JP7203192B2 - 門脈圧を測定するための装置及び方法 - Google Patents

門脈圧を測定するための装置及び方法 Download PDF

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Publication number
JP7203192B2
JP7203192B2 JP2021503118A JP2021503118A JP7203192B2 JP 7203192 B2 JP7203192 B2 JP 7203192B2 JP 2021503118 A JP2021503118 A JP 2021503118A JP 2021503118 A JP2021503118 A JP 2021503118A JP 7203192 B2 JP7203192 B2 JP 7203192B2
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Prior art keywords
needle
sensing device
pressure
pressure sensing
configuration
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JP2021503118A
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English (en)
Japanese (ja)
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JP2021530322A5 (https=
JPWO2020050988A5 (https=
JP2021530322A (ja
Inventor
メランソン、ダグラス
エル． デイトン、ピーター
エリザベス クリスタキス、ローラ
ピー． フルーリー、ショーン
ピー． ライト、コーリー
デュバル、ジョージ
モナハン、バネッサ
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Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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Publication of JPWO2020050988A5 publication Critical patent/JPWO2020050988A5/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02152—Measuring pressure in heart or blood vessels by means inserted into the body specially adapted for venous pressure
    • 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
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14503—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6848—Needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6876—Blood vessel
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • 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
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B2034/2046—Tracking techniques
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
    • A61B5/0053—Detecting, measuring or recording by applying mechanical forces or stimuli by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Endoscopes (AREA)
JP2021503118A 2018-09-07 2019-08-22 門脈圧を測定するための装置及び方法 Active JP7203192B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862728528P 2018-09-07 2018-09-07
US62/728,528 2018-09-07
PCT/US2019/047681 WO2020050988A1 (en) 2018-09-07 2019-08-22 Devices and methods for measuring portal pressure

Publications (4)

Publication Number Publication Date
JP2021530322A JP2021530322A (ja) 2021-11-11
JP2021530322A5 JP2021530322A5 (https=) 2022-07-19
JPWO2020050988A5 JPWO2020050988A5 (https=) 2022-07-19
JP7203192B2 true JP7203192B2 (ja) 2023-01-12

Family

ID=68000059

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2021503118A Active JP7203192B2 (ja) 2018-09-07 2019-08-22 門脈圧を測定するための装置及び方法

Country Status (6)

Country Link
US (2) US20200077905A1 (https=)
EP (1) EP3787489A1 (https=)
JP (1) JP7203192B2 (https=)
KR (1) KR20210018944A (https=)
CN (2) CN119770011A (https=)
WO (1) WO2020050988A1 (https=)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB202012497D0 (en) * 2020-08-11 2020-09-23 King S College London Method and system for reconstructing the three-dimensional surface of tubular organs
US20230190248A1 (en) 2021-12-21 2023-06-22 Measurement Specialties, Inc Pressure sensor module for an interventional medical device
CN115517642A (zh) * 2022-09-16 2022-12-27 南京沃福曼医疗科技有限公司 一种门静脉内压力测量微导管
JPWO2025121145A1 (https=) * 2023-12-07 2025-06-12

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US20130006145A1 (en) 2011-06-28 2013-01-03 Toomey Ciaran Flexible biopsy needle
JP2013516298A (ja) 2010-01-11 2013-05-13 アルスタシス，インコーポレイテッド 組織に路を形成するデバイス
JP2017520348A (ja) 2014-07-15 2017-07-27 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 肝内シャントのためのデバイス及び方法

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JP2974429B2 (ja) * 1991-02-04 1999-11-10 徹 新里 血液浄化装置
WO2006055967A2 (en) * 2004-11-19 2006-05-26 Lumen Biomedical, Inc. Extendable device on an aspiration catheter
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DE102006027054A1 (de) * 2006-06-10 2007-12-13 Fresenius Medical Care Deutschland Gmbh Vorrichtung für eine Einrichtung zur Überwchung eines Zugangs zu einem Patienten und Verfahren zur Überwachung eines Patientenzugangs, insbesondere eines Gefäßzugangs bei einer extrakorporalen Blutbehandlung
US9393137B2 (en) * 2007-09-24 2016-07-19 Boston Scientific Scimed, Inc. Method for loading a stent into a delivery system
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JP2013516298A (ja) 2010-01-11 2013-05-13 アルスタシス，インコーポレイテッド 組織に路を形成するデバイス
US20130006145A1 (en) 2011-06-28 2013-01-03 Toomey Ciaran Flexible biopsy needle
JP2017520348A (ja) 2014-07-15 2017-07-27 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 肝内シャントのためのデバイス及び方法

Also Published As

Publication number Publication date
US12533036B2 (en) 2026-01-27
CN112533528A (zh) 2021-03-19
KR20210018944A (ko) 2021-02-18
EP3787489A1 (en) 2021-03-10
CN119770011A (zh) 2025-04-08
CN112533528B (zh) 2025-02-21
US20200077905A1 (en) 2020-03-12
WO2020050988A1 (en) 2020-03-12
US20220218215A1 (en) 2022-07-14
JP2021530322A (ja) 2021-11-11

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