JP7061340B2 - 体管腔の偏向のためのシステムおよび方法 - Google Patents

体管腔の偏向のためのシステムおよび方法 Download PDF

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Publication number
JP7061340B2
JP7061340B2 JP2019526586A JP2019526586A JP7061340B2 JP 7061340 B2 JP7061340 B2 JP 7061340B2 JP 2019526586 A JP2019526586 A JP 2019526586A JP 2019526586 A JP2019526586 A JP 2019526586A JP 7061340 B2 JP7061340 B2 JP 7061340B2
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Prior art keywords
catheter
lumen
deflection
shaft
balloon
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Expired - Fee Related
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JP2019526586A
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Japanese (ja)
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JP2020500065A5 (https=
JP2020500065A (ja
Inventor
ジー． ブラッカー，グレゴリー
ディー． サベジ，スティーブン
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イノベーションズ イン メディスン，エルエルシー
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    • 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
    • A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • 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
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0155—Tip steering devices with hydraulic or pneumatic means, e.g. balloons or inflatable compartments
    • 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
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • 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
    • A61M25/1011—Multiple balloon catheters
    • 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
    • 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
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • A61B2018/00285—Balloons
    • 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
    • A61B2018/00571—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
    • 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
    • A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
    • A61B2090/0409—Specification of type of protection measures
    • A61B2090/0427—Prevention of contact
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1084—Balloon catheters with special features or adapted for special applications having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Surgery (AREA)
  • Child & Adolescent Psychology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Otolaryngology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
JP2019526586A 2016-11-23 2017-11-23 体管腔の偏向のためのシステムおよび方法 Expired - Fee Related JP7061340B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662426223P 2016-11-23 2016-11-23
US62/426,223 2016-11-23
PCT/US2017/063171 WO2018098388A1 (en) 2016-11-23 2017-11-23 System and method for deflection of a body lumen

Publications (3)

Publication Number Publication Date
JP2020500065A JP2020500065A (ja) 2020-01-09
JP2020500065A5 JP2020500065A5 (https=) 2021-01-07
JP7061340B2 true JP7061340B2 (ja) 2022-04-28

Family

ID=62195653

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019526586A Expired - Fee Related JP7061340B2 (ja) 2016-11-23 2017-11-23 体管腔の偏向のためのシステムおよび方法

Country Status (5)

Country Link
US (2) US11298203B2 (https=)
EP (1) EP3544666A4 (https=)
JP (1) JP7061340B2 (https=)
CA (1) CA3044635A1 (https=)
WO (1) WO2018098388A1 (https=)

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US20200093472A1 (en) * 2017-03-24 2020-03-26 Robert J Cottone Systems and methods for tissue displacement
US11433220B2 (en) 2017-07-07 2022-09-06 St. Jude Medical, Cardiology Division, Inc. Layered high density electrode mapping catheter
JP7130748B2 (ja) 2017-11-28 2022-09-05 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド ルーメン管理カテーテル
US11426111B2 (en) 2018-03-13 2022-08-30 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter
WO2019195439A1 (en) 2018-04-05 2019-10-10 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
US11090101B2 (en) 2018-05-02 2021-08-17 Medtronic Cryocath Lp Soft balloon device and system
US20190350649A1 (en) 2018-05-21 2019-11-21 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
WO2020068601A1 (en) * 2018-09-24 2020-04-02 Cottone Robert J Systems and methods for tissue displacement
WO2020169167A1 (en) * 2019-02-20 2020-08-27 Eltahlawi Mohammad Abdalla Mahmoud Arterial balloon with variable pressures
CN110974323B (zh) * 2020-01-04 2022-11-01 周龙安 一种普外科手术用肌肉牵开装置
WO2021178022A1 (en) * 2020-03-03 2021-09-10 St. Jude Medical, Cardiology Division, Inc. Esophageal deviator
CN111419304A (zh) * 2020-04-16 2020-07-17 上海科赐医疗技术有限公司 弯曲球囊导管牵开器
JP7408816B2 (ja) * 2020-07-31 2024-01-05 朝日インテック株式会社 バルーンカテーテル
JP7515637B2 (ja) 2020-08-18 2024-07-12 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 磁気位置の追跡を伴う高密度電極カテーテル
EP4362863A4 (en) * 2020-12-16 2024-11-06 Sundaram Ravikumar CATHETER DEVICE AND METHOD FOR SELECTIVE OCCLUSION OF ARTERIES OF THE DESCENDING AORTA OR ILIAC VASCULAR SYSTEM
US11744993B2 (en) 2021-07-19 2023-09-05 Innovations In Medicine, Llc System and method for deflection mechanism with expandable constraint
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
WO2024115418A1 (en) * 2022-11-29 2024-06-06 Fresenius Kabi Deutschland Gmbh Port catheter system
TWI899940B (zh) * 2024-04-11 2025-10-01 臺北醫學大學 鼻胃管結構

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US20080033415A1 (en) 2006-03-17 2008-02-07 Rieker Gregory B Method and apparatus to prevent esophageal damage
US20110034936A1 (en) 2007-10-31 2011-02-10 Maloney James D Nasogastric tube for use during an ablation procedure
US20110082488A1 (en) 2009-10-06 2011-04-07 Niazi Imran K Intra-esophageal balloon system
US20150245829A1 (en) 2014-02-28 2015-09-03 Manual Surgical Sciences, LLC Expandable devices for positioning organs

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Patent Citations (4)

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US20080033415A1 (en) 2006-03-17 2008-02-07 Rieker Gregory B Method and apparatus to prevent esophageal damage
US20110034936A1 (en) 2007-10-31 2011-02-10 Maloney James D Nasogastric tube for use during an ablation procedure
US20110082488A1 (en) 2009-10-06 2011-04-07 Niazi Imran K Intra-esophageal balloon system
US20150245829A1 (en) 2014-02-28 2015-09-03 Manual Surgical Sciences, LLC Expandable devices for positioning organs

Also Published As

Publication number Publication date
WO2018098388A1 (en) 2018-05-31
EP3544666A4 (en) 2020-09-02
US20220218433A1 (en) 2022-07-14
EP3544666A1 (en) 2019-10-02
US20190314109A1 (en) 2019-10-17
JP2020500065A (ja) 2020-01-09
US11298203B2 (en) 2022-04-12
US11504205B2 (en) 2022-11-22
CA3044635A1 (en) 2018-05-31

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