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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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 (enExample
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 (enExample) 2019-11-07
JP6750013B2 true JP6750013B2 (ja) 2020-09-02

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ID=57421963

Family Applications (2)

Application Number Title Priority Date Filing Date
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 (enExample)
EP (1) EP3374017A1 (enExample)
JP (2) JP6750013B2 (enExample)
CN (1) CN108472475A (enExample)
WO (1) WO2017083785A1 (enExample)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190282749A1 (en) * 2010-04-23 2019-09-19 Mark D. Wieczorek Transseptal access device and method of uses
CN104066368B (zh) 2011-09-22 2017-02-22 乔治华盛顿大学 用于使经消融组织可视化的系统和方法
US9014789B2 (en) 2011-09-22 2015-04-21 The George Washington University Systems and methods for visualizing ablated tissue
WO2015073871A2 (en) 2013-11-14 2015-05-21 The George Washington University Systems and methods for determining lesion depth using fluorescence imaging
WO2015077474A1 (en) 2013-11-20 2015-05-28 The George Washington University Systems and methods for hyperspectral analysis of cardiac tissue
CN107613849B (zh) 2014-11-03 2021-05-04 乔治华盛顿大学 用于损伤评估的系统和方法
EP3215001A4 (en) 2014-11-03 2018-04-04 Luxcath, LLC Systems and methods for assessment of contact quality
CN107106221A (zh) * 2014-11-25 2017-08-29 拉克斯凯瑟有限责任公司 可视化导管
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
WO2017106698A1 (en) 2015-12-18 2017-06-22 Boston Scientific Scimed, Inc. Radially-directed balloon visualization device
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
MX2020001066A (es) * 2017-07-28 2020-08-13 East End Medical Llc Dispositivo de insercion transeptal de balon direccional para procedimiento médicos.
WO2020191133A1 (en) * 2019-03-20 2020-09-24 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures
CA3140843A1 (en) * 2019-06-07 2020-12-10 Vivid Medical, Inc. Deployable balloon illumination for endoscopy
AU2020292273B2 (en) 2019-06-11 2023-08-03 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
JP2022548739A (ja) 2019-09-20 2022-11-21 イースト エンド メディカル エルエルシー 突刺部バルーンシールを有する改良された経中隔突刺システムを含む医療処置用の方向性バルーン経中隔挿入デバイス
WO2021067669A1 (en) 2019-10-04 2021-04-08 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved handle
EP4087511A4 (en) 2020-01-08 2024-02-14 460Medical, Inc. SYSTEMS AND METHODS FOR OPTICAL INQUIRY OF ABLATION INJURIES
US11766545B2 (en) 2020-02-18 2023-09-26 East End Medical Llc Deflectable anchor balloon catheter for vascular procedures
US12016619B2 (en) 2020-05-14 2024-06-25 Circa Scientific, Inc. Transseptal crossing system for single pass large bore access
WO2022046777A1 (en) 2020-08-25 2022-03-03 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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US4961738A (en) * 1987-01-28 1990-10-09 Mackin Robert A Angioplasty catheter with illumination and visualization within angioplasty balloon
US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
US5569183A (en) * 1994-06-01 1996-10-29 Archimedes Surgical, Inc. Method for performing surgery around a viewing space in the interior of the body
US6697677B2 (en) * 2000-12-28 2004-02-24 Medtronic, Inc. System and method for placing a medical electrical lead
AU2003240831A1 (en) * 2002-05-30 2003-12-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and method for coronary sinus access
AU2003294226A1 (en) * 2002-09-20 2004-04-23 Flowmedica, Inc. Method and apparatus for intra aortic substance delivery to a branch vessel
JP2005013708A (ja) * 2003-05-30 2005-01-20 Olympus Corp 内視鏡及びその組立方法
JP3854946B2 (ja) * 2003-05-30 2006-12-06 オリンパス株式会社 内視鏡
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall
US8142470B2 (en) * 2005-12-01 2012-03-27 Atritech, Inc. Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
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Publication number Publication date
WO2017083785A1 (en) 2017-05-18
JP2020121133A (ja) 2020-08-13
EP3374017A1 (en) 2018-09-19
JP2018538035A (ja) 2018-12-27
US20170135559A1 (en) 2017-05-18
CN108472475A (zh) 2018-08-31

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