JP2019506227A - 流体冷却されたマイクロ波焼灼システムの状態を判定するためのシステム及び方法 - Google Patents

流体冷却されたマイクロ波焼灼システムの状態を判定するためのシステム及び方法 Download PDF

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JP2019506227A
JP2019506227A JP2018542131A JP2018542131A JP2019506227A JP 2019506227 A JP2019506227 A JP 2019506227A JP 2018542131 A JP2018542131 A JP 2018542131A JP 2018542131 A JP2018542131 A JP 2018542131A JP 2019506227 A JP2019506227 A JP 2019506227A
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introducer
microwave ablation
stylus
lumen
microwave
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JP2019506227A5 (OSRAM
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ウィリアム ジェイ. ディックハンス,
ウィリアム ジェイ. ディックハンス,
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コヴィディエン リミテッド パートナーシップ
コヴィディエン リミテッド パートナーシップ
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    • 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
    • A61B18/1815—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 microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • 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
    • A61B34/25—User interfaces for surgical systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00955—Material properties thermoplastic
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • 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
    • A61B18/1815—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 microwaves
    • A61B2018/1823—Generators therefor
    • 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
    • A61B18/1815—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 microwaves
    • A61B2018/183—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 microwaves characterised by the type of antenna
    • 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
    • A61B18/1815—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 microwaves
    • A61B2018/1892—Details of electrical isolations of the antenna
    • 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
    • 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
    • A61B2034/2065—Tracking using image or pattern recognition
    • 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
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/254—User interfaces for surgical systems being adapted depending on the stage of the surgical procedure
    • 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
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/258—User interfaces for surgical systems providing specific settings for specific users
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • 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
    • A61M25/0102—Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
    • 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
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Pathology (AREA)
  • Human Computer Interaction (AREA)
  • Surgical Instruments (AREA)
JP2018542131A 2016-02-11 2017-02-07 流体冷却されたマイクロ波焼灼システムの状態を判定するためのシステム及び方法 Pending JP2019506227A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201662293965P 2016-02-11 2016-02-11
US62/293,965 2016-02-11
US15/425,762 US11058486B2 (en) 2016-02-11 2017-02-06 Systems and methods for percutaneous microwave ablation
US15/425,762 2017-02-06
PCT/US2017/016855 WO2017139278A1 (en) 2016-02-11 2017-02-07 Systems and methods for determining the status of a fluid-cooled microwave ablation system

Publications (2)

Publication Number Publication Date
JP2019506227A true JP2019506227A (ja) 2019-03-07
JP2019506227A5 JP2019506227A5 (OSRAM) 2020-03-12

Family

ID=59559834

Family Applications (1)

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JP2018542131A Pending JP2019506227A (ja) 2016-02-11 2017-02-07 流体冷却されたマイクロ波焼灼システムの状態を判定するためのシステム及び方法

Country Status (7)

Country Link
US (1) US11058486B2 (OSRAM)
EP (1) EP3413824B1 (OSRAM)
JP (1) JP2019506227A (OSRAM)
CN (1) CN108778176B (OSRAM)
AU (1) AU2017218892A1 (OSRAM)
CA (1) CA3014352A1 (OSRAM)
WO (1) WO2017139278A1 (OSRAM)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12076223B2 (en) * 2017-08-15 2024-09-03 Covidien Lp Methods and tools for treating diseased tissue
US11160606B2 (en) * 2017-10-31 2021-11-02 Covidien Lp Systems and methods for lung treatments and post-treatment sealing of lungs
GB2569812A (en) * 2017-12-27 2019-07-03 Creo Medical Ltd Electrosurgical ablation instrument
GB2578576B (en) * 2018-10-30 2022-08-24 Creo Medical Ltd Electrosurgical instrument
WO2021158373A1 (en) * 2020-02-04 2021-08-12 Covidien Lp Systems and methods for monitoring ablation antenna movement

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070123815A1 (en) * 2005-09-28 2007-05-31 Mark Joseph L System and method for minimally invasive disease therapy
US20130226172A1 (en) * 2009-08-27 2013-08-29 Covidien Lp Ecogenic cooled microwave ablation antenna
JP2015533582A (ja) * 2012-11-05 2015-11-26 リリーバント メドシステムズ、インコーポレイテッド 骨を通して湾曲経路を作り、骨内で神経を調節するシステム及び方法

