JP5836374B2 - 治療剤を心臓組織内の所定位置に注入するための装置及びこれを作成する方法 - Google Patents
治療剤を心臓組織内の所定位置に注入するための装置及びこれを作成する方法 Download PDFInfo
- Publication number
- JP5836374B2 JP5836374B2 JP2013519805A JP2013519805A JP5836374B2 JP 5836374 B2 JP5836374 B2 JP 5836374B2 JP 2013519805 A JP2013519805 A JP 2013519805A JP 2013519805 A JP2013519805 A JP 2013519805A JP 5836374 B2 JP5836374 B2 JP 5836374B2
- Authority
- JP
- Japan
- Prior art keywords
- needle
- end effector
- therapeutic agent
- working surface
- flexible needle
- 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.)
- Expired - Fee Related
Links
- 239000003814 drug Substances 0.000 title claims description 14
- 210000005003 heart tissue Anatomy 0.000 title claims description 11
- 229940124597 therapeutic agent Drugs 0.000 title claims description 11
- 238000004519 manufacturing process Methods 0.000 title claims 2
- 239000012636 effector Substances 0.000 claims description 46
- 238000002347 injection Methods 0.000 claims description 18
- 239000007924 injection Substances 0.000 claims description 18
- 238000005259 measurement Methods 0.000 claims description 7
- 238000005452 bending Methods 0.000 claims 1
- 238000004891 communication Methods 0.000 claims 1
- 239000012530 fluid Substances 0.000 claims 1
- 230000007246 mechanism Effects 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 9
- 238000000034 method Methods 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 7
- 210000003516 pericardium Anatomy 0.000 description 6
- 208000002352 blister Diseases 0.000 description 4
- 229940079593 drug Drugs 0.000 description 3
- 238000013507 mapping Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000005228 Pericardial Effusion Diseases 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000004071 biological effect Effects 0.000 description 1
- 229920001222 biopolymer Polymers 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 230000001338 necrotic effect Effects 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 210000004912 pericardial fluid Anatomy 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 210000000130 stem cell Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000002417 xiphoid bone Anatomy 0.000 description 1
Images
Classifications
-
- 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
- A61M25/0136—Handles therefor
-
- 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
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/0069—Tip not integral with tube
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
- A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
-
- 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
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/0036—Multi-lumen catheters with stationary elements with more than four lumina
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/004—Multi-lumen catheters with stationary elements characterized by lumina being arranged circumferentially
-
- 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
- A61M2025/0092—Single injection needle protruding laterally from the distal tip
-
- 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
- A61M25/0127—Magnetic means; Magnetic markers
-
- 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
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US36399810P | 2010-07-13 | 2010-07-13 | |
| US61/363,998 | 2010-07-13 | ||
| PCT/US2011/043909 WO2012009473A1 (en) | 2010-07-13 | 2011-07-13 | Method and apparatus for intraoperative cardiac tissue injection |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2013533042A JP2013533042A (ja) | 2013-08-22 |
