JP6734282B2 - 予め組み込まれた又は取り外し可能な光学形状検知アタッチメントによるエンドグラフトの視覚化 - Google Patents

予め組み込まれた又は取り外し可能な光学形状検知アタッチメントによるエンドグラフトの視覚化 Download PDF

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JP6734282B2
JP6734282B2 JP2017537971A JP2017537971A JP6734282B2 JP 6734282 B2 JP6734282 B2 JP 6734282B2 JP 2017537971 A JP2017537971 A JP 2017537971A JP 2017537971 A JP2017537971 A JP 2017537971A JP 6734282 B2 JP6734282 B2 JP 6734282B2
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endograft
oss
stent
shape sensing
fiber
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JP2018502650A (ja
JP2018502650A5 (enExample
Inventor
グレゴリー コール
グレゴリー コール
モリー ララ フレックスマン
モリー ララ フレックスマン
ディヴィッド ポール ノーナン
ディヴィッド ポール ノーナン
ネリマン ニコレッタ カーヤ
ネリマン ニコレッタ カーヤ
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/954Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01BMEASURING LENGTH, THICKNESS OR SIMILAR LINEAR DIMENSIONS; MEASURING ANGLES; MEASURING AREAS; MEASURING IRREGULARITIES OF SURFACES OR CONTOURS
    • G01B11/00Measuring arrangements characterised by the use of optical techniques
    • G01B11/24Measuring arrangements characterised by the use of optical techniques for measuring contours or curvatures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2061Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2002/065Y-shaped blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • A61F2002/072Encapsulated stents, e.g. wire or whole stent embedded in lining
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Physics & Mathematics (AREA)
  • Robotics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Optics & Photonics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
JP2017537971A 2015-01-22 2016-01-07 予め組み込まれた又は取り外し可能な光学形状検知アタッチメントによるエンドグラフトの視覚化 Active JP6734282B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562106260P 2015-01-22 2015-01-22
US62/106,260 2015-01-22
PCT/IB2016/050054 WO2016116823A1 (en) 2015-01-22 2016-01-07 Endograft visualization with pre-integrated or removable optical shape sensing attachments

Publications (3)

Publication Number Publication Date
JP2018502650A JP2018502650A (ja) 2018-02-01
JP2018502650A5 JP2018502650A5 (enExample) 2019-02-07
JP6734282B2 true JP6734282B2 (ja) 2020-08-05

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JP2017537971A Active JP6734282B2 (ja) 2015-01-22 2016-01-07 予め組み込まれた又は取り外し可能な光学形状検知アタッチメントによるエンドグラフトの視覚化

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US (1) US11344440B2 (enExample)
EP (1) EP3247311B1 (enExample)
JP (1) JP6734282B2 (enExample)
WO (1) WO2016116823A1 (enExample)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019121889A1 (en) * 2017-12-20 2019-06-27 Koninklijke Philips N.V. Torsional deployment detection of a vascular therapy device
JP7549613B2 (ja) * 2019-10-31 2024-09-11 エドワーズ ライフサイエンシーズ コーポレイション 弁および光ファイバセンサを搭載した送達装置
WO2021108697A1 (en) 2019-11-25 2021-06-03 Bard Access Systems, Inc. Optical tip-tracking systems and methods thereof
CN113842536A (zh) 2020-06-26 2021-12-28 巴德阿克塞斯系统股份有限公司 错位检测系统
US11883609B2 (en) 2020-06-29 2024-01-30 Bard Access Systems, Inc. Automatic dimensional frame reference for fiber optic
CN113907705B (zh) 2020-07-10 2025-11-04 巴德阿克塞斯系统股份有限公司 连续光纤功能监测和自诊断报告系统
CN114343843A (zh) * 2020-10-13 2022-04-15 巴德阿克塞斯系统股份有限公司 用于监测、评估和采集部署信息的支持光纤的可部署医疗装置
EP4271279A1 (en) 2021-01-06 2023-11-08 Bard Access Systems, Inc. Needle guidance using fiber optic shape sensing
US12426954B2 (en) 2021-01-26 2025-09-30 Bard Access Systems, Inc. Fiber optic shape sensing system associated with port placement
CN217960085U (zh) 2021-05-18 2022-12-06 巴德阿克塞斯系统股份有限公司 用于检测医疗设备在患者身体内的放置的医疗设备系统
WO2023076143A1 (en) 2021-10-25 2023-05-04 Bard Access Systems, Inc. Reference plane for medical device placement
US12343117B2 (en) 2022-06-28 2025-07-01 Bard Access Systems, Inc. Fiber optic medical systems and methods for identifying blood vessels
US12349984B2 (en) 2022-06-29 2025-07-08 Bard Access Systems, Inc. System, method, and apparatus for improved confirm of an anatomical position of a medical instrument

