JP4837658B2 - 標的生検搬送システム - Google Patents
標的生検搬送システム Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0241—Pointed or sharp biopsy instruments for prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/3421—Cannulas
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B2010/0225—Instruments for taking cell samples or for biopsy for taking multiple samples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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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
- 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
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- 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
- 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
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- 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
Description
2 前立腺
10 方向転換ガイド
10A 別の方向転換ガイド
11 位置決め組立体
12 標的ソフトウェアシステム
13 可撓性針セット
15 クレードル
16 スタビライザー
17 超音波システム
18 超音波システムCPU
19 側面ビュー経直腸プローブ
20 モニター
22 プローブチップ
23 画像窓部
30 ガイド本体
31 針セットチャネル
32 針セット挿入ポイント
33 針セット出口ポイント
34A、34B 前方本体ガイド拡張部
35 画像カットアウト
36 針セットチャネル曲がり部
37 拡張曲がりチャネル
38 挿入可能な金属管
40 回転調整カラー
41 固定カラー
42 縦方向スライド
43 縦方向位置コントローラー
50 針路位置レジストリ
51 針路ライン
52 針路ドット
60 可撓性スタイレット
61 可撓性カニューレ
62 チップ(先端部)
63 拡張した試料ノッチ
64 スタイレット本体
65 切断チップ
66 カニューレ本体
67 端ぐり及びテーパー
70 曲げノッチ
71 段状試料ノッチ
72 区分された試料ノッチ
75 取去り可能な針セットガイドインサート
76 スタイレットハブ
77 カニューレハブ
78 ストリップ
79 深さマーキング
81 カニューレシース
82 螺旋カット部
83 非螺旋カット部
84 傾斜付付き縁
201 生検アタッチメント角度セレクタ及びディスプレー
202 生検アタッチメント深さセレクタ及びディスプレー
204 針路座標ディスプレー及び窓部
206 生検計画完了ウィンドウ
207 計画ボタンから選択した生検位置の移動(除去)
208 計画ボタンへの選択生検位置の追加
209 事前計画テンプレート選択
210 サジタル画像面セレクタ
212 横方向画像ディスプレー
213 サジタル画像ディスプレー
Claims (25)
- 標的を定めることができる生検システムであって、
ガイド本体(30)及び針セットチャネル(31)を有する方向転換ガイド(10)と、
生検試料を採取するために前記方向転換ガイド(10)の針セットチャネル(31)に挿入され得る可撓性の生検針セット(13)と、
超音波システムCPU(18)、側面ビュー経直腸プロ−ブ(19)、及びモニター(20)を有する超音波システム(17)にして、側面ビュー経直腸プロ−ブ(19)がプローブチップ(22)とプローブ画像窓部(23)とを含み、前記方向転換ガイド(10)のガイド本体(30)が、プローブチップ上に位置し、かつプローブチップ(22)に対し異なる回転方向位置及び異なる縦方向位置に移動可能であり、プローブチップ(22)が前記モニター(20)に表示される標的組織塊の超音波画像を発生させる超音波システム(17)と、
前記プローブチップ(22)に対する前記方向転換ガイド(10)のガイド本体(30)の回転方向位置及び縦方向位置を制御するための組立体(11)と、
横断画像ディスプレー(212)及びサジタル画像ディスプレー(213)を有する標的ソフトウェアシステム(12、18)にして、横断画像ディスプレー(212)及びサジタル画像ディスプレー(213)の両方に複数の針路が投影され、各針路が前記組立体(11)によって制御される前記プローブチップ(22)に対する前記方向転換ガイド(10)のガイド本体(30)の対応する回転方向位置及び縦方向位置によって規定される標的ソフトウェアシステム(12、18)とを備える生検システム。 - 各針路は、前記画像ディスプレー(212、213)の一方の画像面においてラインとして示される請求項1の生検システム。
- 各針路は、前記画像ディスプレー(212、213)の一方の画像面において円又はドットとして示される請求項1の生検システム。
- 前記円又はドットは、各針路が前記画像ディスプレー(212、213)の一方の画像面を突き通すように表される請求項3の生検システム。
- 前記投影された針路(51a、52a)は、前記側面ビュー経直腸プロ−ブ(19)に対する針路の水平及び回転位置を示す針路位置レジストリを含み、前記組立体(11)は、針路位置レジストリに関連する位置情報を有する請求項1〜4のいずれか一つの生検システム。
- 前記可撓性の生検針セット(13)は、可撓性スタイレット(60)及び可撓性カニューレ(61)を含む請求項1〜5のいずれか一つの生検システム。
