JP2015097664A - 医療用具及び光線治療装置 - Google Patents

医療用具及び光線治療装置 Download PDF

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Publication number
JP2015097664A
JP2015097664A JP2013239219A JP2013239219A JP2015097664A JP 2015097664 A JP2015097664 A JP 2015097664A JP 2013239219 A JP2013239219 A JP 2013239219A JP 2013239219 A JP2013239219 A JP 2013239219A JP 2015097664 A JP2015097664 A JP 2015097664A
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JP
Japan
Prior art keywords
light
electrode
medical device
tube
tip
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Pending
Application number
JP2013239219A
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English (en)
Japanese (ja)
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JP2015097664A5 (enExample
Inventor
荒井　恒憲
Tsunenori Arai
恒憲 荒井
亜莉沙 伊藤
Arisa Ito
亜莉沙 伊藤
雄弘 木村
Takehiro Kimura
雄弘 木村
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.)
ARAI MEDPHOTON RESEARCH LABORATORIED CORP
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ARAI MEDPHOTON RESEARCH LABORATORIED CORP
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Application filed by ARAI MEDPHOTON RESEARCH LABORATORIED CORP filed Critical ARAI MEDPHOTON RESEARCH LABORATORIED CORP
Priority to JP2013239219A priority Critical patent/JP2015097664A/ja
Priority to US15/037,516 priority patent/US20160278863A1/en
Priority to PCT/JP2014/080516 priority patent/WO2015076262A1/ja
Priority to EP14863361.3A priority patent/EP3072470A4/en
Publication of JP2015097664A publication Critical patent/JP2015097664A/ja
Publication of JP2015097664A5 publication Critical patent/JP2015097664A5/ja
Pending legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61B18/245—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 for removing obstructions in blood vessels or calculi
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0071—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • 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
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • 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
    • A61B5/6852—Catheters
    • A61B5/6856—Catheters with a distal loop
    • 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
    • A61B5/6867—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 specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0601—Apparatus for use inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0601—Apparatus for use inside the body
    • A61N5/0603—Apparatus for use inside the body for treatment of body cavities
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/062—Photodynamic therapy, i.e. excitation of an agent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/0624—Apparatus adapted for a specific treatment for eliminating microbes, germs, bacteria on or in the body
    • 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
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • 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
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2261—Optical elements at the distal end of probe tips with scattering, diffusion or dispersion of light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0601—Apparatus for use inside the body
    • A61N2005/0602—Apparatus for use inside the body for treatment of blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods
    • A61N2005/0627—Dose monitoring systems and methods
    • A61N2005/0628—Dose monitoring systems and methods including a radiation sensor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0658—Radiation therapy using light characterised by the wavelength of light used
    • A61N2005/0662—Visible light

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Radiation-Therapy Devices (AREA)
  • Laser Surgery Devices (AREA)
JP2013239219A 2013-11-19 2013-11-19 医療用具及び光線治療装置 Pending JP2015097664A (ja)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2013239219A JP2015097664A (ja) 2013-11-19 2013-11-19 医療用具及び光線治療装置
US15/037,516 US20160278863A1 (en) 2013-11-19 2014-11-18 Medical tool and phototherapeutic device
PCT/JP2014/080516 WO2015076262A1 (ja) 2013-11-19 2014-11-18 医療用具及び光線治療装置
EP14863361.3A EP3072470A4 (en) 2013-11-19 2014-11-18 MEDICAL TOOL AND LIGHT THERAPEUTIC DEVICE

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2013239219A JP2015097664A (ja) 2013-11-19 2013-11-19 医療用具及び光線治療装置

Publications (2)

Publication Number Publication Date
JP2015097664A true JP2015097664A (ja) 2015-05-28
JP2015097664A5 JP2015097664A5 (enExample) 2017-01-12

Family

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Family Applications (1)

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JP2013239219A Pending JP2015097664A (ja) 2013-11-19 2013-11-19 医療用具及び光線治療装置

Country Status (4)

Country Link
US (1) US20160278863A1 (enExample)
EP (1) EP3072470A4 (enExample)
JP (1) JP2015097664A (enExample)
WO (1) WO2015076262A1 (enExample)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2023041120A (ja) * 2021-09-13 2023-03-24 テルモ株式会社 治療装置および治療方法
US12029477B2 (en) * 2016-08-12 2024-07-09 Boston Scientific Scimed, Inc. Systems, devices, and related methods for laser lithotripsy

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2730366C2 (ru) * 2016-02-04 2020-08-21 Нова Биомедикэл Корпорэйшн Аналитическая система и способ для определения параметров гемоглобина в цельной крови
JP6498654B2 (ja) * 2016-11-17 2019-04-10 一般財団法人バイオダイナミックス研究所 内視鏡による光照射治療用光照射プローブ
US11806549B2 (en) * 2017-12-05 2023-11-07 Lumen Catheters, LLC Method, system, and devices of safe, antimicrobial light-emitting catheters, tubes, and instruments
CN113747936B (zh) * 2019-04-23 2024-06-18 波士顿科学国际有限公司 用于电刺激来治疗癌症的电极

