JP2024510419A - 光学イメージングを使用する組織治療エネルギーの送達 - Google Patents

光学イメージングを使用する組織治療エネルギーの送達 Download PDF

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JP2024510419A
JP2024510419A JP2023553695A JP2023553695A JP2024510419A JP 2024510419 A JP2024510419 A JP 2024510419A JP 2023553695 A JP2023553695 A JP 2023553695A JP 2023553695 A JP2023553695 A JP 2023553695A JP 2024510419 A JP2024510419 A JP 2024510419A
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tissue
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JP2024510419A5 (https=
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ケスター・ジュリアン・バッチェラー
オナガ・タケシ
ジョーダン・ゴロム
テオ・ヘン・ジミー・ヤン
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ジャイラス エーシーエムアイ インク ディー／ビー／エー オリンパス サージカル テクノロジーズ アメリカ
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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
    • A61B18/04—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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • 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
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • 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
    • A61B2018/00964—Features of probes
    • 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
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2576/00—Medical imaging apparatus involving image processing or analysis
    • 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

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Radiation-Therapy Devices (AREA)
  • Radiology & Medical Imaging (AREA)
  • Quality & Reliability (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
JP2023553695A 2021-03-02 2022-03-02 光学イメージングを使用する組織治療エネルギーの送達 Pending JP2024510419A (ja)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US202163155444P 2021-03-02 2021-03-02
US63/155,444 2021-03-02
US202163271053P 2021-10-22 2021-10-22
US63/271,053 2021-10-22
US202163265978P 2021-12-23 2021-12-23
US63/265,978 2021-12-23
PCT/US2022/070924 WO2022187832A2 (en) 2021-03-02 2022-03-02 Tissue therapy energy delivery using optical imaging

Publications (2)

Publication Number Publication Date
JP2024510419A true JP2024510419A (ja) 2024-03-07
JP2024510419A5 JP2024510419A5 (https=) 2025-03-06

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JP2023553695A Pending JP2024510419A (ja) 2021-03-02 2022-03-02 光学イメージングを使用する組織治療エネルギーの送達

Country Status (5)

Country Link
US (2) US12324616B2 (https=)
EP (1) EP4301264B1 (https=)
JP (1) JP2024510419A (https=)
DE (1) DE112022001331T5 (https=)
WO (1) WO2022187832A2 (https=)

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* Cited by examiner, † Cited by third party
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EP4301264B1 (en) 2021-03-02 2024-11-27 Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America Tissue therapy energy delivery using optical imaging
US12277784B2 (en) * 2021-11-09 2025-04-15 Genesis Medtech (USA) Inc. Intelligent energy device based on real-time visual analysis of laparoscopic video
WO2025136834A1 (en) * 2023-12-18 2025-06-26 GYRUS ACMI, INC., d/b/a Olympus Surgical Technologies America Tissue therapy energy feedback systems and methods
CN119970211B (zh) * 2025-04-15 2026-02-06 成都博恩思医学机器人有限公司 一种单关节柔性双极抓钳、系统及其控制方法和电子设备

Citations (8)

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US20140121508A1 (en) * 2012-10-31 2014-05-01 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (oct) to monitor and control tissue sealing
US20140180273A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation Device, System, and Method for Imaging and Tissue Characterization of Ablated Tissue
US20150005765A1 (en) * 2012-01-20 2015-01-01 Koninklijke Philips N.V. Electro-surgical system, an electro-surgical device, and a method for operating an electro-surgical system
JP2018134414A (ja) * 2017-02-22 2018-08-30 コヴィディエン リミテッド パートナーシップ 細胞生存性の判定方法
US20190175022A1 (en) * 2012-10-31 2019-06-13 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (oct) to monitor and control tissue sealing
US20190200905A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US20200246033A1 (en) * 2017-08-11 2020-08-06 Intuitive Surgical Operations, Inc. Medical apparatus with optical sensing, and related devices and methods
JP2020121116A (ja) * 2019-01-24 2020-08-13 エルベ エレクトロメディジン ゲーエムベーハーＥｒｂｅ Ｅｌｅｋｔｒｏｍｅｄｉｚｉｎ ＧｍｂＨ 組織凝固用の装置

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US10675113B2 (en) * 2014-03-18 2020-06-09 Monteris Medical Corporation Automated therapy of a three-dimensional tissue region
US9259231B2 (en) * 2014-05-11 2016-02-16 Gyrus Acmi, Inc. Computer aided image-based enhanced intracorporeal lithotripsy
AU2016200084B2 (en) * 2015-01-16 2020-01-16 Covidien Lp Powered surgical stapling device
US20190223946A1 (en) * 2018-01-24 2019-07-25 Medtronic Ardian Luxembourg S.A.R.L. Systems, devices, and associated methods for neuromodulation in heterogeneous tissue environments
US11559298B2 (en) * 2018-07-16 2023-01-24 Cilag Gmbh International Surgical visualization of multiple targets
US11107213B2 (en) * 2018-12-28 2021-08-31 Biosense Webster (Israel) Ltd. Correcting medical scans
WO2021026161A1 (en) * 2019-08-05 2021-02-11 Gyrus Acmi, Inc., D.B.A. Olympus Surgical Technologies America Laser control using a spectrometer
US11369427B2 (en) * 2019-12-17 2022-06-28 Covidien Lp System and method of manufacturing non-stick coated electrodes
CN117460474A (zh) 2021-03-02 2024-01-26 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 使用光学成像进行组织治疗能量递送
EP4301264B1 (en) 2021-03-02 2024-11-27 Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America Tissue therapy energy delivery using optical imaging
CN116916842A (zh) 2021-03-03 2023-10-20 柯惠有限合伙公司 基于计算机视觉的能量发生器控制

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US20150005765A1 (en) * 2012-01-20 2015-01-01 Koninklijke Philips N.V. Electro-surgical system, an electro-surgical device, and a method for operating an electro-surgical system
US20140121508A1 (en) * 2012-10-31 2014-05-01 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (oct) to monitor and control tissue sealing
US20170143260A1 (en) * 2012-10-31 2017-05-25 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (oct) to monitor and control tissue sealing
US20190175022A1 (en) * 2012-10-31 2019-06-13 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (oct) to monitor and control tissue sealing
US20140180273A1 (en) * 2012-12-21 2014-06-26 Volcano Corporation Device, System, and Method for Imaging and Tissue Characterization of Ablated Tissue
US20170215952A1 (en) * 2012-12-21 2017-08-03 Volcano Corporation Device, System, and Method for Imaging and Tissue Characterization of Ablated Tissue
JP2018134414A (ja) * 2017-02-22 2018-08-30 コヴィディエン リミテッド パートナーシップ 細胞生存性の判定方法
US20200246033A1 (en) * 2017-08-11 2020-08-06 Intuitive Surgical Operations, Inc. Medical apparatus with optical sensing, and related devices and methods
US20190200905A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Characterization of tissue irregularities through the use of mono-chromatic light refractivity
JP2020121116A (ja) * 2019-01-24 2020-08-13 エルベ エレクトロメディジン ゲーエムベーハーＥｒｂｅ Ｅｌｅｋｔｒｏｍｅｄｉｚｉｎ ＧｍｂＨ 組織凝固用の装置

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Publication number Publication date
EP4301264B1 (en) 2024-11-27
WO2022187832A3 (en) 2022-10-13
US20250281228A1 (en) 2025-09-11
WO2022187832A2 (en) 2022-09-09
EP4301264A2 (en) 2024-01-10
DE112022001331T5 (de) 2023-12-21
US20240099763A1 (en) 2024-03-28
US12324616B2 (en) 2025-06-10

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