JP5797195B2 - 一体化された心エコー検査能力をもった心室内注入カテーテルシステム - Google Patents
一体化された心エコー検査能力をもった心室内注入カテーテルシステム Download PDFInfo
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- JP5797195B2 JP5797195B2 JP2012521690A JP2012521690A JP5797195B2 JP 5797195 B2 JP5797195 B2 JP 5797195B2 JP 2012521690 A JP2012521690 A JP 2012521690A JP 2012521690 A JP2012521690 A JP 2012521690A JP 5797195 B2 JP5797195 B2 JP 5797195B2
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Classifications
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0883—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the heart
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- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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- A—HUMAN NECESSITIES
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
- A61B8/445—Details of catheter construction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5223—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for extracting a diagnostic or physiological parameter from medical diagnostic data
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- A—HUMAN NECESSITIES
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M25/0084—Catheter tip comprising a tool being one or more injection needles
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M25/0084—Catheter tip comprising a tool being one or more injection needles
- A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip
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- A—HUMAN NECESSITIES
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M2025/0166—Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
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- A—HUMAN NECESSITIES
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0175—Introducing, guiding, advancing, emplacing or holding catheters having telescopic features, interengaging nestable members movable in relations to one another
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- A—HUMAN NECESSITIES
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
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- A—HUMAN NECESSITIES
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- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
- A61M2210/125—Heart
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- Ultra Sonic Daignosis Equipment (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Endoscopes (AREA)
Description
Claims (17)
- 第1のハウジングと、
第2のハウジングと、
軸方向において第2のハウジングに対して遠位に配置された遠位セクションと、
入れ子式セクションであって、
第1のハウジングと第2のハウジングと間に配置され、第2のハウジングに固定的に結合されている、第1のサポート部材と、
第1のハウジングに固定的に結合された第2の部材であって、第2に部材は、第1のサポート部材の長さ以下の長さを有するものと、
駆動ケーブルをサポートしている第3の部材であって、第3の部材と駆動ケーブルは、第1のハウジングと遠位セクションの間に伸長しているものと、を含み、
第1のサポート部材と第2の部材と第3の部材は、第1のサポート部材と第2の部材と第3の部材の内の1つが、第1のサポート部材と第2の部材と第3の部材の内の他の2つの中に同軸状に入れ子され、第1のサポート部材と第2の部材と第3の部材の内の他の2つの内の1つが、第1のサポート部材と第2の部材と第3の部材の内の他の2つの内のもう1つの中に入れ子されるように、入れ子された同軸状の配置に配置されている、入れ子式セクションと、
遠位セクション内に配置された撮像コアであって、撮像コアは、駆動ケーブルに動作的に結合され、心臓の視覚化を可能とするために心エコー検査画像を表す電気信号を提供するように遠位端において超音波エネルギーを送出し、反射された超音波エネルギーを受け取るように配置されているものと、
撮像コアと共に搬送される注入器であって、注入器は、注入カニューレと、注入カニューレ内に配置された注入針を含み、注入針は心臓の心筋層中の梗塞した領域に貫通して治療薬を注入するように適応されており、遠位セクションに近接して治療薬を注入し、それにより心臓の視覚化中に撮像コアによって視覚化された心臓の組織中に治療薬を注入するように配置されているものと、
を含む、一体化された心エコー検査能力をもった心室内注入カテーテル。 - 撮像コアは、機械的に回転する撮像コアである、請求項1のカテーテル。
- 遠位セクションが所望の方向に偏向することを引き起こす偏向システムを更に含む、請求項1のカテーテル。
- 偏向システムは、操縦可能なガイド鞘を含む、請求項3のカテーテル。
- 偏向システムは、偏向セクション鞘と、操縦リングと、少なくとも1つの操縦ワイヤと、偏向制御ノブを含む、請求項3のカテーテル。
- 第2のハウジングは、ガイドワイヤを受け入れるガイドワイヤ管腔を含む、請求項1のカテーテル。
