JP2009540962A - アブレーションおよび可視化装置 - Google Patents

アブレーションおよび可視化装置 Download PDF

Info

Publication number
JP2009540962A
JP2009540962A JP2009516723A JP2009516723A JP2009540962A JP 2009540962 A JP2009540962 A JP 2009540962A JP 2009516723 A JP2009516723 A JP 2009516723A JP 2009516723 A JP2009516723 A JP 2009516723A JP 2009540962 A JP2009540962 A JP 2009540962A
Authority
JP
Japan
Prior art keywords
scope
shaft
ablation
coupled
distal end
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.)
Pending
Application number
JP2009516723A
Other languages
English (en)
Japanese (ja)
Other versions
JP2009540962A5 (enExample
Inventor
ジョナサン エル. ポッドモア
マイケル シー. ホルツバウアー
Original Assignee
セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド
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 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド filed Critical セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド
Publication of JP2009540962A publication Critical patent/JP2009540962A/ja
Publication of JP2009540962A5 publication Critical patent/JP2009540962A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087Tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/0014Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • A61B18/24Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1495Electrodes being detachable from a support structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3614Image-producing devices, e.g. surgical cameras using optical fibre
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • A61N7/022Localised ultrasound hyperthermia intracavitary

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Laser Surgery Devices (AREA)
  • Endoscopes (AREA)
JP2009516723A 2006-06-23 2007-06-21 アブレーションおよび可視化装置 Pending JP2009540962A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US81588106P 2006-06-23 2006-06-23
US11/642,923 US8052683B2 (en) 2006-06-23 2006-12-21 Device for ablation and visualization
PCT/US2007/071771 WO2007149975A2 (en) 2006-06-23 2007-06-21 Device for ablation and visualization

Publications (2)

Publication Number Publication Date
JP2009540962A true JP2009540962A (ja) 2009-11-26
JP2009540962A5 JP2009540962A5 (enExample) 2010-08-19

Family

ID=38834386

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009516723A Pending JP2009540962A (ja) 2006-06-23 2007-06-21 アブレーションおよび可視化装置

Country Status (5)

Country Link
US (1) US8052683B2 (enExample)
EP (1) EP2032062A4 (enExample)
JP (1) JP2009540962A (enExample)
CN (1) CN101472532B (enExample)
WO (1) WO2007149975A2 (enExample)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102006057809A1 (de) * 2006-12-06 2008-06-12 Ruprecht-Karls-Universität Heidelberg Intubationsschlauch
US8102734B2 (en) * 2007-02-08 2012-01-24 St. Jude Medical, Atrial Fibrillation Division, Inc. High intensity focused ultrasound transducer with acoustic lens
WO2009088923A1 (en) * 2008-01-03 2009-07-16 Maquet Cardiovascular, Llc Endoscope instruments systems and methods for closed chest epicardial ablation
CN101785699A (zh) * 2010-01-04 2010-07-28 上海祥秀医药科技有限公司 一种带二氧化碳气源的前列腺切除手术装置
EP2755545B1 (en) * 2011-09-13 2018-10-31 Covidien LP Operative element support structure
JP5976983B1 (ja) 2013-07-01 2016-08-24 ズーリック・メディカル・コーポレイションZurich Medical Corporation 血管内測定のための装置および方法
US10835183B2 (en) 2013-07-01 2020-11-17 Zurich Medical Corporation Apparatus and method for intravascular measurements
EP4477143A3 (en) * 2014-09-05 2025-03-19 PROCEPT BioRobotics Corporation Physician controlled tissue resection integrated with treatment mapping of target organ images
CN106236246A (zh) * 2016-08-24 2016-12-21 王卫东 消融装置
CN108523991B (zh) * 2018-02-13 2020-10-09 南京亿高微波系统工程有限公司 一种高效冷却的多功能微波消融针
US11547277B2 (en) * 2018-04-12 2023-01-10 Endosound, Inc. Steerable ultrasound attachment for endoscope
CN113117267B (zh) * 2019-12-30 2022-11-11 重庆融海超声医学工程研究中心有限公司 治疗计划制定装置
US11992256B2 (en) * 2020-02-28 2024-05-28 Gyrus Acmi, Inc. Electrosurgical attachment device
CN114098922B (zh) * 2021-11-18 2024-08-16 南京脉创医疗科技有限公司 一种经桡动脉的肾动脉消融导引导管
CN115581437B (zh) * 2022-10-12 2024-07-19 北京理工大学 光学相干层析成像引导激光微创诊疗内窥探头
WO2025133696A2 (en) * 2023-12-18 2025-06-26 Stryker European Operations Limited Electrosurgical systems, devices, and methods with features for enhanced visualization and/or maneuverability

