JP2019536532A - 組織を穿刺する方法およびデバイス - Google Patents

組織を穿刺する方法およびデバイス Download PDF

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Publication number
JP2019536532A
JP2019536532A JP2019523866A JP2019523866A JP2019536532A JP 2019536532 A JP2019536532 A JP 2019536532A JP 2019523866 A JP2019523866 A JP 2019523866A JP 2019523866 A JP2019523866 A JP 2019523866A JP 2019536532 A JP2019536532 A JP 2019536532A
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JP
Japan
Prior art keywords
assembly
support member
dilator
guidewire
flexible
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
JP2019523866A
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English (en)
Japanese (ja)
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JP2019536532A5 (enExample
Inventor
ジョン ポール アーバンスキー，
ジョン ポール アーバンスキー，
マシュウ ディシコ，
マシュウ ディシコ，
ユン オム，
ユン オム，
ネイル ゴダラ，
ネイル ゴダラ，
デイビッド リーズ，
デイビッド リーズ，
ジェームズ クレイン，
ジェームズ クレイン，
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.)
Baylis Medical Co Inc
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Baylis Medical Co Inc
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 Baylis Medical Co Inc filed Critical Baylis Medical Co Inc
Publication of JP2019536532A publication Critical patent/JP2019536532A/ja
Publication of JP2019536532A5 publication Critical patent/JP2019536532A5/ja
Priority to JP2022120173A priority Critical patent/JP7699087B2/ja
Priority to JP2025062900A priority patent/JP2025106415A/ja
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00331—Steering mechanisms with preformed bends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • A61B2017/22044—Details of the tip of the guide wire with a pointed tip
    • 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
    • A61B2018/00357—Endocardium
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical 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
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
JP2019523866A 2016-11-01 2017-10-31 組織を穿刺する方法およびデバイス Pending JP2019536532A (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2022120173A JP7699087B2 (ja) 2016-11-01 2022-07-28 組織を穿刺する方法およびデバイス
JP2025062900A JP2025106415A (ja) 2016-11-01 2025-04-07 組織を穿刺する方法およびデバイス

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662415913P 2016-11-01 2016-11-01
US62/415,913 2016-11-01
PCT/IB2017/056777 WO2018083599A1 (en) 2016-11-01 2017-10-31 Methods and devices for puncturing tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2022120173A Division JP7699087B2 (ja) 2016-11-01 2022-07-28 組織を穿刺する方法およびデバイス

Publications (2)

Publication Number Publication Date
JP2019536532A true JP2019536532A (ja) 2019-12-19
JP2019536532A5 JP2019536532A5 (enExample) 2020-11-19

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Family Applications (3)

Application Number Title Priority Date Filing Date
JP2019523866A Pending JP2019536532A (ja) 2016-11-01 2017-10-31 組織を穿刺する方法およびデバイス
JP2022120173A Active JP7699087B2 (ja) 2016-11-01 2022-07-28 組織を穿刺する方法およびデバイス
JP2025062900A Pending JP2025106415A (ja) 2016-11-01 2025-04-07 組織を穿刺する方法およびデバイス

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JP2022120173A Active JP7699087B2 (ja) 2016-11-01 2022-07-28 組織を穿刺する方法およびデバイス
JP2025062900A Pending JP2025106415A (ja) 2016-11-01 2025-04-07 組織を穿刺する方法およびデバイス

Country Status (8)

Country Link
US (2) US12207836B2 (enExample)
EP (2) EP3534815B1 (enExample)
JP (3) JP2019536532A (enExample)
CN (1) CN110114027B (enExample)
AU (2) AU2017354078B2 (enExample)
CA (1) CA3042354A1 (enExample)
ES (1) ES2933683T3 (enExample)
WO (1) WO2018083599A1 (enExample)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2022153554A (ja) * 2016-11-01 2022-10-12 ベイリス メディカル カンパニー インコーポレイテッド 組織を穿刺する方法およびデバイス
JP2023530885A (ja) * 2020-06-18 2023-07-20 ボストン サイエンティフィック メディカル デバイス リミテッド 可撓性医療用アセンブリのための支持アセンブリ
JP2023534536A (ja) * 2020-07-20 2023-08-09 ボストン サイエンティフィック メディカル デバイス リミテッド ハイブリッド経中隔ダイレータ及びその使用方法

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WO2019215618A1 (en) 2018-05-08 2019-11-14 Baylis Medical Company Inc. Methods and devices for puncturing tissue
US11779390B2 (en) 2018-12-26 2023-10-10 Biosense Webster (Israel) Ltd. Pericardium catheter including camera for guiding cutting through pericardium
US20200353215A1 (en) * 2019-05-06 2020-11-12 Baylis Medical Company Inc. System and Methods for Left Atrial Access
US20210045773A1 (en) * 2019-08-14 2021-02-18 Ethicon, Inc. Transseptal sheath with anchoring coil for controlled left atrial access
CN114568015A (zh) 2019-08-22 2022-05-31 爱德华兹生命科学公司 穿刺针
US12016619B2 (en) * 2020-05-14 2024-06-25 Circa Scientific, Inc. Transseptal crossing system for single pass large bore access
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US12343042B2 (en) * 2020-07-16 2025-07-01 Boston Scientific Medical Device Limited Pericardial puncture device and method
WO2022034441A1 (en) 2020-08-12 2022-02-17 Baylis Medical Company Inc. System of medical devices and method for pericardial puncture
EP4203828A4 (en) 2020-08-25 2024-09-18 Cross Vascular, Inc. TRANSSEPTAL CROSSING SYSTEM
CN116390692A (zh) * 2020-10-15 2023-07-04 波士顿科学医疗设备有限公司 具有自动切断的电外科设备
CN116847797A (zh) * 2021-01-14 2023-10-03 波士顿科学医疗设备有限公司 医用扩张器以及用于医用扩张的系统、方法和套件
CN114052826B (zh) * 2021-12-03 2023-05-26 上海玮琅医疗科技有限公司 一种扩张器组件
US20230380890A1 (en) * 2022-05-26 2023-11-30 Biosense Webster (Israel) Ltd. Transseptal tissue puncture apparatuses, systems, and methods
AU2023415276A1 (en) * 2022-12-28 2025-07-10 Atraverse Medical, Inc. Methods, systems, and apparatuses for perforating tissue structures
CN120641162A (zh) * 2023-02-01 2025-09-12 波士顿科学医学有限公司 用于扩张器的旋转锁
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WO2024238801A1 (en) * 2023-05-17 2024-11-21 Merit Medical Systems, Inc. Pigtail dilator system
WO2024251731A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Medical Device Limited Electroanatomical mapping enabled dilator and sheath with electrical coupling
US20240407835A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Layered core insulated guidewire
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