Family Cites Families (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5409453A (en) 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5720718A (en) 1992-08-12 1998-02-24 Vidamed, Inc. Medical probe apparatus with enhanced RF, resistance heating, and microwave ablation capabilities
US5690611A (en) 1994-07-08 1997-11-25 Daig Corporation Process for the treatment of atrial arrhythima using a catheter guided by shaped giding introducers
US6090084A (en) 1994-07-08 2000-07-18 Daig Corporation Shaped guiding introducers for use with a catheter for the treatment of atrial arrhythmia
EP1011495B1 (en) 1995-05-04 2005-11-09 Sherwood Services AG Cool-tip electrode thermosurgery system
US6575969B1 (en) 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US5772628A (en) 1996-02-13 1998-06-30 Imagyn Medical, Inc. Surgical access device and method of constructing same
US7033352B1 (en) 2000-01-18 2006-04-25 Afx, Inc. Flexible ablation instrument
US7197363B2 (en) 2002-04-16 2007-03-27 Vivant Medical, Inc. Microwave antenna having a curved configuration
US8361067B2 (en) * 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
US7311703B2 (en) 2003-07-18 2007-12-25 Vivant Medical, Inc. Devices and methods for cooling microwave antennas
EP1684655A2 (en) 2003-11-18 2006-08-02 SciMed Life Systems, Inc. System and method for tissue ablation
US8765116B2 (en) 2005-03-24 2014-07-01 Medifocus, Inc. Apparatus and method for pre-conditioning/fixation and treatment of disease with heat activation/release with thermoactivated drugs and gene products
DE602005018444D1 (de) 2005-04-07 2010-02-04 Creganna Technologies Ltd Lenkbare Katheteranordnung
US7678109B2 (en) 2006-06-23 2010-03-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation device and method comprising movable ablation elements
US20080097347A1 (en) 2006-09-22 2008-04-24 Babak Arvanaghi Bendable needle assembly
US9980774B2 (en) 2008-10-21 2018-05-29 Microcube, Llc Methods and devices for delivering microwave energy
US8334812B2 (en) * 2009-06-19 2012-12-18 Vivant Medical, Inc. Microwave ablation antenna radiation detector
JP5843777B2 (ja) 2009-10-27 2016-01-13 ホライラ, インコーポレイテッド 冷却可能なエネルギー放出アセンブリを有する送達デバイス
CN201642316U (zh) * 2009-11-18 2010-11-24 南京康友微波能应用研究所 微波消融针及其微波消融治疗仪
US20130274673A1 (en) 2011-08-24 2013-10-17 Ablative Solutions, Inc. Intravascular ablation catheter with enhanced fluoroscopic visibility
EP2793726B1 (en) * 2011-12-21 2020-09-30 Neuwave Medical, Inc. Energy delivery systems
US9126055B2 (en) 2012-04-20 2015-09-08 Cardiac Science Corporation AED faster time to shock method and device
US9044254B2 (en) 2012-08-07 2015-06-02 Covidien Lp Microwave ablation catheter and method of utilizing the same
US9119650B2 (en) * 2013-03-15 2015-09-01 Covidien Lp Microwave energy-delivery device and system
US10624697B2 (en) 2014-08-26 2020-04-21 Covidien Lp Microwave ablation system
US20160317230A1 (en) 2015-04-30 2016-11-03 Covidien Lp Computer-readable media storing programs for microwave ablation planning and procedure

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070123815A1 (en) * 2005-09-28 2007-05-31 Mark Joseph L System and method for minimally invasive disease therapy
US20130226172A1 (en) * 2009-08-27 2013-08-29 Covidien Lp Ecogenic cooled microwave ablation antenna
JP2015533582A (ja) * 2012-11-05 2015-11-26 リリーバント メドシステムズ、インコーポレイテッド 骨を通して湾曲経路を作り、骨内で神経を調節するシステム及び方法

Also Published As

Publication number Publication date
AU2017218892A1 (en) 2018-08-30
US11058486B2 (en) 2021-07-13
EP3413824A4 (en) 2019-10-09
WO2017139278A1 (en) 2017-08-17
CN108778176B (zh) 2021-06-04
EP3413824B1 (en) 2021-03-31
US20170231695A1 (en) 2017-08-17
EP3413824A1 (en) 2018-12-19
CA3014352A1 (en) 2017-08-17
CN108778176A (zh) 2018-11-09

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