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6077731A (ja) * 1983-10-03 1985-05-02 オリンパス光学工業株式会社 固体撮像素子を用いた内視鏡装置
JPH0521901U (ja) * 1991-09-06 1993-03-23 富士写真光機株式会社 体腔内検査装置の通路形成体
JPH11192203A (ja) * 1997-10-31 1999-07-21 Olympus Optical Co Ltd 内視鏡
JP2003135378A (ja) * 2001-10-31 2003-05-13 Pentax Corp 二チャンネル内視鏡
JP2003339632A (ja) * 2002-05-23 2003-12-02 Olympus Optical Co Ltd 内視鏡
JP2005507731A (ja) * 2001-11-09 2005-03-24 カーディオ−オプティクス, インコーポレイテッド 心臓カテーテル法のダイレクトリアルタイムイメージングガイダンス
JP2005137906A (ja) * 2003-11-07 2005-06-02 Siemens Ag 心臓病のアブレーション装置および心臓病のアブレーションのための医学的処置方法
JP2005537867A (ja) * 2002-09-06 2005-12-15 シー・アール・バード・インク 内視鏡付属品装着アダプタ
JP2006095336A (ja) * 2005-12-26 2006-04-13 Olympus Corp 生体組織切断用処置具
JP2007537013A (ja) * 2004-05-14 2007-12-20 メドトロニック・インコーポレーテッド 高密度焦点式超音波を使用してアブレートした組織領域を形成する方法

Family Cites Families (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2532043A (en) * 1946-06-18 1950-11-28 American Cystoscope Makers Inc Instrument for retrograde electrosurgical resection
US4068667A (en) * 1976-09-03 1978-01-17 Iglesias Jose J Anti-arcing resectoscope
JPS6031689Y2 (ja) * 1980-06-10 1985-09-21 オリンパス光学工業株式会社 内視鏡用高周波処置装置
JPS5720261A (en) * 1980-07-14 1982-02-02 Olympus Optical Co Medical treating device
US5197963A (en) * 1991-12-02 1993-03-30 Everest Medical Corporation Electrosurgical instrument with extendable sheath for irrigation and aspiration
US5275151A (en) * 1991-12-11 1994-01-04 Clarus Medical Systems, Inc. Handle for deflectable catheter
US5611777A (en) 1993-05-14 1997-03-18 C.R. Bard, Inc. Steerable electrode catheter
US5445142A (en) * 1994-03-15 1995-08-29 Ethicon Endo-Surgery, Inc. Surgical trocars having optical tips defining one or more viewing ports
US5667472A (en) * 1994-03-18 1997-09-16 Clarus Medical Systems, Inc. Surgical instrument and method for use with a viewing system
US5492131A (en) 1994-09-06 1996-02-20 Guided Medical Systems, Inc. Servo-catheter
US6071274A (en) 1996-12-19 2000-06-06 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US5849011A (en) * 1995-06-19 1998-12-15 Vidamed, Inc. Medical device with trigger actuation assembly
US5935125A (en) * 1996-04-17 1999-08-10 Uros Corporation Fulguration and cauterization device
US6726684B1 (en) * 1996-07-16 2004-04-27 Arthrocare Corporation Methods for electrosurgical spine surgery
US6106521A (en) * 1996-08-16 2000-08-22 United States Surgical Corporation Apparatus for thermal treatment of tissue
US6719755B2 (en) 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6840936B2 (en) 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US6311692B1 (en) 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US6071279A (en) 1996-12-19 2000-06-06 Ep Technologies, Inc. Branched structures for supporting multiple electrode elements
US6076012A (en) 1996-12-19 2000-06-13 Ep Technologies, Inc. Structures for supporting porous electrode elements
US5873877A (en) * 1997-04-11 1999-02-23 Vidamed, Inc. Medical probe device with transparent distal extremity
US6086583A (en) * 1997-06-05 2000-07-11 Asahi Kogaku Kogyo Kabushiki Kaisha Electric cautery for endoscope
US6198974B1 (en) 1998-08-14 2001-03-06 Cordis Webster, Inc. Bi-directional steerable catheter
AU1442500A (en) * 1998-10-05 2000-04-26 Scimed Life Systems, Inc. Large area thermal ablation
US6468265B1 (en) 1998-11-20 2002-10-22 Intuitive Surgical, Inc. Performing cardiac surgery without cardioplegia
US6210407B1 (en) 1998-12-03 2001-04-03 Cordis Webster, Inc. Bi-directional electrode catheter
US20020107514A1 (en) 2000-04-27 2002-08-08 Hooven Michael D. Transmural ablation device with parallel jaws
US6551315B2 (en) * 2000-12-06 2003-04-22 Syntheon, Llc Methods and apparatus for the treatment of gastric ulcers
US20030181900A1 (en) 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
JP3722729B2 (ja) * 2001-06-04 2005-11-30 オリンパス株式会社 内視鏡用処置装置
JP4302602B2 (ja) 2004-09-24 2009-07-29 オリンパス株式会社 内視鏡用処置具及び内視鏡処置システム並びに支持アダプタ
US8216234B2 (en) * 2004-11-10 2012-07-10 Ethicon Endo-Surgery, Inc. Tissue resection device

