JP6117435B2 - 子宮筋腫の電気手術アブレーションシステムおよび動作方法 - Google Patents
子宮筋腫の電気手術アブレーションシステムおよび動作方法 Download PDFInfo
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- JP6117435B2 JP6117435B2 JP2016516050A JP2016516050A JP6117435B2 JP 6117435 B2 JP6117435 B2 JP 6117435B2 JP 2016516050 A JP2016516050 A JP 2016516050A JP 2016516050 A JP2016516050 A JP 2016516050A JP 6117435 B2 JP6117435 B2 JP 6117435B2
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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
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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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
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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
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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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
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
- A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
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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
- A61B2018/00559—Female reproductive organs
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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
- A61B2018/00571—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
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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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00714—Temperature
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00744—Fluid flow
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00821—Temperature measured by a thermocouple
-
- 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
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
-
- 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
- A61B2018/1475—Electrodes retractable in or deployable from a housing
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- Engineering & Computer Science (AREA)
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Description
Claims (12)
- 子宮筋腫の電気手術アブレーションシステムであって、
(i)組織を突き通すように構成された鋭利な遠位ティップ(204)と、(ii)中空内部と、(iii)前記遠位ティップ(204)に近接した側面を向いた出口(220)と、(iv)前記出口(220)に近接するガイド部材を有するカテーテル(200)であって、前記ガイド部材の少なくとも一部は、前記カテーテル(200)の前記中空内部の中に配置されている、カテーテルと、
前記カテーテル(200)の前記中空内部の中に移動可能に配置されたフレキシブルなプローブ(300)であって、前記カテーテル(200)の前記出口(220)が子宮筋腫(50)の近くに置かれたとき、前記子宮筋腫(50)に進入するべく、前記出口(220)を通じて前記カテーテル(200)の外へ伸長可能な遠位端(304)を有し、前記プローブ(300)の前記遠位端(304)は、フレキシブルであり、かつ、双極アブレーションを実行する少なくとも2つの電極(320、330)を有する、プローブと
を備え、
前記プローブ(300)が前記カテーテル(200)を通って進むとき、前記プローブ(300)の前記遠位端(304)が、前記カテーテル(200)に対して予め定められた角度で前記出口(220)から進出するように、前記ガイド部材は前記プローブ(300)の前記遠位端(304)を偏向させ、
前記プローブ(300)は、前記遠位端(304)の近傍において、外側フレキシブルチューブ(310)および、前記外側フレキシブルチューブ(310)上で互いに分離され、かつ、互いに関して移動可能に連係した複数のセグメントを構成する少なくとも一対の電極(320、330)を有する、
ことを特徴とするシステム。 - 前記プローブ(300)は、前記カテーテル(200)の前記中空内部の中に完全に収容されるように、前記出口(220)を通じて回収可能である、ことを特徴とする請求項1に記載のシステム。
- 前記予め定められた角度は、略直角である、ことを特徴とする請求項1または2に記載のシステム。
- 前記プローブ(300)の前記遠位端(304)が前記出口(220)を通じて進出するところで、前記ガイド部材は、前記予め定められた角度を調節可能である、ことを特徴とする請求項1から3のいずれか一項に記載のシステム。
