JP2014507197A - 位置センサを有する医療装置ガイドワイヤ - Google Patents
位置センサを有する医療装置ガイドワイヤ Download PDFInfo
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- 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
- A61B5/062—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 magnetic field
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- 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
- A61B5/6851—Guide wires
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- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
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- 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
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- 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
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
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- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- 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
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M2025/0166—Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
-
- 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
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09075—Basic structures of guide wires having a core without a coil possibly combined with a sheath
-
- 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
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09083—Basic structures of guide wires having a coil around a core
-
- 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
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09083—Basic structures of guide wires having a coil around a core
- A61M2025/09091—Basic structures of guide wires having a coil around a core where a sheath surrounds the coil at the distal part
-
- 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
- A61M2025/09108—Methods for making a guide wire
-
- 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
- A61M2025/09166—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
- 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
- A61M2025/09183—Guide wires having specific characteristics at the distal tip having tools at the distal tip
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- 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
- A61M25/09041—Mechanisms for insertion of guide wires
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- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Media Introduction/Drainage Providing Device (AREA)
- Measurement Of Length, Angles, Or The Like Using Electric Or Magnetic Means (AREA)
Abstract
Description
本出願は、2010年12月29日付けで出願された米国特許出願第12/980,848号に対する優先権を主張するものであり、この内容は、引用により、本明細書に完全に記述されているものとして本明細書に包含される。
Claims (20)
- 近端部分と、遠端部分とを有するコアワイヤと、
前記コアワイヤの周りに配設された細長い被覆であって、遠端を有する被覆と、
前記コアワイヤの前記遠端部分及び前記被覆の前記遠端と結合されたプラグであって、前記プラグは、遠位非外傷性先端部分を有し、前記コアワイヤと前記被覆との間の内部空間は、センサを受け入れるように構成される、プラグと、
を有するガイドワイヤ。 - 前記内部空間に配設されたセンサを更に有する請求項1に記載のガイドワイヤ。
- 前記被覆は、前記被覆の遠端の反対側の近端を更に含み、前記センサは、前記被覆の近端から見て軸方向において遠位に位置する請求項2に記載のガイドワイヤ。
- 前記センサは、
磁気透過性の材料を有すると共に軸を有するコアであって、前記コアは、貫通して軸方向に延在する管腔を有し、前記コアワイヤは、前記管腔を通じて延在する、コアと、
前記コアの周りに配設されたコイルと、
を有する請求項2に記載のガイドワイヤ。 - 前記センサの遠端及び前記コアワイヤの遠位先端部は、前記プラグに結合される請求項2に記載のガイドワイヤ。
- 前記センサの前記遠端は、前記被覆の遠端を遠位方向において超えて軸方向に延在する請求項2に記載のガイドワイヤ。
