JP2024526564A - 医療システム、デバイス、および関連する方法 - Google Patents

医療システム、デバイス、および関連する方法 Download PDF

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Publication number
JP2024526564A
JP2024526564A JP2023578010A JP2023578010A JP2024526564A JP 2024526564 A JP2024526564 A JP 2024526564A JP 2023578010 A JP2023578010 A JP 2023578010A JP 2023578010 A JP2023578010 A JP 2023578010A JP 2024526564 A JP2024526564 A JP 2024526564A
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Prior art keywords
medical device
handle
shaft
wire
distal
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JP2023578010A
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English (en)
Japanese (ja)
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JP2024526564A5 (cg-RX-API-DMAC10.html
Inventor
クマール シャルマ、ディーパック
ボーミック、ナバルン
バサン ラウト、シュリカント
ジェイ． スカッティ、ジェームズ
クマール ジー、シャラス
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Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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Publication of JP2024526564A publication Critical patent/JP2024526564A/ja
Publication of JP2024526564A5 publication Critical patent/JP2024526564A5/ja
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057—Constructional details of force transmission elements, e.g. control wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • 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
    • 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
    • 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
    • A61B2018/00482—Digestive system
    • 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
    • A61B2018/00482—Digestive system
    • A61B2018/00488—Esophagus
    • 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
    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • 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
    • A61B2018/00482—Digestive system
    • A61B2018/005—Rectum
    • 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
    • A61B2018/00541—Lung or bronchi
    • 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
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • 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
    • 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
    • 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
    • A61B2018/1475—Electrodes retractable in or deployable from a housing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Mechanical Control Devices (AREA)
JP2023578010A 2021-06-30 2022-06-27 医療システム、デバイス、および関連する方法 Pending JP2024526564A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202163216548P 2021-06-30 2021-06-30
US63/216,548 2021-06-30
PCT/US2022/035049 WO2023278287A1 (en) 2021-06-30 2022-06-27 Medical systems, devices, and related methods

Publications (2)

Publication Number Publication Date
JP2024526564A true JP2024526564A (ja) 2024-07-19
JP2024526564A5 JP2024526564A5 (cg-RX-API-DMAC10.html) 2025-06-04

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JP2023578010A Pending JP2024526564A (ja) 2021-06-30 2022-06-27 医療システム、デバイス、および関連する方法

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US (2) US12408825B2 (cg-RX-API-DMAC10.html)
EP (2) EP4362834B1 (cg-RX-API-DMAC10.html)
JP (1) JP2024526564A (cg-RX-API-DMAC10.html)
KR (1) KR20240027744A (cg-RX-API-DMAC10.html)
CN (1) CN117561035A (cg-RX-API-DMAC10.html)
AU (1) AU2022302991A1 (cg-RX-API-DMAC10.html)
CA (1) CA3219238A1 (cg-RX-API-DMAC10.html)
WO (1) WO2023278287A1 (cg-RX-API-DMAC10.html)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116249473A (zh) * 2020-06-11 2023-06-09 波士顿科学有限公司 医疗系统、装置及相关方法
EP4669239A1 (en) * 2023-04-26 2025-12-31 Boston Scientific Scimed, Inc. MEDICAL DEVICES AND RELATED PROCESSES FOR ENERGY AND/OR FLUID ADMINISTRATION

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003310540A (ja) * 2002-04-26 2003-11-05 Olympus Optical Co Ltd 内視鏡
JP2010075319A (ja) * 2008-09-25 2010-04-08 Fujinon Corp アダプタ及びそれを用いる内視鏡システム並びにその使用方法
US20140276808A1 (en) * 2013-03-13 2014-09-18 Cook Medical Technologies Llc Rotation mechanism for bipolar and monopolar devices
WO2019030848A1 (ja) * 2017-08-09 2019-02-14 オリンパス株式会社 処置具

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU4026793A (en) * 1992-04-10 1993-11-18 Cardiorhythm Shapable handle for steerable electrode catheter
EP1886617A4 (en) * 2005-05-26 2010-09-29 Ars Co Ltd ENDOSCOPE DEVICE
US7785286B2 (en) 2006-03-30 2010-08-31 Volcano Corporation Method and system for imaging, diagnosing, and/or treating an area of interest in a patient's body
US20090171161A1 (en) * 2007-12-10 2009-07-02 Usgi Medical, Inc. Steerable endoscopic instruments
US10029073B2 (en) * 2012-11-13 2018-07-24 Abbott Cardiovascular Systems, Inc. Steerable assembly for surgical catheter
CA2931666C (en) * 2014-01-13 2018-07-24 Arley Perez III Steerable surgical device with joystick
US11446081B2 (en) * 2015-10-20 2022-09-20 Lumedi Ltd. Medical instruments for performing minimally-invasive procedures

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003310540A (ja) * 2002-04-26 2003-11-05 Olympus Optical Co Ltd 内視鏡
JP2010075319A (ja) * 2008-09-25 2010-04-08 Fujinon Corp アダプタ及びそれを用いる内視鏡システム並びにその使用方法
US20140276808A1 (en) * 2013-03-13 2014-09-18 Cook Medical Technologies Llc Rotation mechanism for bipolar and monopolar devices
WO2019030848A1 (ja) * 2017-08-09 2019-02-14 オリンパス株式会社 処置具

Also Published As

Publication number Publication date
EP4643788A3 (en) 2025-12-31
EP4643788A2 (en) 2025-11-05
EP4362834B1 (en) 2025-10-22
CA3219238A1 (en) 2023-01-05
US12408825B2 (en) 2025-09-09
AU2022302991A1 (en) 2023-11-09
CN117561035A (zh) 2024-02-13
WO2023278287A1 (en) 2023-01-05
US20230000313A1 (en) 2023-01-05
US20250352044A1 (en) 2025-11-20
EP4362834A1 (en) 2024-05-08
KR20240027744A (ko) 2024-03-04

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