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US4860743A (en) * 1986-10-27 1989-08-29 University Of Florida Laser method and apparatus for the recanalization of vessels and the treatment of other cardiac conditions
JPH10504989A (ja) * 1994-09-09 1998-05-19 レアー・アース・メディカル・インコーポレイテッド 光線治療装置
JPH11511999A (ja) * 1995-08-22 1999-10-19 ボード オブ リージェンツ，ザ ユニバーシティ オブ テキサス システム 心臓不整脈を経皮的にまたは手術中に切除するための操縦可能な電気生理学カテーテル
JP2002513652A (ja) * 1998-05-06 2002-05-14 アトリオニクス，インク． 灌注される除去器具組立体
US20060030844A1 (en) * 2004-08-04 2006-02-09 Knight Bradley P Transparent electrode for the radiofrequency ablation of tissue
JP2008501441A (ja) * 2004-06-07 2008-01-24 エドワーズ　ライフサイエンシーズ　コーポレイション 組織を方向性をもって切除するための方法およびデバイス
JP2010155083A (ja) * 2008-12-30 2010-07-15 Biosense Webster Inc 潅注を伴う二重目的のラッソーカテーテル
JP2010536475A (ja) * 2007-08-22 2010-12-02 カーディアック ペースメイカーズ， インコーポレイテッド フォトアブレーションのためのシステムおよび装置
WO2011105631A1 (ja) * 2010-02-26 2011-09-01 学校法人慶應義塾 光化学反応により心筋組織の光線力学的アブレーションを行うカテーテル
JP2012506569A (ja) * 2008-10-22 2012-03-15 アドバンスト フォトダイナミック テクノロジーズ、インコーポレイテッド 光拡散デバイス
JP2012510084A (ja) * 2008-11-26 2012-04-26 フィメコン・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング レーザアプリケータ

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JPH068067A (ja) 1992-06-26 1994-01-18 Seiko Epson Corp レバー取付構造
US5676662A (en) * 1995-03-17 1997-10-14 Daig Corporation Ablation catheter
JP2961074B2 (ja) 1995-09-06 1999-10-12 明治製菓株式会社 光化学療法用の新生血管閉塞剤
US20030093067A1 (en) * 2001-11-09 2003-05-15 Scimed Life Systems, Inc. Systems and methods for guiding catheters using registered images
US8097926B2 (en) * 2008-10-07 2012-01-17 Mc10, Inc. Systems, methods, and devices having stretchable integrated circuitry for sensing and delivering therapy
JP2012034852A (ja) 2010-08-06 2012-02-23 Japan Lifeline Co Ltd 電極カテーテル

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4860743A (en) * 1986-10-27 1989-08-29 University Of Florida Laser method and apparatus for the recanalization of vessels and the treatment of other cardiac conditions
JPH10504989A (ja) * 1994-09-09 1998-05-19 レアー・アース・メディカル・インコーポレイテッド 光線治療装置
JPH11511999A (ja) * 1995-08-22 1999-10-19 ボード オブ リージェンツ，ザ ユニバーシティ オブ テキサス システム 心臓不整脈を経皮的にまたは手術中に切除するための操縦可能な電気生理学カテーテル
JP2002513652A (ja) * 1998-05-06 2002-05-14 アトリオニクス，インク． 灌注される除去器具組立体
JP2008501441A (ja) * 2004-06-07 2008-01-24 エドワーズ　ライフサイエンシーズ　コーポレイション 組織を方向性をもって切除するための方法およびデバイス
US20060030844A1 (en) * 2004-08-04 2006-02-09 Knight Bradley P Transparent electrode for the radiofrequency ablation of tissue
JP2010536475A (ja) * 2007-08-22 2010-12-02 カーディアック ペースメイカーズ， インコーポレイテッド フォトアブレーションのためのシステムおよび装置
JP2012506569A (ja) * 2008-10-22 2012-03-15 アドバンスト フォトダイナミック テクノロジーズ、インコーポレイテッド 光拡散デバイス
JP2012510084A (ja) * 2008-11-26 2012-04-26 フィメコン・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング レーザアプリケータ
JP2010155083A (ja) * 2008-12-30 2010-07-15 Biosense Webster Inc 潅注を伴う二重目的のラッソーカテーテル
WO2011105631A1 (ja) * 2010-02-26 2011-09-01 学校法人慶應義塾 光化学反応により心筋組織の光線力学的アブレーションを行うカテーテル

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12029477B2 (en) * 2016-08-12 2024-07-09 Boston Scientific Scimed, Inc. Systems, devices, and related methods for laser lithotripsy
JP2023041120A (ja) * 2021-09-13 2023-03-24 テルモ株式会社 治療装置および治療方法
JP7735131B2 (ja) 2021-09-13 2025-09-08 テルモ株式会社 治療装置

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Publication number Publication date
EP3072470A4 (en) 2016-11-23
US20160278863A1 (en) 2016-09-29
EP3072470A1 (en) 2016-09-28
WO2015076262A1 (ja) 2015-05-28

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