| JP2013533042A5 JP2013533042A5 (https=) | 2014-08-28 |
| JP5836374B2 true JP5836374B2 (ja) | 2015-12-24 |
Family
ID=45467508
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2013519805A Expired - Fee Related JP5836374B2 (ja) | 2010-07-13 | 2011-07-13 | 治療剤を心臓組織内の所定位置に注入するための装置及びこれを作成する方法 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US9415189B2 (https=) |
| EP (1) | EP2593172B1 (https=) |
| JP (1) | JP5836374B2 (https=) |
| CN (1) | CN103025378B (https=) |
| WO (1) | WO2012009473A1 (https=) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018083599A1 (en) * | 2016-11-01 | 2018-05-11 | Baylis Medical Company Inc. | Methods and devices for puncturing tissue |
| DE102017126422A1 (de) | 2017-11-10 | 2019-05-16 | Bavaria Medizin Technologie Gmbh | Katheter zur Injektion und/oder Applikation eines Fluids |
| EP3482790A1 (de) | 2017-11-10 | 2019-05-15 | Bavaria Medizin Technologie GmbH | Katheter zur injektion und/oder applikation eines fluids |
| DE102017126426B3 (de) | 2017-11-10 | 2019-01-10 | Bavaria Medizin Technologie Gmbh | Verfahren zur Herstellung einer distalen Hülse für einen Katheter, Distale Hülse für einen Katheter und Katheter mit einer distalen Hülse |
| US11039850B2 (en) * | 2018-02-28 | 2021-06-22 | Gi Supply | Endoscopic tool with suction for facilitating injection of a fluid into a submucosal layer of tissue |
| CN112120741A (zh) * | 2019-06-25 | 2020-12-25 | 杭州德柯医疗科技有限公司 | 吸附头以及吸附装置 |
| CN113576624B (zh) * | 2021-08-27 | 2023-03-31 | 珠海医凯电子科技有限公司 | 基于中心穿刺探头的穿刺深度检测方法 |
Family Cites Families (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4578061A (en) | 1980-10-28 | 1986-03-25 | Lemelson Jerome H | Injection catheter and method |
| WO1995003843A1 (en) | 1993-07-30 | 1995-02-09 | The Regents Of The University Of California | Endocardial infusion catheter |
| US5797849A (en) | 1995-03-28 | 1998-08-25 | Sonometrics Corporation | Method for carrying out a medical procedure using a three-dimensional tracking and imaging system |
| US5827216A (en) | 1995-06-07 | 1998-10-27 | Cormedics Corp. | Method and apparatus for accessing the pericardial space |
| US6283951B1 (en) | 1996-10-11 | 2001-09-04 | Transvascular, Inc. | Systems and methods for delivering drugs to selected locations within the body |
| WO1997029701A1 (en) | 1996-02-15 | 1997-08-21 | Biosense Inc. | Catheter based surgery |
| US6852075B1 (en) | 1996-02-20 | 2005-02-08 | Cardiothoracic Systems, Inc. | Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery |
| US6592552B1 (en) | 1997-09-19 | 2003-07-15 | Cecil C. Schmidt | Direct pericardial access device and method |
| US5972013A (en) | 1997-09-19 | 1999-10-26 | Comedicus Incorporated | Direct pericardial access device with deflecting mechanism and method |
| DE69838526T2 (de) | 1998-02-05 | 2008-07-03 | Biosense Webster, Inc., Diamond Bar | Gerät zum Freisetzen eines Medikaments im Herzen |
| US8079982B1 (en) | 1998-06-04 | 2011-12-20 | Biosense Webster, Inc. | Injection catheter with needle electrode |
| US6905476B2 (en) * | 1998-06-04 | 2005-06-14 | Biosense Webster, Inc. | Catheter with injection needle |
| US6319230B1 (en) * | 1999-05-07 | 2001-11-20 | Scimed Life Systems, Inc. | Lateral needle injection apparatus and method |
| US6709427B1 (en) | 1999-08-05 | 2004-03-23 | Kensey Nash Corporation | Systems and methods for delivering agents into targeted tissue of a living being |
| US7338434B1 (en) | 2002-08-21 | 2008-03-04 | Medtronic, Inc. | Method and system for organ positioning and stabilization |
| WO2001056469A2 (en) | 2000-02-01 | 2001-08-09 | Surgi-Vision, Inc. | Magnetic resonance imaging transseptal needle antenna |