- ガイドワイヤ管腔は、カテーテルの遠位セクションの遠位端にある、請求項6のカテーテル。
- ガイドワイヤ管腔は、遠位端の近位のカテーテルの第2のハウジングと遠位セクションの間に伸びる、請求項6のカテーテル。
- 第2のハウジングと遠位セクションの間に伸長している近位セクションを更に含み、近位セクションは、撮像コア管腔と外側円周表面を含み、撮像コア管腔と外側円周表面は、近位セクションの円周の一部に渡って実質的に一様な壁厚を規定する、請求項1のカテーテル。
- 撮像コアは、複数のトランスデューサーを含む、請求項1のカテーテル。
- カニューレ管腔を更に含み、注入器が、カニューレ管腔によって受け入れられたカニューレと、カニューレ内の注入針を含む、請求項1のカテーテル。
- カニューレは、超弾性材料で形成されている、請求項11のカテーテル。
- 注入器を含んだ注入システムを更に含み、注入システムは近位ハンドルを含み、注入ハンドルは、カニューレを伸長し、注入針を前進させ、カニューレを越えた注入針の前進を制限し、カニューレを捩るための注入コントロールを含む、請求項11のカテーテル。
- 注入針は、カニューレ内での注入針の前進を制限する端部ストップを含む、請求項11のカテーテル。
- 注入器を含んだ注入システムを更に含み、注入システムは、カニューレ内の貯蔵部と治療薬を針中に強制的に入れるプランジャを更に含む、請求項11のカテーテル。
- 注入器は、注入針のペアを含む、請求項11のカテーテル。
- 注入器は、光ファイバー束と、注入された生体吸収性ポリマー溶液を光架橋するための紫外線光源を更に含む、請求項16のカテーテル。
Applications Claiming Priority (3)
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US22805709P | 2009-07-23 | 2009-07-23 | |
US61/228,057 | 2009-07-23 | ||
PCT/US2010/042220 WO2011011269A2 (en) | 2009-07-23 | 2010-07-16 | Endoventricular injection catheter system with integrated echocardiographic capabilities |
Publications (2)
Publication Number | Publication Date |
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JP2012533409A JP2012533409A (ja) | 2012-12-27 |
JP5797195B2 true JP5797195B2 (ja) | 2015-10-21 |
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JP2012521690A Expired - Fee Related JP5797195B2 (ja) | 2009-07-23 | 2010-07-16 | 一体化された心エコー検査能力をもった心室内注入カテーテルシステム |
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Country | Link |
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US (2) | US8876722B2 (ja) |
EP (1) | EP2456503B1 (ja) |
JP (1) | JP5797195B2 (ja) |
WO (1) | WO2011011269A2 (ja) |
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EP2934653B1 (en) * | 2012-12-21 | 2018-09-19 | Douglas Meyer | Rotational ultrasound imaging catheter with extended catheter body telescope |
CN105007820B (zh) * | 2013-01-08 | 2019-03-26 | 比尔卡地亚股份有限公司 | 利用自动远程图像标注的靶位点选择、录入和更新 |
US20140257102A1 (en) * | 2013-03-07 | 2014-09-11 | Volcano Corporation | Devices, Systems, and Methods for Dual Image Intravascular Ultrasound |
US20140276615A1 (en) * | 2013-03-14 | 2014-09-18 | Volcano Corporation | Delivery catheter having imaging capabilities |
FR3016525B1 (fr) | 2014-01-22 | 2021-08-27 | Centre Hospitalier Univ Bordeaux | Catheter pour des interventions sous controle visuel sur le coeur |
EP3189786B1 (en) * | 2014-09-03 | 2020-01-29 | Terumo Kabushiki Kaisha | Medical device |
WO2016160348A1 (en) * | 2015-03-31 | 2016-10-06 | SPIRATION, INC., d/b/a OLYMPUS RESPIRATORY AMERICA | Catheter access device |
US10500332B2 (en) | 2015-11-03 | 2019-12-10 | Clph, Llc | Injection devices and systems and methods for using them |
US10117982B2 (en) * | 2016-04-15 | 2018-11-06 | Guy P. Curtis And Frances L. Curtis Trust | System and method for improving a heart muscle response |
AU2016423681B2 (en) | 2016-09-21 | 2021-10-07 | Peter Law | Autonomously controllable pull wire injection catheter, robotic system comprising said catheter and method for operating the same |
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TWI625141B (zh) * | 2017-01-25 | 2018-06-01 | 曾效參 | 供布放能量傳輸媒介物,特別是光纖的連接器 |
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US8876722B2 (en) | 2014-11-04 |
JP2012533409A (ja) | 2012-12-27 |
EP2456503A2 (en) | 2012-05-30 |
WO2011011269A2 (en) | 2011-01-27 |
US20110021911A1 (en) | 2011-01-27 |
US9610425B2 (en) | 2017-04-04 |
WO2011011269A3 (en) | 2011-04-28 |
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