JP6883986B2 - 治療用エネルギ送達を含む治療カテーテル - Google Patents

治療用エネルギ送達を含む治療カテーテル Download PDF

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Publication number
JP6883986B2
JP6883986B2 JP2016531014A JP2016531014A JP6883986B2 JP 6883986 B2 JP6883986 B2 JP 6883986B2 JP 2016531014 A JP2016531014 A JP 2016531014A JP 2016531014 A JP2016531014 A JP 2016531014A JP 6883986 B2 JP6883986 B2 JP 6883986B2
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Prior art keywords
therapeutic
therapeutic energy
catheter
energy
target
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Japanese (ja)
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JP2016538052A5 (https=
JP2016538052A (ja
Inventor
エリック ジョンソン
エリック ジョンソン
ジェレミー スティガル
ジェレミー スティガル
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M37/00Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
    • A61M37/0092Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24Surgical 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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A61B18/245Surgical 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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • A61B2018/0041Removal of thrombosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M2025/0057Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/008Strength or flexibility characteristics of the catheter tip
    • A61M2025/0081Soft tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/05General characteristics of the apparatus combined with other kinds of therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0043Ultrasound therapy intra-cavitary
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0078Ultrasound therapy with multiple treatment transducers

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Hematology (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Anesthesiology (AREA)
  • Dermatology (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • Diabetes (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Surgical Instruments (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
JP2016531014A 2013-11-18 2014-11-18 治療用エネルギ送達を含む治療カテーテル Active JP6883986B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361905351P 2013-11-18 2013-11-18
US61/905,351 2013-11-18
PCT/US2014/066147 WO2015074046A1 (en) 2013-11-18 2014-11-18 Treatment catheter including therapeutic energy delivery

Publications (3)

Publication Number Publication Date
JP2016538052A JP2016538052A (ja) 2016-12-08
JP2016538052A5 JP2016538052A5 (https=) 2017-12-28
JP6883986B2 true JP6883986B2 (ja) 2021-06-09

Family

ID=53058179

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016531014A Active JP6883986B2 (ja) 2013-11-18 2014-11-18 治療用エネルギ送達を含む治療カテーテル

Country Status (5)

Country Link
US (2) US10434295B2 (https=)
EP (1) EP3071280B1 (https=)
JP (1) JP6883986B2 (https=)
CN (1) CN105722545B (https=)
WO (1) WO2015074046A1 (https=)

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* Cited by examiner, † Cited by third party
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US11311332B2 (en) 2011-08-23 2022-04-26 Magneto Thrombectomy Solutions Ltd. Thrombectomy devices
US11229728B1 (en) * 2020-08-24 2022-01-25 Light Line Medical, Inc. Method and apparatus to deliver therapeutic, non-ultraviolet electromagnetic radiation in a dialysis system
US11241585B2 (en) 2016-02-05 2022-02-08 Light Line Medical, Inc. Method and apparatus for removable catheter visual light therapeutic system
US11497932B2 (en) 2012-04-05 2022-11-15 Light Line Medical, Inc. Electromagnetic radiation delivery and monitoring system and methods for preventing, reducing and/or eliminating catheter-related infections during institutional or in-home use
US11229808B2 (en) 2012-04-05 2022-01-25 Light Line Medical, Inc. Methods and apparatus to deliver therapeutic, non-ultraviolet electromagnetic radiation versatilely via a catheter residing in a body cavity
CN110402117B (zh) * 2017-03-22 2022-08-05 磁疗血栓切除术解决方案有限公司 利用静电力和抽吸力的血栓切除术
US12029475B2 (en) 2017-03-22 2024-07-09 Magneto Thrombectomy Solutions Ltd. Thrombectomy using both electrostatic and suction forces
WO2019102307A1 (en) 2017-11-23 2019-05-31 Magneto Thrombectomy Solutions Ltd. Tubular thrombectomy devices
JP2021529038A (ja) * 2018-06-28 2021-10-28 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 活性治療薬の外部標的化送達
US20230302277A1 (en) * 2020-08-13 2023-09-28 Eduard MAIBERG Method and system for facilitating healing or inhibiting development of a pulmonary or thrombosis ailment
WO2022108273A1 (ko) * 2020-11-17 2022-05-27 가톨릭관동대학교산학협력단 이종 기전의 융합치료에 적합한 카테터 장치
KR102653226B1 (ko) * 2020-11-17 2024-04-02 가톨릭관동대학교산학협력단 이종 기전의 융합치료에 적합한 카테터 장치
KR102638356B1 (ko) * 2020-11-17 2024-02-21 가톨릭관동대학교산학협력단 약물의 특성에 따른 신호 제어가 가능한 카테터 장치
KR102636816B1 (ko) * 2020-11-17 2024-02-16 가톨릭관동대학교산학협력단 정확한 레벨의 신호 인가가 가능한 카테터 장치
KR102633526B1 (ko) * 2020-11-17 2024-02-06 가톨릭관동대학교산학협력단 길이에 따른 신호 보정이 가능한 카테터 장치
JP7618216B2 (ja) * 2021-03-31 2025-01-21 株式会社ニューロライテック 光照射装置
US12533014B2 (en) 2022-11-13 2026-01-27 Light Line Medical, Inc. Disposable introducer for advancing an elongate member into a tubular structure
US12527945B2 (en) 2022-11-13 2026-01-20 Light Line Medical, Inc. Disposable fiber optic introducer component of a light delivery system for preventing, reducing and/or eliminating infections during institutional or in-home use
WO2025076132A1 (en) * 2023-10-02 2025-04-10 Vicora, Inc. Medical devices, systems and methods for delivering energy

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Also Published As

Publication number Publication date
EP3071280B1 (en) 2020-06-24
WO2015074046A1 (en) 2015-05-21
EP3071280A1 (en) 2016-09-28
CN105722545B (zh) 2020-10-20
EP3071280A4 (en) 2016-11-30
US20190247639A1 (en) 2019-08-15
JP2016538052A (ja) 2016-12-08
CN105722545A (zh) 2016-06-29
US11103687B2 (en) 2021-08-31
US10434295B2 (en) 2019-10-08
US20160279402A1 (en) 2016-09-29

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