google Patents

膨張性環状レンズによるエネルギー付与装置 Download PDF

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Publication number
JP2004503324A
JP2004503324A JP2002511660A JP2002511660A JP2004503324A JP 2004503324 A JP2004503324 A JP 2004503324A JP 2002511660 A JP2002511660 A JP 2002511660A JP 2002511660 A JP2002511660 A JP 2002511660A JP 2004503324 A JP2004503324 A JP 2004503324A
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Prior art keywords
balloon
lens
radiation source
surrounding
tissue
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Pending
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JP2002511660A
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English (en)
Japanese (ja)
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JP2004503324A5 (enExample
Inventor
ハーヘン，エドワード・ポール
フィールド，トッド
ロパス，パトリック・デイヴィッド
アッカー，デイヴィッド・イー
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トランサージカル，インコーポレイテッド
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Publication of JP2004503324A5 publication Critical patent/JP2004503324A5/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2251—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B2017/22024—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 with a part reflecting mechanical vibrations, e.g. for focusing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22027—Features of transducers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22068—Centering
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • 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
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1059—Balloon catheters with special features or adapted for special applications having different inflatable sections mainly depending on the response to the inflation pressure, e.g. due to different material properties
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Mechanical Engineering (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Surgical Instruments (AREA)
  • Cleaning By Liquid Or Steam (AREA)
  • Transducers For Ultrasonic Waves (AREA)
  • Investigating Or Analyzing Materials By The Use Of Ultrasonic Waves (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
JP2002511660A 2000-07-13 2001-07-13 膨張性環状レンズによるエネルギー付与装置 Pending JP2004503324A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US21864100P 2000-07-13 2000-07-13
PCT/US2001/022221 WO2002005720A1 (en) 2000-07-13 2001-07-13 Energy application with inflatable annular lens

Publications (2)

Publication Number Publication Date
JP2004503324A true JP2004503324A (ja) 2004-02-05
JP2004503324A5 JP2004503324A5 (enExample) 2005-02-24

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2002511660A Pending JP2004503324A (ja) 2000-07-13 2001-07-13 膨張性環状レンズによるエネルギー付与装置

Country Status (7)

Country Link
US (2) US20020068885A1 (enExample)
EP (5) EP2455015B1 (enExample)
JP (1) JP2004503324A (enExample)
CN (1) CN1239127C (enExample)
AU (2) AU7346801A (enExample)
CA (1) CA2415671C (enExample)
WO (1) WO2002005720A1 (enExample)

Cited By (8)

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JP2006081907A (ja) * 2004-09-14 2006-03-30 Biosense Webster Inc 固定装置及び安定化装置を有するカテーテル
JP2006223341A (ja) * 2005-02-15 2006-08-31 Univ Nihon 組織破砕装置
WO2013157207A1 (ja) * 2012-04-20 2013-10-24 テルモ株式会社 血管挿入型治療デバイス
WO2013157208A1 (ja) * 2012-04-20 2013-10-24 テルモ株式会社 血管挿入型治療デバイス
JP2015051308A (ja) * 2008-07-18 2015-03-19 バイトロナス， インコーポレイテッド 組織にエネルギーを送達するシステムおよび方法
JP2015109987A (ja) * 2006-10-25 2015-06-18 スーパー ソニック イマジンＳｕｐｅｒ Ｓｏｎｉｃ Ｉｍａｇｉｎｅ 界面での音響放射力の生成による力学的波の生成方法
JP2016515014A (ja) * 2013-03-14 2016-05-26 リコール メディカル インコーポレイテッドＲｅＣｏｒ Ｍｅｄｉｃａｌ， Ｉｎｃ． 超音波による神経調節システム
JP2016529926A (ja) * 2013-09-20 2016-09-29 エシコン・エンド−サージェリィ・エルエルシーＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ， ＬＬＣ 超音波外科用器具のトランスデューサ特徴部

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JP2006081907A (ja) * 2004-09-14 2006-03-30 Biosense Webster Inc 固定装置及び安定化装置を有するカテーテル
JP2006223341A (ja) * 2005-02-15 2006-08-31 Univ Nihon 組織破砕装置
JP2015109987A (ja) * 2006-10-25 2015-06-18 スーパー ソニック イマジンＳｕｐｅｒ Ｓｏｎｉｃ Ｉｍａｇｉｎｅ 界面での音響放射力の生成による力学的波の生成方法
JP2015051308A (ja) * 2008-07-18 2015-03-19 バイトロナス， インコーポレイテッド 組織にエネルギーを送達するシステムおよび方法
WO2013157207A1 (ja) * 2012-04-20 2013-10-24 テルモ株式会社 血管挿入型治療デバイス
WO2013157208A1 (ja) * 2012-04-20 2013-10-24 テルモ株式会社 血管挿入型治療デバイス
JP2016515014A (ja) * 2013-03-14 2016-05-26 リコール メディカル インコーポレイテッドＲｅＣｏｒ Ｍｅｄｉｃａｌ， Ｉｎｃ． 超音波による神経調節システム
JP2018126554A (ja) * 2013-03-14 2018-08-16 リコール メディカル インコーポレイテッドＲｅＣｏｒ Ｍｅｄｉｃａｌ， Ｉｎｃ． 超音波による神経調節システム
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JP2016529926A (ja) * 2013-09-20 2016-09-29 エシコン・エンド−サージェリィ・エルエルシーＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ， ＬＬＣ 超音波外科用器具のトランスデューサ特徴部
US10231747B2 (en) 2013-09-20 2019-03-19 Ethicon Llc Transducer features for ultrasonic surgical instrument

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US7540846B2 (en) 2009-06-02
CN1441651A (zh) 2003-09-10
US20060058711A1 (en) 2006-03-16
EP1299038A4 (en) 2005-04-20
CA2415671C (en) 2011-02-01
EP2430997A3 (en) 2014-05-07
AU2001273468B2 (en) 2005-05-26
EP1299038A1 (en) 2003-04-09
EP2430996A2 (en) 2012-03-21
WO2002005720A1 (en) 2002-01-24
US20020068885A1 (en) 2002-06-06
EP2430998A3 (en) 2014-01-22
AU7346801A (en) 2002-01-30
EP2430996A3 (en) 2014-01-22
CN1239127C (zh) 2006-02-01
EP1299038B1 (en) 2013-01-09
EP2430997A2 (en) 2012-03-21
EP2455015B1 (en) 2017-09-13
EP2455015A3 (en) 2014-01-22
CA2415671A1 (en) 2002-01-24
EP2430998A2 (en) 2012-03-21

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