JP6832020B2 - 体内の標的構造物に超音波誘導を与えるためのシステム及び方法 - Google Patents
体内の標的構造物に超音波誘導を与えるためのシステム及び方法 Download PDFInfo
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- 238000000034 method Methods 0.000 title description 39
- 239000000523 sample Substances 0.000 claims description 79
- 239000000463 material Substances 0.000 claims description 14
- 230000001954 sterilising effect Effects 0.000 claims description 6
- 238000004659 sterilization and disinfection Methods 0.000 claims description 6
- 238000013459 approach Methods 0.000 description 22
- 238000002604 ultrasonography Methods 0.000 description 22
- 230000006698 induction Effects 0.000 description 3
- 230000001012 protector Effects 0.000 description 3
- 238000003491 array Methods 0.000 description 2
- 210000002565 arteriole Anatomy 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 238000002679 ablation Methods 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000002059 diagnostic imaging Methods 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 210000002321 radial artery Anatomy 0.000 description 1
- 238000002310 reflectometry Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 230000037303 wrinkles Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A61B46/00—Surgical drapes
- A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
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- A61B5/150007—Details
- A61B5/150015—Source of blood
- A61B5/15003—Source of blood for venous or arterial blood
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150748—Having means for aiding positioning of the piercing device at a location where the body is to be pierced
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
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- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
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- A—HUMAN NECESSITIES
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- A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
- A61B8/4494—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer characterised by the arrangement of the transducer elements
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B90/13—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/42—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
- A61M5/427—Locating point where body is to be pierced, e.g. vein location means using ultrasonic waves, injection site templates
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2015—Miscellaneous features
- A61B2018/2025—Miscellaneous features with a pilot laser
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- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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- A—HUMAN NECESSITIES
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- 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
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4477—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device using several separate ultrasound transducers or probes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/461—Displaying means of special interest
- A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
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- A—HUMAN NECESSITIES
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- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/467—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
- G01S15/00—Systems using the reflection or reradiation of acoustic waves, e.g. sonar systems
- G01S15/88—Sonar systems specially adapted for specific applications
- G01S15/89—Sonar systems specially adapted for specific applications for mapping or imaging
- G01S15/8906—Short-range imaging systems; Acoustic microscope systems using pulse-echo techniques
- G01S15/899—Combination of imaging systems with ancillary equipment
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
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- Pathology (AREA)
- Physics & Mathematics (AREA)
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- Biophysics (AREA)
- Radiology & Medical Imaging (AREA)
