JP6855450B2 - 心外膜アクセスシステムおよび方法 - Google Patents

心外膜アクセスシステムおよび方法 Download PDF

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Publication number
JP6855450B2
JP6855450B2 JP2018510111A JP2018510111A JP6855450B2 JP 6855450 B2 JP6855450 B2 JP 6855450B2 JP 2018510111 A JP2018510111 A JP 2018510111A JP 2018510111 A JP2018510111 A JP 2018510111A JP 6855450 B2 JP6855450 B2 JP 6855450B2
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JP
Japan
Prior art keywords
needle
side port
guide wire
needle according
pericardium
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2018510111A
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English (en)
Japanese (ja)
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JP2018531639A (ja
JP2018531639A5 (enExample
Inventor
ジョン ポール アーバンスキ
ジョン ポール アーバンスキ
ブロック ミラー
ブロック ミラー
ルンド アボウ−マリー
ルンド アボウ−マリー
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Baylis Medical Co Inc
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Baylis Medical Co Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
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Publication of JP2018531639A publication Critical patent/JP2018531639A/ja
Publication of JP2018531639A5 publication Critical patent/JP2018531639A5/ja
Priority to JP2021042473A priority Critical patent/JP7108075B6/ja
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Classifications

    • 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
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • 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
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1477—Needle-like probes
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00363—Epicardium
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Prostheses (AREA)
  • Curing Cements, Concrete, And Artificial Stone (AREA)
JP2018510111A 2015-09-09 2016-09-09 心外膜アクセスシステムおよび方法 Active JP6855450B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2021042473A JP7108075B6 (ja) 2015-09-09 2021-03-16 心外膜アクセスシステムおよび方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562216059P 2015-09-09 2015-09-09
US62/216,059 2015-09-09
PCT/IB2016/055404 WO2017042743A1 (en) 2015-09-09 2016-09-09 Epicardial access system & methods

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2021042473A Division JP7108075B6 (ja) 2015-09-09 2021-03-16 心外膜アクセスシステムおよび方法

Publications (3)

Publication Number Publication Date
JP2018531639A JP2018531639A (ja) 2018-11-01
JP2018531639A5 JP2018531639A5 (enExample) 2019-10-17
JP6855450B2 true JP6855450B2 (ja) 2021-04-07

Family

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Family Applications (3)

Application Number Title Priority Date Filing Date
JP2018510111A Active JP6855450B2 (ja) 2015-09-09 2016-09-09 心外膜アクセスシステムおよび方法
JP2021042473A Active JP7108075B6 (ja) 2015-09-09 2021-03-16 心外膜アクセスシステムおよび方法
JP2022112625A Active JP7432663B2 (ja) 2015-09-09 2022-07-13 心外膜アクセスシステムおよび方法

Family Applications After (2)

Application Number Title Priority Date Filing Date
JP2021042473A Active JP7108075B6 (ja) 2015-09-09 2021-03-16 心外膜アクセスシステムおよび方法
JP2022112625A Active JP7432663B2 (ja) 2015-09-09 2022-07-13 心外膜アクセスシステムおよび方法

Country Status (9)

Country Link
US (3) US10779883B2 (enExample)
EP (2) EP3346898B1 (enExample)
JP (3) JP6855450B2 (enExample)
KR (1) KR102685741B1 (enExample)
CN (2) CN108024694B (enExample)
AU (2) AU2016319002B2 (enExample)
BR (1) BR112018004263B1 (enExample)
CA (1) CA2995553C (enExample)
WO (1) WO2017042743A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021100595A (ja) * 2015-09-09 2021-07-08 ベイリス メディカル カンパニー インコーポレイテッドＢａｙｌｉｓ Ｍｅｄｉｃａｌ Ｃｏｍｐａｎｙ Ｉｎｃ． 心外膜アクセスシステムおよび方法

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019215618A1 (en) * 2018-05-08 2019-11-14 Baylis Medical Company Inc. Methods and devices for puncturing tissue
KR102137740B1 (ko) * 2018-11-15 2020-07-24 (주) 타우피엔유메디칼 서클라지 심박동기 리드
CN113473928A (zh) * 2019-02-04 2021-10-01 国际私人银行有限责任公司 穿刺针系统和方法
CN110279454B (zh) * 2019-07-11 2024-05-28 上海市肺科医院 一种超声引导下竖脊肌平面阻滞用穿刺置管装置以及利用该装置的注药方法
CN110522497A (zh) * 2019-08-04 2019-12-03 赵强 一种可视心包穿刺针及其使用方法
CN110327104A (zh) * 2019-08-20 2019-10-15 武汉律动医疗科技有限公司 心包穿刺装置及心包穿刺的方法
WO2022024031A1 (en) * 2020-07-30 2022-02-03 Baylis Medical Company Inc. Elongated medical needle
CN114533213B (zh) * 2020-11-24 2024-05-24 奥林巴斯株式会社 具有超声内窥镜的治疗方法和装置
WO2022266436A1 (en) * 2021-06-17 2022-12-22 Cancer Treatment Centers Of America Global, Llc Access needle systems and methods
JP2024056264A (ja) 2022-10-11 2024-04-23 トヨタ紡織株式会社 発光織物及びその製造方法並びに乗物用内装材
AU2023415276A1 (en) 2022-12-28 2025-07-10 Atraverse Medical, Inc. Methods, systems, and apparatuses for perforating tissue structures

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JP2021100595A (ja) * 2015-09-09 2021-07-08 ベイリス メディカル カンパニー インコーポレイテッドＢａｙｌｉｓ Ｍｅｄｉｃａｌ Ｃｏｍｐａｎｙ Ｉｎｃ． 心外膜アクセスシステムおよび方法
JP7108075B2 (ja) 2015-09-09 2022-07-27 ベイリス メディカル カンパニー インコーポレイテッド 心外膜アクセスシステムおよび方法
JP7108075B6 (ja) 2015-09-09 2022-08-22 ベイリス メディカル カンパニー インコーポレイテッド 心外膜アクセスシステムおよび方法
JP2022163022A (ja) * 2015-09-09 2022-10-25 ベイリス メディカル カンパニー インコーポレイテッド 心外膜アクセスシステムおよび方法
JP7432663B2 (ja) 2015-09-09 2024-02-16 ボストン サイエンティフィック メディカル デバイス リミテッド 心外膜アクセスシステムおよび方法

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