JP2018532482A - 血管内デバイスのための操縦デバイスのための進化した制御機能並びに関連するシステム及び方法 - Google Patents

血管内デバイスのための操縦デバイスのための進化した制御機能並びに関連するシステム及び方法 Download PDF

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Publication number
JP2018532482A
JP2018532482A JP2018517421A JP2018517421A JP2018532482A JP 2018532482 A JP2018532482 A JP 2018532482A JP 2018517421 A JP2018517421 A JP 2018517421A JP 2018517421 A JP2018517421 A JP 2018517421A JP 2018532482 A JP2018532482 A JP 2018532482A
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intravascular
steering
housing
processor
actuator
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JP2018517421A
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Japanese (ja)
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JP2018532482A5 (enExample
Inventor
プリンストン サロハ
プリンストン サロハ
ジェレミー スティガル
ジェレミー スティガル
マリテス ミナス
マリテス ミナス
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Koninklijke Philips NV
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Koninklijke Philips NV
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Publication of JP2018532482A publication Critical patent/JP2018532482A/ja
Publication of JP2018532482A5 publication Critical patent/JP2018532482A5/ja
Pending legal-status Critical Current

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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
    • 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
    • A61B34/70—Manipulators specially adapted for use in surgery
    • 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
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/026—Measuring blood flow
    • A61B5/0265—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter
    • A61B5/027—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter using catheters
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0891—Clinical applications for diagnosis of blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • 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
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • 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
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • A61B2034/742—Joysticks
    • 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
    • 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
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • 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
    • A61M25/0133—Tip steering devices
    • A61M25/0136—Handles therefor

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electromagnetism (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Vascular Medicine (AREA)
  • Robotics (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Endoscopes (AREA)
JP2018517421A 2015-10-09 2016-10-07 血管内デバイスのための操縦デバイスのための進化した制御機能並びに関連するシステム及び方法 Pending JP2018532482A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562239820P 2015-10-09 2015-10-09
US62/239,820 2015-10-09
PCT/EP2016/074020 WO2017060439A1 (en) 2015-10-09 2016-10-07 Advanced control features for steering devices for intravascular devices and associated systems and methods

Publications (2)

Publication Number Publication Date
JP2018532482A true JP2018532482A (ja) 2018-11-08
JP2018532482A5 JP2018532482A5 (enExample) 2019-11-14

Family

ID=57153447

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018517421A Pending JP2018532482A (ja) 2015-10-09 2016-10-07 血管内デバイスのための操縦デバイスのための進化した制御機能並びに関連するシステム及び方法

Country Status (4)

Country Link
US (1) US11872056B2 (enExample)
EP (1) EP3359049B1 (enExample)
JP (1) JP2018532482A (enExample)
WO (1) WO2017060439A1 (enExample)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7292289B2 (ja) * 2018-02-08 2023-06-16 コーニンクレッカ フィリップス エヌ ヴェ 経食道心エコーのためのワイヤレス動作
EP3983042B1 (en) * 2019-07-15 2025-03-05 Siemens Healthineers Endovascular Robotics, Inc. Systems for a control station for robotic interventional procedures using a plurality of elongated medical devices
WO2021141921A1 (en) 2020-01-07 2021-07-15 Cleerly, Inc. Systems, methods, and devices for medical image analysis, diagnosis, risk stratification, decision making and/or disease tracking
US11969280B2 (en) 2020-01-07 2024-04-30 Cleerly, Inc. Systems, methods, and devices for medical image analysis, diagnosis, risk stratification, decision making and/or disease tracking
US20220392065A1 (en) 2020-01-07 2022-12-08 Cleerly, Inc. Systems, methods, and devices for medical image analysis, diagnosis, risk stratification, decision making and/or disease tracking
KR20230154256A (ko) 2021-10-05 2023-11-07 코린더스 인코포레이티드 세장형 의료 디바이스들의 로봇 작동
US20230270407A1 (en) * 2022-02-26 2023-08-31 Xenter, Inc. Medical devices, systems, and methods incorporating the same
US12406365B2 (en) 2022-03-10 2025-09-02 Cleerly, Inc. Systems, devices, and methods for non-invasive image-based plaque analysis and risk determination
US12440180B2 (en) 2022-03-10 2025-10-14 Cleerly, Inc. Systems, devices, and methods for non-invasive image-based plaque analysis and risk determination
US20250217981A1 (en) 2022-03-10 2025-07-03 Cleerly, Inc. Systems, methods, and devices for image-based plaque analysis and risk determination
US20250143657A1 (en) 2022-03-10 2025-05-08 Cleerly, Inc. Systems, devices, and methods for non-invasive image-based plaque analysis and risk determination
WO2025049727A1 (en) * 2023-08-31 2025-03-06 Intuitive Surgical Operations, Inc. Conditional brake engagement to inhibit back-driving of system components
WO2025088528A1 (en) * 2023-10-24 2025-05-01 Rapid Medical Ltd. Actuator control for guidable endovascular mesh device, and applications thereof

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0523296A (ja) * 1991-07-18 1993-02-02 Olympus Optical Co Ltd 内視鏡装置
JP2010046486A (ja) * 2008-08-22 2010-03-04 Trophy 歯科用放射線装置とその利用法
JP2012517302A (ja) * 2009-02-10 2012-08-02 ヴェサテック エルエルシー 外科用ガイドワイヤを操作するための方法および装置
US20130261540A1 (en) * 2010-12-16 2013-10-03 Justin M. Crank High-pressure pneumatic injection system and method
WO2014099961A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation Steerable intravascular devices and associated devices, systems, and methods
US20150073340A1 (en) * 2013-09-06 2015-03-12 Catheter Robotics Inc. Single Hand Operated Remote Controller For Remote Catheter Positioning System

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6402726B1 (en) * 2001-03-19 2002-06-11 Medical Technologies Of Georgia, Inc. Catheter movement control device and method
US8777929B2 (en) * 2005-06-28 2014-07-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Auto lock for catheter handle
EP2291215A1 (en) * 2008-05-13 2011-03-09 Boston Scientific Scimed, Inc. Apparatus for retracting an ablation balloon into delivery sheath
US9364635B2 (en) 2013-09-20 2016-06-14 Covidien Lp Computer controlled steerable tip guide catheter
US10118021B2 (en) * 2013-09-30 2018-11-06 St. Jude Medical, Cardiology Division, Inc. Catheter having an active return-to-straight mechanism

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0523296A (ja) * 1991-07-18 1993-02-02 Olympus Optical Co Ltd 内視鏡装置
JP2010046486A (ja) * 2008-08-22 2010-03-04 Trophy 歯科用放射線装置とその利用法
JP2012517302A (ja) * 2009-02-10 2012-08-02 ヴェサテック エルエルシー 外科用ガイドワイヤを操作するための方法および装置
US20130261540A1 (en) * 2010-12-16 2013-10-03 Justin M. Crank High-pressure pneumatic injection system and method
WO2014099961A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation Steerable intravascular devices and associated devices, systems, and methods
US20150073340A1 (en) * 2013-09-06 2015-03-12 Catheter Robotics Inc. Single Hand Operated Remote Controller For Remote Catheter Positioning System

Also Published As

Publication number Publication date
US11872056B2 (en) 2024-01-16
EP3359049B1 (en) 2020-01-15
EP3359049A1 (en) 2018-08-15
US20190076092A1 (en) 2019-03-14
WO2017060439A1 (en) 2017-04-13

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