JP6750013B2 - 経中隔横断用の直接可視化装置、システム、および方法 - Google Patents

経中隔横断用の直接可視化装置、システム、および方法 Download PDF

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Publication number
JP6750013B2
JP6750013B2 JP2018523781A JP2018523781A JP6750013B2 JP 6750013 B2 JP6750013 B2 JP 6750013B2 JP 2018523781 A JP2018523781 A JP 2018523781A JP 2018523781 A JP2018523781 A JP 2018523781A JP 6750013 B2 JP6750013 B2 JP 6750013B2
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Prior art keywords
balloon
lumen
direct visualization
outer member
distal end
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Japanese (ja)
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JP2018538035A (ja
JP2018538035A5 (cg-RX-API-DMAC7.html
Inventor
ホリスバーガー、ベン
ジョン レーゼ、デイビッド
ジョン レーゼ、デイビッド
ジェームズ ケイ． コースラ、ジュニア
ジェームズ ケイ． コースラ、ジュニア
エイ． クロス、ジェームズ
エイ． クロス、ジェームズ
ピー． ロール、ジェームズ
ピー． ロール、ジェームズ
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Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00148—Holding or positioning arrangements using anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A61B1/00167—Details of optical fibre bundles, e.g. shape or fibre distribution
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/042—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by a proximal camera, e.g. a CCD camera
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3137—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1006—Balloons formed between concentric tubes

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2018523781A 2015-11-13 2016-11-11 経中隔横断用の直接可視化装置、システム、および方法 Active JP6750013B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562255008P 2015-11-13 2015-11-13
US62/255,008 2015-11-13
PCT/US2016/061714 WO2017083785A1 (en) 2015-11-13 2016-11-11 Direct visualization devices, systems, and methods for transseptal crossing

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2020053188A Division JP2020121133A (ja) 2015-11-13 2020-03-24 経中隔横断用の直接可視化装置、システム、および方法

Publications (3)

Publication Number Publication Date
JP2018538035A JP2018538035A (ja) 2018-12-27
JP2018538035A5 JP2018538035A5 (cg-RX-API-DMAC7.html) 2019-11-07
JP6750013B2 true JP6750013B2 (ja) 2020-09-02

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JP2018523781A Active JP6750013B2 (ja) 2015-11-13 2016-11-11 経中隔横断用の直接可視化装置、システム、および方法
JP2020053188A Pending JP2020121133A (ja) 2015-11-13 2020-03-24 経中隔横断用の直接可視化装置、システム、および方法

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JP2020053188A Pending JP2020121133A (ja) 2015-11-13 2020-03-24 経中隔横断用の直接可視化装置、システム、および方法

Country Status (5)

Country Link
US (1) US20170135559A1 (cg-RX-API-DMAC7.html)
EP (1) EP3374017A1 (cg-RX-API-DMAC7.html)
JP (2) JP6750013B2 (cg-RX-API-DMAC7.html)
CN (1) CN108472475A (cg-RX-API-DMAC7.html)
WO (1) WO2017083785A1 (cg-RX-API-DMAC7.html)

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US20190282749A1 (en) * 2010-04-23 2019-09-19 Mark D. Wieczorek Transseptal access device and method of uses
ES2727868T3 (es) 2011-09-22 2019-10-21 Univ George Washington Sistemas para visualizar el tejido ablacionado
US9084611B2 (en) 2011-09-22 2015-07-21 The George Washington University Systems and methods for visualizing ablated tissue
JP6737705B2 (ja) 2013-11-14 2020-08-12 ザ・ジョージ・ワシントン・ユニバーシティＴｈｅ Ｇｅｏｒｇｅ Ｗａｓｈｉｎｇｔｏｎｕｎｉｖｅｒｓｉｔｙ 損傷部位の深さを決定するシステムの動作方法及び心臓組織の画像を生成するシステム
WO2015077474A1 (en) 2013-11-20 2015-05-28 The George Washington University Systems and methods for hyperspectral analysis of cardiac tissue
JP6771731B2 (ja) 2014-11-03 2020-10-21 ４６０メディカル・インコーポレイテッド４６０Ｍｅｄｉｃａｌ， Ｉｎｃ． 接触性評価システム及び方法
KR102499045B1 (ko) 2014-11-03 2023-02-10 더 조지 워싱턴 유니버시티 병변 평가를 위한 시스템 및 방법
JP6790316B2 (ja) * 2014-11-25 2020-11-25 ４６０メディカル・インコーポレイテッド４６０Ｍｅｄｉｃａｌ， Ｉｎｃ． 視覚化カテーテル
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
US12082775B2 (en) 2015-12-18 2024-09-10 Boston Scientific Scimed, Inc. Radially-directed balloon visualization device
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
CA3071432A1 (en) * 2017-07-28 2019-01-31 East End Medical Llc Directional balloon transseptal insertion device for medical procedures
CA3138742A1 (en) * 2019-03-20 2020-09-24 East End Medical Llc Directional balloon transseptal insertion device for medical procedures
WO2020247945A1 (en) * 2019-06-07 2020-12-10 Vivid Medical, Inc. Deployable balloon illumination for endoscopy
MX2021015344A (es) * 2019-06-11 2022-03-11 East End Medical Llc Dispositivo de insercion transseptal de globo direccional para procedimientos medicos con sistema de perforacion transseptal mejorado con sello de globo del miembro de perforacion.
AU2020349508A1 (en) 2019-09-20 2022-04-14 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
US11666733B2 (en) 2019-10-04 2023-06-06 East End Medical Llc Directional balloon transseptal insertion device for medical procedures with improved handle
JP2023510326A (ja) 2020-01-08 2023-03-13 ４６０メディカル・インコーポレイテッド アブレーション焼灼巣の光学的探索のためのシステム及び方法
MX2022010170A (es) 2020-02-18 2022-09-12 East End Medical Llc Cateter de balon de anclaje desviable para procedimientos vasculares.
US12016619B2 (en) 2020-05-14 2024-06-25 Circa Scientific, Inc. Transseptal crossing system for single pass large bore access
EP4203828A4 (en) 2020-08-25 2024-09-18 Cross Vascular, Inc. TRANSSEPTAL CROSSING SYSTEM
CN119258372B (zh) * 2024-10-24 2025-05-16 玮铭医疗器械(上海)有限公司 一种颅内球囊抽吸导管

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Publication number Publication date
CN108472475A (zh) 2018-08-31
JP2018538035A (ja) 2018-12-27
US20170135559A1 (en) 2017-05-18
EP3374017A1 (en) 2018-09-19
WO2017083785A1 (en) 2017-05-18
JP2020121133A (ja) 2020-08-13

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