JP6045916B2 - 組織識別能力を持つ介入的な切除デバイス - Google Patents

組織識別能力を持つ介入的な切除デバイス Download PDF

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Publication number
JP6045916B2
JP6045916B2 JP2012554457A JP2012554457A JP6045916B2 JP 6045916 B2 JP6045916 B2 JP 6045916B2 JP 2012554457 A JP2012554457 A JP 2012554457A JP 2012554457 A JP2012554457 A JP 2012554457A JP 6045916 B2 JP6045916 B2 JP 6045916B2
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Prior art keywords
ablation
tissue
sensor
sensors
needle
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Expired - Fee Related
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JP2012554457A
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Japanese (ja)
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JP2013520269A (ja
JP2013520269A5 (enExample
Inventor
ベルナルドゥス ヘンドリクス ヴィルヘルムス ヘンドリクス
ベルナルドゥス ヘンドリクス ヴィルヘルムス ヘンドリクス
ヒェルハルドゥス ヴィルヘルムス ルカッセン
ヒェルハルドゥス ヴィルヘルムス ルカッセン
ラミ ナチャベ
ラミ ナチャベ
ヴァルテルス コルネリス ヨゼフ ビールホフ
ヴァルテルス コルネリス ヨゼフ ビールホフ
アドリエン エマヌエル デスジャーディンス
アドリエン エマヌエル デスジャーディンス
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Koninklijke Philips NV
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Koninklijke Philips NV
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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
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • 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
    • 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
    • A61B2017/00057—Light
    • 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
    • A61B2017/00057—Light
    • A61B2017/00061—Light spectrum
    • 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
    • A61B2017/00084—Temperature
    • 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
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • 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
    • 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
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)
  • Investigating, Analyzing Materials By Fluorescence Or Luminescence (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
JP2012554457A 2010-02-26 2011-02-22 組織識別能力を持つ介入的な切除デバイス Expired - Fee Related JP6045916B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP10154770 2010-02-26
EP10154770.1 2010-02-26
PCT/IB2011/050727 WO2011104664A1 (en) 2010-02-26 2011-02-22 Interventional ablation device with tissue discriminating capability

Publications (3)

Publication Number Publication Date
JP2013520269A JP2013520269A (ja) 2013-06-06
JP2013520269A5 JP2013520269A5 (enExample) 2014-03-20
JP6045916B2 true JP6045916B2 (ja) 2016-12-14

Family

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Family Applications (1)

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JP2012554457A Expired - Fee Related JP6045916B2 (ja) 2010-02-26 2011-02-22 組織識別能力を持つ介入的な切除デバイス

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Country Link
US (2) US20120316558A1 (enExample)
EP (1) EP2538863B1 (enExample)
JP (1) JP6045916B2 (enExample)
CN (1) CN102781357B (enExample)
RU (1) RU2012140962A (enExample)
WO (1) WO2011104664A1 (enExample)

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* Cited by examiner, † Cited by third party
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US8874230B2 (en) * 2009-08-27 2014-10-28 New Jersey Institute Of Technology Integrated fiber optic raman spectroscopy and radio frequency ablation
JP5807386B2 (ja) * 2011-05-24 2015-11-10 住友電気工業株式会社 生体組織変性装置
RU2014134029A (ru) * 2012-01-20 2016-03-20 Конинклейке Филипс Н.В. Электрохирургическая система, электрохирургическое устройство и способ для эксплуатации электрохирургической системы
EP2950734B1 (en) * 2013-01-31 2019-05-08 Renal Dynamics Ltd. Unipolar and/or bipolar ablation catheter
US10722292B2 (en) 2013-05-31 2020-07-28 Covidien Lp Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure
PL2815713T3 (pl) 2013-06-20 2015-12-31 Erbe Elektromedizin Instrument elektrochirurgiczny ze światłowodem
US20150157405A1 (en) * 2013-12-05 2015-06-11 Biosense Webster (Israel) Ltd. Needle catheter utilizing optical spectroscopy for tumor identification and ablation
US11197721B2 (en) 2014-07-16 2021-12-14 Koninklike Philips N.V. Ultrasound tracking apparatus for disposable biopsy needles
US20160051221A1 (en) * 2014-08-25 2016-02-25 Covidien Lp System and Method for Planning, Monitoring, and Confirming Treatment
CN107645927B (zh) * 2015-02-17 2021-10-08 皇家飞利浦有限公司 用于辅助组织消融的设备和方法
CA2988519A1 (en) * 2015-06-10 2016-12-15 Boston Scientific Scimed, Inc. Bodily substance detection by evaluating photoluminescent response to excitation radiation
KR101714310B1 (ko) * 2016-04-01 2017-03-08 하효은 스마트 종양추적 전기 수술기
US10478254B2 (en) 2016-05-16 2019-11-19 Covidien Lp System and method to access lung tissue
US11219489B2 (en) 2017-10-31 2022-01-11 Covidien Lp Devices and systems for providing sensors in parallel with medical tools
CN111714202A (zh) * 2019-03-18 2020-09-29 刘珈 肿瘤消融监测组件、装置及系统
US12295643B2 (en) * 2019-12-04 2025-05-13 Biosense Webster (Israel) Ltd. Intravascular needle with flex circuit
US11633224B2 (en) 2020-02-10 2023-04-25 Icecure Medical Ltd. Cryogen pump
JP7640679B2 (ja) * 2020-08-27 2025-03-05 ジャイラス エーシーエムアイ インク ディー／ビー／エー オリンパス サージカル テクノロジーズ アメリカ 超音波アブレーションのための組成分析技術
US12426934B2 (en) 2022-02-28 2025-09-30 Icecure Medical Ltd. Cryogen flow control
US12215811B2 (en) 2022-07-18 2025-02-04 Icecure Medical Ltd. Cryogenic system connector