- 前記ガイド部材は、枢動プレート(240)である、ことを特徴とする請求項4に記載のシステム。
- 前記枢動プレート(240)は、前記カテーテル(200)の前記中空内部の中に完全に収容されている、ことを特徴とする請求項5に記載のシステム。
- 前記ガイド部材は、前記プローブ(300)の遠位端(304)が前記出口(220)から進出するところで、角度をつける遠位端を有するブレース(250)である、ことを特徴とする請求項1から4のいずれか一項に記載のシステム。
- 前記ブレースは、前記カテーテル(200)の前記中空内部の中で移動可能であり、前記ブレースの前記遠位端は、前記プローブ(300)の前記遠位端(304)が前記出口(220)を通じて進出するところで、前記予め定められた角度を調節するべく、前記出口(220)を通じて前記カテーテル(200)の外側に伸長可能である、ことを特徴とする請求項7に記載のシステム。
- 前記ブレース(250)は、前記カテーテル(200)の中空内部の中に完全に収容されるよう、前記出口(220)を通じて回収可能である、ことを特徴とする請求項8に記載のシステム。
- 前記プローブ(300)は、前記プローブ(300)の遠位端(304)へ冷媒を供給するための中央の冷媒供給チューブ(340)を有する、ことを特徴とする請求項1から9のいずれか一項に記載のシステム。
- 子宮筋腫の電気手術アブレーションシステムであって、
(i)組織を突き通すように構成された鋭利な遠位ティップ(204)と、(ii)中空内部と、(iii)前記遠位ティップ(204)に近接した側面を向いた出口(220)と、(iv)前記出口(220)に近接するガイド部材とを有するカテーテル(200)であって、前記ガイド部材の少なくとも一部は、前記カテーテル(200)の前記中空内部の中に配置されている、カテーテルと、
前記カテーテル(200)の前記中空内部の中に移動可能に配置されたフレキシブルなプローブ(300)であって、前記カテーテル(200)の前記出口(220)が子宮筋腫(50)の近くに置かれたとき、前記子宮筋腫(50)に進入するべく、前記出口(220)を通じて前記カテーテル(200)の外へ伸長可能な遠位端(304)を有し、前記プローブ(300)の前記遠位端(304)は、前記カテーテル(200)の前記中空内部の中に完全に収容されるよう、前記出口(220)を通じて回収可能であり、前記プローブ(300)の前記遠位端(304)はフレキシブルであり、かつ、双極アブレーションを実行する少なくとも2つの電極(320、330)を有する、プローブと
を備え、
前記プローブ(300)が前記カテーテル(200)を通って進むとき、前記プローブ(300)の前記遠位端(304)が、前記カテーテル(200)に対して予め定められた角度で前記出口(220)から進出するように、前記ガイド部材は前記プローブ(300)の前記遠位端(304)を偏向させ、
前記ガイド部材は、前記プローブ(300)の前記遠位端(304)が前記出口(220)から進出するところで、前記予め定められた角度を調節可能であり、
前記プローブ(300)は、前記遠位端(304)の近傍において、外側フレキシブルチューブ(310)および、前記外側フレキシブルチューブ(310)上で互いに分離され、かつ、互いに関して移動可能に連係した複数のセグメントを構成する少なくとも一対の電極(320、330)を有する、
ことを特徴とするシステム。 - 前記ガイド部材は、前記カテーテル(200)の前記中空内部に完全に収容されるように、前記出口(220)を通じて回収可能である、ことを特徴とする請求項11に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/041,641 | 2013-09-30 | ||
US14/041,641 US9198719B2 (en) | 2013-09-30 | 2013-09-30 | Electrosurgical fibroid ablation system and method |
PCT/US2014/039915 WO2015047459A1 (en) | 2013-09-30 | 2014-05-29 | Electrosurgical fibroid ablation system and method |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017056189A Division JP6429922B2 (ja) | 2013-09-30 | 2017-03-22 | 子宮筋腫の電気手術アブレーションシステムおよび動作方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016528939A JP2016528939A (ja) | 2016-09-23 |
JP6117435B2 true JP6117435B2 (ja) | 2017-04-19 |
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JP2016516050A Expired - Fee Related JP6117435B2 (ja) | 2013-09-30 | 2014-05-29 | 子宮筋腫の電気手術アブレーションシステムおよび動作方法 |
JP2017056189A Expired - Fee Related JP6429922B2 (ja) | 2013-09-30 | 2017-03-22 | 子宮筋腫の電気手術アブレーションシステムおよび動作方法 |
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JP2017056189A Expired - Fee Related JP6429922B2 (ja) | 2013-09-30 | 2017-03-22 | 子宮筋腫の電気手術アブレーションシステムおよび動作方法 |
Country Status (5)
Country | Link |
---|---|
US (1) | US9198719B2 (ja) |
EP (1) | EP3052038B1 (ja) |
JP (2) | JP6117435B2 (ja) |
CN (1) | CN105682595B (ja) |
WO (1) | WO2015047459A1 (ja) |
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US7918795B2 (en) | 2005-02-02 | 2011-04-05 | Gynesonics, Inc. | Method and device for uterine fibroid treatment |
US11259825B2 (en) | 2006-01-12 | 2022-03-01 | Gynesonics, Inc. | Devices and methods for treatment of tissue |