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6077731A (ja) * 1983-10-03 1985-05-02 オリンパス光学工業株式会社 固体撮像素子を用いた内視鏡装置
JPH0521901U (ja) * 1991-09-06 1993-03-23 富士写真光機株式会社 体腔内検査装置の通路形成体
JPH11192203A (ja) * 1997-10-31 1999-07-21 Olympus Optical Co Ltd 内視鏡
JP2003135378A (ja) * 2001-10-31 2003-05-13 Pentax Corp 二チャンネル内視鏡
JP2005507731A (ja) * 2001-11-09 2005-03-24 カーディオ−オプティクス, インコーポレイテッド 心臓カテーテル法のダイレクトリアルタイムイメージングガイダンス
JP2003339632A (ja) * 2002-05-23 2003-12-02 Olympus Optical Co Ltd 内視鏡
JP2005537867A (ja) * 2002-09-06 2005-12-15 シー・アール・バード・インク 内視鏡付属品装着アダプタ
JP2005137906A (ja) * 2003-11-07 2005-06-02 Siemens Ag 心臓病のアブレーション装置および心臓病のアブレーションのための医学的処置方法
JP2007537013A (ja) * 2004-05-14 2007-12-20 メドトロニック・インコーポレーテッド 高密度焦点式超音波を使用してアブレートした組織領域を形成する方法
JP2006095336A (ja) * 2005-12-26 2006-04-13 Olympus Corp 生体組織切断用処置具

Also Published As

Publication number Publication date
CN101472532B (zh) 2012-06-27
WO2007149975A3 (en) 2008-07-17
EP2032062A4 (en) 2010-04-14
WO2007149975B1 (en) 2008-08-28
EP2032062A2 (en) 2009-03-11
US20070299437A1 (en) 2007-12-27
WO2007149975A2 (en) 2007-12-27
US8052683B2 (en) 2011-11-08
CN101472532A (zh) 2009-07-01

Similar Documents

Publication Publication Date Title
JP2009540962A (ja) アブレーションおよび可視化装置
JP5072962B2 (ja) 組織をアブレーションする装置および方法
JP4970037B2 (ja) 高密度焦点式超音波を使用して心房細動を非侵襲的に処置するための方法および装置
CA2550174C (en) Less invasive systems for ablation of fat pads
AU2010315625B2 (en) Methods and systems for ablating tissue
AU775394B2 (en) Apparatus and method for ablating tissue
US20080082109A1 (en) Robotic surgical system with forward-oriented field of view guide instrument navigation
JP5216986B2 (ja) エネルギー利用モダリティ及び非エネルギー利用モダリティの改良適用による、組織治療の円滑化のための装置
US20160008636A1 (en) Ultrasound imaging sheath and associated method for guided percutaneous trans-catheter therapy
JP2009540960A5 (enExample)
US20090163807A1 (en) Finger-mounted or robot-mounted transducer device
WO2008083318A2 (en) Ablation device and method with connector
US20100049099A1 (en) Method and system for positioning an energy source
US7678109B2 (en) Ablation device and method comprising movable ablation elements
AU2012232969B2 (en) Methods and systems for ablating tissue
JP2022533677A (ja) 肺アブレーションのための低侵襲性アセンブリ

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100621

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20100621

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100625

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20120528

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20120612

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120911

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20121218

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20130417

A911 Transfer to examiner for re-examination before appeal (zenchi)

Free format text: JAPANESE INTERMEDIATE CODE: A911

Effective date: 20130425

A912 Re-examination (zenchi) completed and case transferred to appeal board

Free format text: JAPANESE INTERMEDIATE CODE: A912

Effective date: 20130517

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20140205