| US6890295B2 (en) | 2002-10-31 | 2005-05-10 | Medtronic, Inc. | Anatomical space access tools and methods |
| US7146225B2 (en) | 2002-10-30 | 2006-12-05 | Medtronic, Inc. | Methods and apparatus for accessing and stabilizing an area of the heart |
| US20020103430A1 (en) | 2001-01-29 | 2002-08-01 | Hastings Roger N. | Catheter navigation within an MR imaging device |
| US6589166B2 (en) | 2001-02-16 | 2003-07-08 | Ethicon, Inc. | Cardiac stabilizer device having multiplexed vacuum ports and method of stabilizing a beating heart |
| US6659950B2 (en) | 2001-03-02 | 2003-12-09 | Syde Taheri | Percutaneous epicardial injection |
| US6796963B2 (en) | 2001-07-10 | 2004-09-28 | Myocardial Therapeutics, Inc. | Flexible tissue injection catheters with controlled depth penetration |
| US6835193B2 (en) * | 2001-07-10 | 2004-12-28 | Myocardial Therapeutics, Inc. | Methods for controlled depth injections into interior body cavities |
| US7083630B2 (en) * | 2002-08-29 | 2006-08-01 | Scimed Life Systems, Inc. | Devices and methods for fastening tissue layers |
| US6951549B1 (en) | 2002-09-30 | 2005-10-04 | Advanced Cardiovascular Systems, Inc. | Systems and methods for detecting tissue contact and needle penetration depth |
| DE10337813A1 (de) | 2003-08-14 | 2005-03-10 | Transmit Technologietransfer | Vorrichtung für eine Gewebe- und Organmanipulation |
| JP2007510470A (ja) | 2003-11-07 | 2007-04-26 | カーネギー・メロン・ユニバーシテイ | 最小侵襲性介入用ロボット |
| US7678077B2 (en) * | 2004-02-20 | 2010-03-16 | Boston Scientific Scimed, Inc. | Variable depth injection device and method |
| US20080009747A1 (en) * | 2005-02-02 | 2008-01-10 | Voyage Medical, Inc. | Transmural subsurface interrogation and ablation |
| US20070010793A1 (en) * | 2005-06-23 | 2007-01-11 | Cardiac Pacemakers, Inc. | Method and system for accessing a pericardial space |
| US8182444B2 (en) * | 2005-11-04 | 2012-05-22 | Medrad, Inc. | Delivery of agents such as cells to tissue |
| DE102005057479A1 (de) | 2005-11-30 | 2007-05-31 | Philipps-Universität Marburg | Anordnung zur Führung von Instrumenten in Hohlräumen |
| US20070213669A1 (en) | 2006-03-07 | 2007-09-13 | Boston Scientific Scimed, Inc. | Flexible sleeve, adjustable contact surface, and fluid contact monitor for catheter |
| DE102006058447A1 (de) | 2006-12-10 | 2008-06-19 | Philipps-Universität Marburg | Vorrichtung zur Fixierung und Manipulation von organischen oder anorganischen Geweben |
| JP5174891B2 (ja) * | 2007-04-27 | 2013-04-03 | シーヴィ デヴァイシズ,エルエルシー | 心臓の心外膜表面にアクセスするための装置、システム、および方法 |
| US8486022B2 (en) * | 2008-07-03 | 2013-07-16 | Abbott Cardiovascular Systems Inc. | Needle catheter with an angled distal tip lumen |
| US8430826B2 (en) * | 2009-03-04 | 2013-04-30 | Covidien Lp | Specimen retrieval apparatus |
-
2011
- 2011-07-13 CN CN201180033976.3A patent/CN103025378B/zh not_active Expired - Fee Related
- 2011-07-13 WO PCT/US2011/043909 patent/WO2012009473A1/en not_active Ceased
- 2011-07-13 JP JP2013519805A patent/JP5836374B2/ja not_active Expired - Fee Related
- 2011-07-13 EP EP11807477.2A patent/EP2593172B1/en active Active
- 2011-07-13 US US13/182,406 patent/US9415189B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| EP2593172B1 (en) | 2021-08-25 |
| EP2593172A4 (en) | 2014-04-09 |
| WO2012009473A1 (en) | 2012-01-19 |
| JP2013533042A (ja) | 2013-08-22 |
| EP2593172A1 (en) | 2013-05-22 |
| US20120016339A1 (en) | 2012-01-19 |
| CN103025378A (zh) | 2013-04-03 |
| CN103025378B (zh) | 2015-10-07 |
| US9415189B2 (en) | 2016-08-16 |
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