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US8262574B2 (en) | 2009-02-27 | 2012-09-11 | Gynesonics, Inc. | Needle and tine deployment mechanism |
US9861336B2 (en) | 2012-09-07 | 2018-01-09 | Gynesonics, Inc. | Methods and systems for controlled deployment of needle structures in tissue |
US9993283B2 (en) * | 2012-10-02 | 2018-06-12 | Covidien Lp | Selectively deformable ablation device |
US10555725B2 (en) | 2016-09-29 | 2020-02-11 | Gyrus Acmi, Inc. | Thermal mechanism to prevent reprocessing or reuse of mechanical surgical devices |
WO2018067496A1 (en) | 2016-10-04 | 2018-04-12 | Avent, Inc. | Cooled rf probes |
CN110290751B (zh) | 2016-11-11 | 2022-11-22 | 杰尼索尼克斯公司 | 组织的受控治疗及与组织和/或治疗数据的动态交互和比较 |
AU2017356228B2 (en) | 2016-11-14 | 2022-12-01 | Gynesonics, Inc. | Methods and systems for real-time planning and monitoring of ablation needle deployment in tissue |
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US11547471B2 (en) | 2019-03-27 | 2023-01-10 | Gyrus Acmi, Inc. | Device with loop electrodes for treatment of menorrhagia |
US20210186308A1 (en) | 2019-12-20 | 2021-06-24 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Endoscope with detachable handle module |
WO2021141755A1 (en) | 2020-01-07 | 2021-07-15 | Gyrus Acmi, Inc, D/B/A Olympus Surgical Technologies America | One-piece elevator for a duodenoscope |
US12004708B2 (en) | 2020-04-30 | 2024-06-11 | Gyrus Acmi, Inc. | Insertion sheath for modular disposable endoscope components |
WO2023192265A2 (en) * | 2022-03-29 | 2023-10-05 | Cintron Medical Corporation | Methods and devices for non-thermal treatment of endometriosis |
EP4349288A1 (de) * | 2022-10-07 | 2024-04-10 | Erbe Elektromedizin GmbH | Ablationssonde mit innerer kühlung |
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US7918795B2 (en) * | 2005-02-02 | 2011-04-05 | Gynesonics, Inc. | Method and device for uterine fibroid treatment |
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US8262574B2 (en) | 2009-02-27 | 2012-09-11 | Gynesonics, Inc. | Needle and tine deployment mechanism |
EP2584987A1 (en) * | 2010-06-24 | 2013-05-01 | Emcision Limited | Enhanced ablation apparatus |
-
2013
- 2013-09-30 US US14/041,641 patent/US9198719B2/en not_active Expired - Fee Related
-
2014
- 2014-05-29 WO PCT/US2014/039915 patent/WO2015047459A1/en active Application Filing
- 2014-05-29 EP EP14737066.2A patent/EP3052038B1/en not_active Not-in-force
- 2014-05-29 JP JP2016516050A patent/JP6117435B2/ja not_active Expired - Fee Related
- 2014-05-29 CN CN201480053916.1A patent/CN105682595B/zh not_active Expired - Fee Related
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2017
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CN105682595B (zh) | 2018-05-08 |
US9198719B2 (en) | 2015-12-01 |
CN105682595A (zh) | 2016-06-15 |
JP2017148519A (ja) | 2017-08-31 |
JP6429922B2 (ja) | 2018-11-28 |
WO2015047459A1 (en) | 2015-04-02 |
EP3052038A1 (en) | 2016-08-10 |
EP3052038B1 (en) | 2017-03-22 |
JP2016528939A (ja) | 2016-09-23 |
US20150094712A1 (en) | 2015-04-02 |
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