JP2024542643A - 治療アプリケータの位置決め用計画デバイス - Google Patents

治療アプリケータの位置決め用計画デバイス Download PDF

Info

Publication number
JP2024542643A
JP2024542643A JP2024532223A JP2024532223A JP2024542643A JP 2024542643 A JP2024542643 A JP 2024542643A JP 2024532223 A JP2024532223 A JP 2024532223A JP 2024532223 A JP2024532223 A JP 2024532223A JP 2024542643 A JP2024542643 A JP 2024542643A
Authority
JP
Japan
Prior art keywords
applicator
ablation
configuration
planning device
entry points
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
JP2024532223A
Other languages
English (en)
Japanese (ja)
Other versions
JP2024542643A5 (https=
Inventor
アルフォンソ アガティノ イゾラ
ギョーム レオポルド テオドルス フレデリック オウトヴァスト
マルティナ シアンカレラ
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.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
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 Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2024542643A publication Critical patent/JP2024542643A/ja
Publication of JP2024542643A5 publication Critical patent/JP2024542643A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • 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
    • A61B17/3403—Needle locating or guiding means
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • 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
    • A61B18/1477—Needle-like probes
    • 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
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
    • 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
    • A61B2018/00547—Prostate
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0293—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument interstitially inserted into the body, e.g. needle
    • 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
    • A61B2018/1869—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 with an instrument interstitially inserted into the body, e.g. needles
    • 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
    • A61B18/20—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 laser
    • A61B2018/2005—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 laser with beam delivery through an interstitially insertable device, e.g. needle
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007—Arrangements or means for the introduction of sources into the body
    • A61N2005/1012—Templates or grids for guiding the introduction of sources
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N2007/025—Localised ultrasound hyperthermia interstitial

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
JP2024532223A 2021-12-03 2022-11-23 治療アプリケータの位置決め用計画デバイス Pending JP2024542643A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP21212152.9 2021-12-03
EP21212152.9A EP4190252A1 (en) 2021-12-03 2021-12-03 Planning device for positioning treatment applicators
PCT/EP2022/082920 WO2023099299A1 (en) 2021-12-03 2022-11-23 Planning device for positioning treatment applicators

Publications (2)

Publication Number Publication Date
JP2024542643A true JP2024542643A (ja) 2024-11-15
JP2024542643A5 JP2024542643A5 (https=) 2025-09-12

Family

ID=79021732

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2024532223A Pending JP2024542643A (ja) 2021-12-03 2022-11-23 治療アプリケータの位置決め用計画デバイス

Country Status (5)

Country Link
US (1) US20250017658A1 (https=)
EP (2) EP4190252A1 (https=)
JP (1) JP2024542643A (https=)
CN (1) CN118369055A (https=)
WO (1) WO2023099299A1 (https=)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102021211328A1 (de) * 2021-10-07 2023-04-13 Richard Wolf Gmbh System zur Durchführung einer transkutanen fotodynamischen Therapie (PDT) in einem Organ oder Organsegment eines organischen Körpers
EP4501266A1 (en) * 2023-07-31 2025-02-05 Koninklijke Philips N.V. Ablation applicator pattern matching to grid template
WO2025027073A1 (en) * 2023-07-31 2025-02-06 Koninklijke Philips N.V. Ablation applicator pattern matching to grid template
US20260090837A1 (en) * 2024-10-02 2026-04-02 Varian Medical Systems, Inc. Method and apparatus in support of ablating a target volume

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3337419B1 (en) * 2015-08-19 2020-08-12 Brainlab AG Reference array holder
GB201616283D0 (en) * 2016-09-26 2016-11-09 Ucl Business Plc A system and method for computer assisted planning of a trajectory for a surgical insertion into a skull
US10695132B2 (en) 2017-07-07 2020-06-30 Canon U.S.A., Inc. Multiple probe ablation planning
EP3777748A1 (en) 2019-08-16 2021-02-17 Koninklijke Philips N.V. Planning ablation probe configuration
WO2021168428A1 (en) * 2020-02-21 2021-08-26 Voyager Biomedical, Inc. External needle guide and anchor

Also Published As

Publication number Publication date
CN118369055A (zh) 2024-07-19
US20250017658A1 (en) 2025-01-16
WO2023099299A1 (en) 2023-06-08
EP4190252A1 (en) 2023-06-07
EP4440455B1 (en) 2026-02-25
EP4440455A1 (en) 2024-10-09

Similar Documents

Publication Publication Date Title
JP2024542643A (ja) 治療アプリケータの位置決め用計画デバイス
US10423757B2 (en) System and method for probabilistic ablation planning
US20210007805A1 (en) Ablation planning system
CN114302687B (zh) 确定消融探头配置
EP3634578B1 (en) Treatment plan generation for radiation therapy treatment
EP3742995B1 (en) Planning apparatus for determining an ablation probe parameter for a single ablation probe or for multiple ablation probes
CN101795636A (zh) Rf消融计划器
EP4106867B1 (en) Generating and applying robust dose prediction models
CN108778421B (zh) 用于辅助执行介入流程的系统
US12458091B2 (en) Planning apparatus for determining an ablation probe parameter for a single ablation probe or for multiple ablation probes
Luong et al. Efficient, effective, and insightful tackling of the high-dose-rate brachytherapy treatment planning problem for prostate cancer using evolutionary multi-objective optimization algorithms
US20250177047A1 (en) A system for thermal ablation treatment planning
EP3946572B1 (en) Treatment planning for focal therapy treatments
Pan et al. A rapid path planning approach for liver tumor ablation with comprehensive constraints
Luong et al. E icient, E ective, and Insightful Tackling of the High-Dose-Rate Brachytherapy Treatment Planning Problem for Prostate Cancer using Evolutionary Multi-Objective Optimization Algorithms
CN102458577A (zh) 放疗传输系统和放疗治疗计划

Legal Events

Date Code Title Description
RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7423

Effective date: 20250403

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20250408

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20250904

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20250904

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20260427