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69532049T2 (de) * 1994-04-01 2004-07-08 Prograft Medical, Inc., Palo Alto Selbstausdehnbarer Stent bzw. Stenttransplantat und Verfahren zu ihrer Vorbereitung
US5814062A (en) 1994-12-22 1998-09-29 Target Therapeutics, Inc. Implant delivery assembly with expandable coupling/decoupling mechanism
US6168615B1 (en) 1998-05-04 2001-01-02 Micrus Corporation Method and apparatus for occlusion and reinforcement of aneurysms
US7740637B2 (en) 2000-02-09 2010-06-22 Micrus Endovascular Corporation Apparatus and method for deployment of a therapeutic device using a catheter
JP4194852B2 (ja) 2002-01-17 2008-12-10 有限会社ウサミナノテクノロジー インターナルネッククリッピング用留置具、生体内離脱具及び再配置又は回収機構を備えた生体内離脱具
DE102005007341B4 (de) 2005-02-17 2007-10-11 Kasprzak, Piotr, Dr. Stentprothese für die Gefäßchirurgie insbesondere im Bereich des Aortenbogens
CN100570173C (zh) 2005-04-25 2009-12-16 芦森工业株式会社 带紧固工具
US20070244547A1 (en) 2006-04-18 2007-10-18 Medtronic Vascular, Inc., A Delaware Corporation Device and Method for Controlling the Positioning of a Stent Graft Fenestration
CN101516259B (zh) 2006-09-15 2011-07-20 心脏起搏器公司 用于植入式传感器的固定装置
US8473030B2 (en) 2007-01-12 2013-06-25 Medtronic Vascular, Inc. Vessel position and configuration imaging apparatus and methods
US20080188921A1 (en) * 2007-02-02 2008-08-07 Medtronic Vascular, Inc. Prosthesis Deployment Apparatus and Methods
EP2240093B1 (en) 2008-01-04 2013-04-24 Boston Scientific Scimed, Inc. Detachment mechanisms for implantable devices
US20090228020A1 (en) 2008-03-06 2009-09-10 Hansen Medical, Inc. In-situ graft fenestration
US10390889B2 (en) 2010-07-26 2019-08-27 St Jude Medical International Holding S.Á R.L. Removable navigation system and method for a medical device
US20120041534A1 (en) 2010-08-10 2012-02-16 Boston Scientific Scimed, Inc. Stent delivery system with integrated camera
EP2663239B1 (en) 2011-01-13 2015-08-26 Koninklijke Philips N.V. Detachment tool for decoupling a shape sensor from an implantable device
US20120191079A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
US20130030363A1 (en) * 2011-07-29 2013-01-31 Hansen Medical, Inc. Systems and methods utilizing shape sensing fibers
EP3488803B1 (en) 2012-02-03 2023-09-27 Intuitive Surgical Operations, Inc. Steerable flexible needle with embedded shape sensing
JP6216770B2 (ja) 2012-04-23 2017-10-18 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 形状検知によるアーティファクト除去
US20140180126A1 (en) * 2012-12-20 2014-06-26 Volcano Corporation Catheter with balloon and imaging
KR102234145B1 (ko) 2013-03-15 2021-03-31 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 중재적 기기의 추적을 위한 형상 센서 시스템 및 사용 방법
WO2014191262A2 (en) * 2013-05-31 2014-12-04 Koninklijke Philips N.V. Assisting apparatus for assisting a user during an interventional procedure

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WO2016116823A1 (en) 2016-07-28
EP3247311A1 (en) 2017-11-29
EP3247311B1 (en) 2020-03-18
JP2018502650A (ja) 2018-02-01
US11344440B2 (en) 2022-05-31
US20180008443A1 (en) 2018-01-11

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