- Vascular Medicine (AREA)
- Hematology (AREA)
- Optics & Photonics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Gynecology & Obstetrics (AREA)
- Anesthesiology (AREA)
- Dermatology (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Radar, Positioning & Navigation (AREA)
- Remote Sensing (AREA)
- Acoustics & Sound (AREA)
- Computer Networks & Wireless Communication (AREA)
- General Physics & Mathematics (AREA)
Description
Claims (12)
- ハウジングと、
前記ハウジングに接続されており、かつ第1平面内の第1方向に第1平面超音波ビームを放射するように構成された第1超音波トランスデューサアレイと、
前記ハウジングに接続されており、かつ第1平面にほぼ直交する第2平面内の第1方向に第2平面超音波ビームを放射するように構成された第2超音波トランスデューサアレイと、
前記ハウジングに接続されており、かつほぼ第1平面内に第1ライトラインを投射するように構成された第1光源と、
前記ハウジングに接続されており、また第1平面にほぼ直交し、かつ第2平面と斜角で交差する第3平面内に第2ライトラインを投射するように構成された第2光源とを備え、
第1ライトラインは、第2ライトラインに交差し、かつ第2ライトラインにほぼ直交する、超音波プローブ。 - 第1光源は第1レーザーであり、第2光源は第2レーザーである、請求項1に記載の超音波プローブ。
- 第1超音波トランスデューサアレイ及び第2超音波トランスデューサアレイはT字形構成に配列されている、請求項2に記載の超音波プローブ。
- 前記超音波プローブに接続され、かつ第1超音波トランスデューサアレイからの第1画像と第2超音波トランスデューサアレイからの第2画像との双方を表示するように構成されたスクリーンをさらに備える、請求項2に記載の超音波プローブ。
- 前記スクリーンは中心線を表示するように構成されている、請求項4に記載の超音波プローブ。
- 前記中心線は第2超音波トランスデューサアレイの中心に一致する、請求項5に記載の超音波プローブ。
- 第2レーザーは一定の投射角度において第3平面内に第2ライトラインを投射するように構成されており、前記投射角度は90°未満である、請求項2に記載の超音波プローブ。
- 第2レーザーに接続されたステッパモータをさらに備える、請求項7に記載の超音波プローブ。
- 前記ステッパモータは、第2レーザーを回転させ、それにより前記投射角度を調節するように構成されており、調整された投射角度は90°未満である、請求項8に記載の超音波プローブ。
- 第1レーザーに対する第2レーザーの位置は調整可能である、請求項7に記載の超音波プローブ。
- 前記超音波プローブに接続された滅菌カバーをさらに備え、前記滅菌カバーは、第1光源及び第2光源の上に配置されるように構成された硬質光透過性材料を含む、請求項10に記載の超音波プローブ。
- 前記滅菌カバーは、前記硬質光透過性材料に接続された軟質バッグを備える、請求項11に記載の超音波プローブ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201562212586P | 2015-08-31 | 2015-08-31 | |
US62/212,586 | 2015-08-31 | ||
PCT/US2016/049776 WO2017040715A1 (en) | 2015-08-31 | 2016-08-31 | Systems and methods for providing ultrasound guidance to target structures within a body |
Publications (2)
Publication Number | Publication Date |
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JP2018531766A JP2018531766A (ja) | 2018-11-01 |
JP6832020B2 true JP6832020B2 (ja) | 2021-02-24 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018530668A Active JP6832020B2 (ja) | 2015-08-31 | 2016-08-31 | 体内の標的構造物に超音波誘導を与えるためのシステム及び方法 |
Country Status (7)
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US (2) | US10806486B2 (ja) |
EP (1) | EP3344146B1 (ja) |
JP (1) | JP6832020B2 (ja) |
CN (1) | CN108430333B (ja) |
CA (1) | CA2996866A1 (ja) |
HK (1) | HK1257930A1 (ja) |
WO (1) | WO2017040715A1 (ja) |
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CN103222897B (zh) | 2013-05-07 | 2015-06-17 | 王琛 | 超声引导平面外穿刺适配器及设有其的超声引导穿刺装置和方法 |
EP3046499B1 (en) * | 2013-09-18 | 2022-11-02 | Imirge Medical Inc. | Optical targeting and visualization of trajectories |
US9622720B2 (en) | 2013-11-27 | 2017-04-18 | Clear Guide Medical, Inc. | Ultrasound system with stereo image guidance or tracking |
CN105232120A (zh) | 2015-10-22 | 2016-01-13 | 张旭 | 一种超声引导平面内穿刺引导装置 |
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2016
- 2016-08-31 CN CN201680060003.1A patent/CN108430333B/zh not_active Expired - Fee Related
- 2016-08-31 CA CA2996866A patent/CA2996866A1/en not_active Abandoned
- 2016-08-31 EP EP16842944.7A patent/EP3344146B1/en active Active
- 2016-08-31 JP JP2018530668A patent/JP6832020B2/ja active Active
- 2016-08-31 WO PCT/US2016/049776 patent/WO2017040715A1/en active Application Filing
- 2016-08-31 US US15/253,673 patent/US10806486B2/en active Active
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2019
- 2019-01-08 HK HK19100292.4A patent/HK1257930A1/zh unknown
- 2019-03-14 US US16/353,692 patent/US11324533B2/en active Active
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US20190209207A1 (en) | 2019-07-11 |
CN108430333A (zh) | 2018-08-21 |
US20170056062A1 (en) | 2017-03-02 |
CN108430333B (zh) | 2021-06-11 |
WO2017040715A1 (en) | 2017-03-09 |
US11324533B2 (en) | 2022-05-10 |
EP3344146B1 (en) | 2020-05-06 |
EP3344146A1 (en) | 2018-07-11 |
CA2996866A1 (en) | 2017-03-09 |
HK1257930A1 (zh) | 2019-11-01 |
JP2018531766A (ja) | 2018-11-01 |
US10806486B2 (en) | 2020-10-20 |
EP3344146A4 (en) | 2019-03-06 |
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