- 接続ノードにおいて前記センサに接続された少なくとも1つのワイヤを更に有し、前記被覆は、前記被覆の遠端の反対側の近端を更に含み、前記接続ノードは、前記被覆の近端から見て軸方向において遠位に位置する請求項2に記載のガイドワイヤ。
- 前記少なくとも1つのワイヤは、ツイストペアケーブルを有する請求項7に記載のガイドワイヤ。
- 前記センサと前記被覆との間にシースを更に有する請求項2に記載のガイドワイヤ。
- 前記被覆は、放射線不透過性材料を有する請求項2に記載のガイドワイヤ。
- (i)前記コアワイヤと前記センサとの間の第1クリアランス及び(ii)前記センサと前記被覆との間の第2クリアランス内に配設されたカプセル材料を更に有する請求項2に記載のガイドワイヤ。
- 前記被覆の近端に隣接して前記コアワイヤの周りに配設された管状スプリングを更に有する請求項1に記載のガイドワイヤ。
- 前記プラグは、
金属、
ポリマー、
接着剤、及び
接合材料
からなる群から選択される材料を有する請求項1に記載のガイドワイヤ。 - 遠端部分と、近端部分とを有するコアワイヤであって、前記遠端部分は、遠位先端部を有する、コアワイヤと、
前記コアワイヤの前記遠端部分の周りに配設された細長い被覆であって、遠端と、近端とを有する被覆と、
前記ガイドワイヤの非外傷性遠位先端部を生成するために、前記コアワイヤの前記遠端部分と結合されると共に前記被覆の前記遠端と結合されるプラグと、
前記被覆の前記近端に近接して前記コアワイヤの前記遠端部分の周りに配設された管状スプリングであって、圧縮及び引張負荷を支持するように構成されるスプリングと、
を有するガイドワイヤ。 - 前記スプリングは、前記被覆の前記近端に結合される請求項14に記載のガイドワイヤ。
- 前記スプリングは、
のり付け、
接合、
溶接、及び
はんだ付け、
のうちの少なくとも1つによって前記被覆の前記近端に結合される請求項15に記載のガイドワイヤ。 - 前記スプリングの外径は、前記被覆の外径と実質的に等しい請求項14に記載のガイドワイヤ。
- 第1軸を有するガイドワイヤであって、
近端部分と、遠端部分と、第2軸とを有するコアワイヤであって、前記第2軸は、前記第1軸と実質的に一致する、コアワイヤと、
前記コアワイヤの周りに配設された細長い保護構造体であって、遠端を有する細長い保護構造体と、
前記コアワイヤの前記遠端部分及び前記細長い保護構造体の前記遠端と結合されたプラグであって、前記プラグは、遠位非外傷性先端部分を有し、前記コアワイヤと前記細長い保護構造体との間の内部空間は、センサを受け入れるように構成される、プラグと、
を有するガイドワイヤ。 - 前記細長い保護構造体は、管状のスプリングである請求項18に記載のガイドワイヤ。
- 前記コアワイヤの周りに配設された管状スプリングを更に有し、前記細長い保護構造体は、ポリマーコーティングである請求項18に記載のガイドワイヤ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/980,848 | 2010-12-29 | ||
US12/980,848 US8764683B2 (en) | 2010-12-29 | 2010-12-29 | Medical device guidewire with a position sensor |
PCT/US2011/056633 WO2012091783A1 (en) | 2010-12-29 | 2011-10-18 | Medical device guidewire with a position sensor |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014507197A true JP2014507197A (ja) | 2014-03-27 |
JP5721862B2 JP5721862B2 (ja) | 2015-05-20 |
Family
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Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013547465A Active JP5721862B2 (ja) | 2010-12-29 | 2011-10-18 | 位置センサを有する医療装置ガイドワイヤ |
Country Status (5)
Country | Link |
---|---|
US (2) | US8764683B2 (ja) |
EP (1) | EP2627392B1 (ja) |
JP (1) | JP5721862B2 (ja) |
CN (1) | CN103298514B (ja) |
WO (1) | WO2012091783A1 (ja) |
Cited By (5)
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JP2017521159A (ja) * | 2014-07-09 | 2017-08-03 | アクラレント インコーポレイテッドAcclarent, Inc. | 副鼻腔形成術(Sinuplasty)向けのガイドワイヤナビゲーション |
JP2017217485A (ja) * | 2016-06-09 | 2017-12-14 | バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. | カテーテル用多機能導電要素 |
JP2018527967A (ja) * | 2015-06-30 | 2018-09-27 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | ソリッドコア近位セクション及びスロット付き管状遠位セクションを有する血管内デバイス、システム及び方法 |
JPWO2019189828A1 (ja) * | 2018-03-30 | 2021-02-25 | 朝日インテック株式会社 | ガイドワイヤ |
JP2022000182A (ja) * | 2015-04-22 | 2022-01-04 | アクラレント インコーポレイテッドAcclarent, Inc. | ナビゲーションセンサを伴うガイドワイヤ |
Families Citing this family (39)
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Also Published As
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EP2627392B1 (en) | 2018-05-30 |
US20140276226A1 (en) | 2014-09-18 |
WO2012091783A1 (en) | 2012-07-05 |
US8764683B2 (en) | 2014-07-01 |
CN103298514B (zh) | 2016-09-07 |
JP5721862B2 (ja) | 2015-05-20 |
EP2627392A1 (en) | 2013-08-21 |
US10028705B2 (en) | 2018-07-24 |
CN103298514A (zh) | 2013-09-11 |
US20120172761A1 (en) | 2012-07-05 |
EP2627392A4 (en) | 2014-04-16 |
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