- 前記可撓性スタイレット(60)及び可撓性カニューレ(61)は、あらかじめ形成された曲がりを持って製造される請求項6の生検システム。
- 前記可撓性スタイレット(60)及び可撓性カニューレ(61)は、可撓性材料から製造される請求項6又は7の生検システム。
- 前記可撓性材料はニチノール(登録商標)又はプラスチックである請求項8の生検システム。
- 前記可撓性スタイレット(60)及び/又は可撓性カニューレ(61)は、二つ以上の区域から組み合わされ、各区域は、可撓性を助長するために異なる特性の材料から成る請求項6〜8のいずれか一つの生検システム。
- 前記可撓性スタイレット(60)は、大径部によって互いに間隔がおかれた第1及び第2ノッチ(72)を含む請求項6〜10のいずれか一つの生検システム。
- 前記方向転換ガイド(10)は、生検針セットが挿入され得る開口(32)と、生検針セット(13)の一部が出る開口(33)と、前記方向転換ガイド(10)から出た生検針セット(13)の前記一部が、方向転換ガイド(10)に挿入されていない生検針セット(13)の部分に対して角度が付けられるように生検針セット(13)を方向転換させる、チャネル曲がり部として形成される手段とを更に備える請求項1〜11のいずれか一つの生検システム。
- 前記生検針セット(13)を方向転換させる手段は、前は真っ直ぐな生検針セット(13)を物理的に曲げる請求項12の生検システム。
- 前記生検針セット(13)を方向転換させる手段は、生検針セット(13)が該方向転換手段から出る際に再度曲がるように、前は曲がっていた生検針セット(13)を真っ直ぐにする請求項12又は13の生検システム。
- 前記生検針セット(13)を方向転換させる手段は、固定的な角度が付けられたかもしくは曲げられた一つ又は複数のチャネルを含む請求項12〜14のいずれか一つの生検システム。
- 前記生検針セット(13)を方向転換させる手段は、生検針セット(13)が出る前記開口(33)が生検針セット(32)が挿入される開口(32)に対して移動され得る可動機構を備える請求項12〜15のいずれか一つの生検システム。
- 前記方向転換ガイド(10)は、生検計画の計画された生検位置と整合するようにプローブ(19)に対して選択的に位置付けられるかもしくは回転される請求項1〜16のいずれか一つの生検システム。
- 前記方向転換ガイド(10)には、プローブ(19)に対する位置の表示が設けられる1〜17のいずれか一つの生検システム。
- 前記標的ソフトウェアシステム(12、18)は、生検試料の位置を記録する請求項1〜18のいずれか一つの生検システム。
- 前記標的ソフトウェアシステム(12、18)は、前記プローブ(19)に対する生検の好ましい位置を特定する生検計画を含む請求項1〜19のいずれか一つの生検システム。
- 前記可撓性スタイレット(60)の断面は、該スタイレットの可撓性を助長するため、該スタイレットの長さの一部に対して縮小する請求項6〜11のいずれか一つの生検システム。
- 前記可撓性スタイレット(60)の断面は、該スタイレットの可撓性を助長するため、該断面が縮小した領域と、該断面が縮小しない領域とが交互となる請求項6〜11のいずれか一つの生検システム。
- 前記可撓性カニューレ(61)は、可撓性を助長するため、螺旋状にカットされる請求項6〜11のいずれか一つの生検システム。
- 前記可撓性カニューレ(61)のカニューレ本体は螺旋状にカットされるが、該カニューレ本体のチップは螺旋状にカットされない請求項6〜11のいずれか一つの生検システム。
- 前記可撓性カニューレ(61)のカニューレ本体は、螺旋カット部と非螺旋カット部とが交互となる請求項6〜11のいずれか一つの生検システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/842,652 | 2004-05-10 | ||
US10/842,652 US20050159676A1 (en) | 2003-08-13 | 2004-05-10 | Targeted biopsy delivery system |
PCT/US2005/015431 WO2005110255A2 (en) | 2004-05-10 | 2005-05-04 | Targeted biopsy delivery system |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2007536063A JP2007536063A (ja) | 2007-12-13 |
JP2007536063A5 JP2007536063A5 (ja) | 2008-06-26 |
JP4837658B2 true JP4837658B2 (ja) | 2011-12-14 |
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Application Number | Title | Priority Date | Filing Date |
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JP2007513204A Active JP4837658B2 (ja) | 2004-05-10 | 2005-05-04 | 標的生検搬送システム |
Country Status (12)
Country | Link |
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US (4) | US20050159676A1 (ja) |
EP (1) | EP1765178B1 (ja) |
JP (1) | JP4837658B2 (ja) |
KR (1) | KR20070028402A (ja) |
CN (1) | CN101132736B (ja) |
AT (1) | ATE505136T1 (ja) |
AU (1) | AU2005244164B2 (ja) |
CA (1) | CA2566231C (ja) |
DE (1) | DE602005027462D1 (ja) |
ES (1) | ES2365476T3 (ja) |
