JP6795701B2 - 身体通路のナビゲーションおよび可視化用システム - Google Patents

身体通路のナビゲーションおよび可視化用システム Download PDF

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Publication number
JP6795701B2
JP6795701B2 JP2019534752A JP2019534752A JP6795701B2 JP 6795701 B2 JP6795701 B2 JP 6795701B2 JP 2019534752 A JP2019534752 A JP 2019534752A JP 2019534752 A JP2019534752 A JP 2019534752A JP 6795701 B2 JP6795701 B2 JP 6795701B2
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end cap
working channel
elongated member
ultrasonic probe
tissue
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JP2019534752A
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English (en)
Japanese (ja)
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JP2020503116A (ja
Inventor
ピー． フルーリー、ショーン
ピー． フルーリー、ショーン
エル． デイトン、ピーター
エル． デイトン、ピーター
ブイ． ウェールズ、ライアン
ブイ． ウェールズ、ライアン
スミス、ポール
イー． ブレッチビール、スコット
イー． ブレッチビール、スコット
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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
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type 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
    • A61B1/00064—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
    • A61B1/00089—Hoods
    • 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
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • 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
    • 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
    • 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
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4455—Features of the external shape of the probe, e.g. ergonomic aspects
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A61B2010/045—Needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • 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
    • 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
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Endoscopes (AREA)
JP2019534752A 2017-02-27 2018-02-26 身体通路のナビゲーションおよび可視化用システム Active JP6795701B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762464166P 2017-02-27 2017-02-27
US62/464,166 2017-02-27
PCT/US2018/019669 WO2018157038A1 (en) 2017-02-27 2018-02-26 Systems for body passage navigation and visualization

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2020188535A Division JP7196144B2 (ja) 2017-02-27 2020-11-12 身体通路のナビゲーションおよび可視化用システム

Publications (2)

Publication Number Publication Date
JP2020503116A JP2020503116A (ja) 2020-01-30
JP6795701B2 true JP6795701B2 (ja) 2020-12-02

Family

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Family Applications (3)

Application Number Title Priority Date Filing Date
JP2019534752A Active JP6795701B2 (ja) 2017-02-27 2018-02-26 身体通路のナビゲーションおよび可視化用システム
JP2020188535A Active JP7196144B2 (ja) 2017-02-27 2020-11-12 身体通路のナビゲーションおよび可視化用システム
JP2022199251A Active JP7664215B2 (ja) 2017-02-27 2022-12-14 身体通路のナビゲーションおよび可視化用システム

Family Applications After (2)

Application Number Title Priority Date Filing Date
JP2020188535A Active JP7196144B2 (ja) 2017-02-27 2020-11-12 身体通路のナビゲーションおよび可視化用システム
JP2022199251A Active JP7664215B2 (ja) 2017-02-27 2022-12-14 身体通路のナビゲーションおよび可視化用システム

Country Status (8)

Country Link
US (2) US11202617B2 (enExample)
EP (1) EP3585270B1 (enExample)
JP (3) JP6795701B2 (enExample)
KR (2) KR20220056245A (enExample)
CN (2) CN110325121B (enExample)
AU (1) AU2018224224B2 (enExample)
CA (1) CA3046556C (enExample)
WO (1) WO2018157038A1 (enExample)

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CN110292403A (zh) * 2019-07-04 2019-10-01 南京市胸科医院 一种支气管超声探测与活检同步取样的装置及方法
WO2022000533A1 (zh) * 2020-07-02 2022-01-06 江苏钱璟医疗器械有限公司 多腔管以及内窥镜组件
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JP2024517015A (ja) * 2021-05-12 2024-04-18 ボストン サイエンティフィック サイムド，インコーポレイテッド 体管腔内に細長い部材を配置するためのデバイス、システム、および方法
JP7732823B2 (ja) * 2021-09-27 2025-09-02 富士フイルム株式会社 超音波内視鏡用バルーン
CN116898385A (zh) * 2023-07-04 2023-10-20 北京大学 一种插入器械及内窥镜
CN117547329A (zh) * 2023-12-29 2024-02-13 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备
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CN114869353B (zh) 2025-08-12
JP7664215B2 (ja) 2025-04-17
KR102431658B1 (ko) 2022-08-11
US20180242948A1 (en) 2018-08-30
AU2018224224A1 (en) 2019-06-13
KR20230154284A (ko) 2023-11-07
JP2023021302A (ja) 2023-02-10
JP7196144B2 (ja) 2022-12-26
KR20190121807A (ko) 2019-10-28
CN110325121A (zh) 2019-10-11
EP3585270A1 (en) 2020-01-01
US12239485B2 (en) 2025-03-04
CN110325121B (zh) 2022-04-19
JP2021035570A (ja) 2021-03-04
CA3046556C (en) 2021-10-12
KR20220056245A (ko) 2022-05-04
CA3046556A1 (en) 2018-08-30
US20220096050A1 (en) 2022-03-31
US11202617B2 (en) 2021-12-21
EP3585270B1 (en) 2025-10-29
JP2020503116A (ja) 2020-01-30
AU2018224224B2 (en) 2020-05-21
CN114869353A (zh) 2022-08-09
WO2018157038A1 (en) 2018-08-30

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