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US5728143A (en) * 1995-08-15 1998-03-17 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
JPH10243947A (ja) * 1997-03-04 1998-09-14 Olympus Optical Co Ltd 高周波装置
US6558378B2 (en) * 1998-05-05 2003-05-06 Cardiac Pacemakers, Inc. RF ablation system and method having automatic temperature control
US6251107B1 (en) * 1998-06-25 2001-06-26 Cardima, Inc. Ep catheter
US20050234437A1 (en) * 1999-07-14 2005-10-20 Cardiofocus, Inc. Deflectable sheath catheters with out-of-plane bent tip
JP2001037775A (ja) * 1999-07-26 2001-02-13 Olympus Optical Co Ltd 治療装置
US6869430B2 (en) * 2000-03-31 2005-03-22 Rita Medical Systems, Inc. Tissue biopsy and treatment apparatus and method
US7520877B2 (en) * 2000-06-07 2009-04-21 Wisconsin Alumni Research Foundation Radiofrequency ablation system using multiple prong probes
US6511478B1 (en) * 2000-06-30 2003-01-28 Scimed Life Systems, Inc. Medical probe with reduced number of temperature sensor wires
WO2002054941A2 (en) * 2001-01-11 2002-07-18 Rita Medical Systems Inc Bone-treatment instrument and method
US6666862B2 (en) * 2001-03-01 2003-12-23 Cardiac Pacemakers, Inc. Radio frequency ablation system and method linking energy delivery with fluid flow
US7258690B2 (en) * 2003-03-28 2007-08-21 Relievant Medsystems, Inc. Windowed thermal ablation probe
AU2003279097A1 (en) * 2002-09-30 2004-04-19 Vanderbilt University Optical apparatus for guided liver tumor treatment and methods
EP2056730B1 (en) 2006-08-22 2017-08-09 Koninklijke Philips N.V. Interventional device for rf ablation for use in rf fields
US20080119846A1 (en) * 2006-10-11 2008-05-22 Rioux Robert F Methods and apparatus for percutaneous patient access and subcutaneous tissue tunneling
JP2010524591A (ja) * 2007-04-19 2010-07-22 ザ ファウンドリー， インコーポレイテッド 汗の産生を低減するための方法および装置
JP5649573B2 (ja) * 2008-08-22 2015-01-07 コーニンクレッカ フィリップス エヌ ヴェ 対象物を検知するための検知装置
US8702688B2 (en) * 2009-10-06 2014-04-22 Cardiofocus, Inc. Cardiac ablation image analysis system and process

Also Published As

Publication number Publication date
CN102781357B (zh) 2016-08-03
WO2011104664A1 (en) 2011-09-01
EP2538863B1 (en) 2019-07-03
CN102781357A (zh) 2012-11-14
US20190183566A1 (en) 2019-06-20
EP2538863A1 (en) 2013-01-02
US20120316558A1 (en) 2012-12-13
JP2013520269A (ja) 2013-06-06
RU2012140962A (ru) 2014-04-10

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