HK (1) | HK1117014A1 (ja) |
WO (1) | WO2005110255A2 (ja) |
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US20050203413A1 (en) | 2003-08-07 | 2005-09-15 | Gabor Fichtinger | Transcavital needle insertion device |
US20050159676A1 (en) * | 2003-08-13 | 2005-07-21 | Taylor James D. | Targeted biopsy delivery system |
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2004
- 2004-05-10 US US10/842,652 patent/US20050159676A1/en not_active Abandoned
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2005
- 2005-05-04 KR KR1020067025865A patent/KR20070028402A/ko not_active Application Discontinuation
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- 2005-05-04 CN CN200580020326XA patent/CN101132736B/zh not_active Expired - Fee Related
- 2005-05-04 ES ES05744025T patent/ES2365476T3/es active Active
- 2005-05-04 DE DE602005027462T patent/DE602005027462D1/de active Active
- 2005-05-04 JP JP2007513204A patent/JP4837658B2/ja active Active
- 2005-05-04 CA CA2566231A patent/CA2566231C/en active Active
- 2005-05-04 WO PCT/US2005/015431 patent/WO2005110255A2/en active Application Filing
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2007
- 2007-08-23 US US11/895,228 patent/US7833168B2/en active Active
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2008
- 2008-06-17 US US12/214,163 patent/US20090054807A1/en not_active Abandoned
- 2008-07-03 HK HK08107340.4A patent/HK1117014A1/xx not_active IP Right Cessation
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US5398690A (en) * | 1994-08-03 | 1995-03-21 | Batten; Bobby G. | Slaved biopsy device, analysis apparatus, and process |
US6171249B1 (en) * | 1997-10-14 | 2001-01-09 | Circon Corporation | Ultrasound guided therapeutic and diagnostic device |
WO2002069808A2 (en) * | 2000-11-06 | 2002-09-12 | Suros Surgical Systems, Inc. | Biopsy apparatus |
Also Published As
Publication number | Publication date |
---|---|
HK1117014A1 (en) | 2009-01-09 |
WO2005110255A3 (en) | 2007-02-15 |
CN101132736B (zh) | 2011-06-15 |
EP1765178A4 (en) | 2009-04-08 |
AU2005244164A1 (en) | 2005-11-24 |
CN101132736A (zh) | 2008-02-27 |
AU2005244164B2 (en) | 2011-02-03 |
EP1765178A2 (en) | 2007-03-28 |
US8317724B2 (en) | 2012-11-27 |
US20070293787A1 (en) | 2007-12-20 |
US7833168B2 (en) | 2010-11-16 |
US20090054807A1 (en) | 2009-02-26 |
JP2007536063A (ja) | 2007-12-13 |
US20110144492A1 (en) | 2011-06-16 |
ES2365476T3 (es) | 2011-10-06 |
KR20070028402A (ko) | 2007-03-12 |
DE602005027462D1 (de) | 2011-05-26 |
WO2005110255A2 (en) | 2005-11-24 |
ATE505136T1 (de) | 2011-04-15 |
US20050159676A1 (en) | 2005-07-21 |
EP1765178B1 (en) | 2011-04-13 |
CA2566231A1 (en) | 2005-11-24 |
CA2566231C (en) | 2013-12-31 |
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