JP7246375B2 - 調整可能可撓性／剛性腔内装置 - Google Patents

調整可能可撓性／剛性腔内装置 Download PDF

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Publication number
JP7246375B2
JP7246375B2 JP2020508331A JP2020508331A JP7246375B2 JP 7246375 B2 JP7246375 B2 JP 7246375B2 JP 2020508331 A JP2020508331 A JP 2020508331A JP 2020508331 A JP2020508331 A JP 2020508331A JP 7246375 B2 JP7246375 B2 JP 7246375B2
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Prior art keywords
stiffness
tension
catheter
modulator
biasing member
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JP2020508331A
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Japanese (ja)
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JP2020531080A (ja
JP2020531080A5 (enExample
Inventor
ヴァレリー シャーマン
イヴ アンヌ‐ソフィー ラムバート‐フリッツァー
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
    • A61B8/4466—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe involving deflection of the probe
    • 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
    • A61B1/00078—Insertion part of the endoscope body with stiffening means
    • 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
    • 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
    • A61B5/026—Measuring blood flow
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • 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
    • A61M2025/0001—Catheters; Hollow probes for pressure measurement
    • A61M2025/0002—Catheters; Hollow probes for pressure measurement with a pressure sensor at the distal end
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M2025/0037—Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M2025/0063—Catheters; Hollow probes characterised by structural features having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M25/0032—Multi-lumen catheters with stationary elements characterized by at least one unconventionally shaped lumen, e.g. polygons, ellipsoids, wedges or shapes comprising concave and convex parts
    • 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
    • A61M25/0141—Tip steering devices having flexible regions as a result of using materials with different mechanical properties

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Optics & Photonics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2020508331A 2017-08-22 2018-08-07 調整可能可撓性／剛性腔内装置 Active JP7246375B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762548881P 2017-08-22 2017-08-22
US62/548,881 2017-08-22
PCT/EP2018/071313 WO2019038073A1 (en) 2017-08-22 2018-08-07 INTRALUMINAL DEVICE WITH FLEXIBILITY / ADJUSTABLE RIGIDITY

Publications (3)

Publication Number Publication Date
JP2020531080A JP2020531080A (ja) 2020-11-05
JP2020531080A5 JP2020531080A5 (enExample) 2021-09-24
JP7246375B2 true JP7246375B2 (ja) 2023-03-27

Family

ID=63311983

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020508331A Active JP7246375B2 (ja) 2017-08-22 2018-08-07 調整可能可撓性／剛性腔内装置

Country Status (5)

Country Link
US (1) US11786214B2 (enExample)
EP (1) EP3672491B1 (enExample)
JP (1) JP7246375B2 (enExample)
CN (1) CN111107790B (enExample)
WO (1) WO2019038073A1 (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7142704B2 (ja) * 2017-09-13 2022-09-27 ウルトラ エイチオーエム エルエルシー Ｃｍｕｔアレイおよび固体冷却を備えた医療装置、並びに関連する方法およびシステム
CA3206945A1 (en) * 2021-01-29 2022-08-04 Garrett J. GOMES Devices and methods to prevent inadvertent motion of dynamically rigidizing apparatuses
KR102667100B1 (ko) 2023-03-21 2024-05-20 한화시스템 주식회사 함정 및 함정의 전술 평가 방법
WO2025162958A1 (en) * 2024-02-02 2025-08-07 Koninklijke Philips N.V. Woven fiber hypotube for intraluminal sensing devices

Citations (3)

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JP2014508564A (ja) 2011-01-06 2014-04-10 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド 調整可能剛性のカテーテルのための方法及び装置
JP2015536803A (ja) 2012-12-12 2015-12-24 コヴィディエン リミテッド パートナーシップ 押し付け機構を含む組織除去カテーテル
JP2016059551A (ja) 2014-09-17 2016-04-25 テルモ株式会社 カテーテル

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US7226417B1 (en) 1995-12-26 2007-06-05 Volcano Corporation High resolution intravascular ultrasound transducer assembly having a flexible substrate
EP0904797A3 (en) 1997-09-24 2000-08-09 ECLIPSE SURGICAL TECHNOLOGIES, Inc. Steerable catheter with tip alignment and surface contact detector
AU2003205148A1 (en) * 2002-01-16 2003-09-02 Eva Corporation Catheter hand-piece apparatus and method of using the same
US7998112B2 (en) * 2003-09-30 2011-08-16 Abbott Cardiovascular Systems Inc. Deflectable catheter assembly and method of making same
US7658723B2 (en) * 2004-05-27 2010-02-09 Abbott Laboratories Catheter having plurality of stiffening members
US20060235458A1 (en) * 2005-04-15 2006-10-19 Amir Belson Instruments having an external working channel
WO2007002685A2 (en) * 2005-06-24 2007-01-04 Volcano Corporation Co-registration of graphical image data representing three-dimensional vascular features
US7998132B2 (en) * 2005-09-02 2011-08-16 Boston Scientific Scimed, Inc. Adjustable stiffness catheter
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AU2007296459B2 (en) * 2006-09-13 2013-07-04 Cook Medical Technologies Llc Medical catheter with stress riser at access port to reduce rupture force
US9387308B2 (en) * 2007-04-23 2016-07-12 Cardioguidance Biomedical, Llc Guidewire with adjustable stiffness
US20100198191A1 (en) * 2007-12-20 2010-08-05 Acclarent, Inc. Method and system for treating target tissue within the eustachian tube
WO2009086099A2 (en) * 2007-12-20 2009-07-09 Bayer Schering Pharma Ag Catheter having a core wire and low profile bond
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US9370639B2 (en) * 2013-03-12 2016-06-21 Cook Medical Technologies, LLC Variable stiffness catheter
CN110833382B (zh) * 2014-04-02 2023-05-30 直观外科手术操作公司 使用可操控管心针和柔性针的设备、系统以及方法
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WO2016160589A1 (en) * 2015-03-27 2016-10-06 Barrish Mark D Fluid-expandable body articulation of catheters and other flexible structures
CN105147336B (zh) * 2015-10-28 2017-05-24 上海爱声生物医疗科技有限公司 一种血管内超声导管及其快速成型方法
CN108430377B (zh) * 2015-12-28 2021-11-23 皇家飞利浦有限公司 用于光学形状感测的细长介入装置

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Publication number Priority date Publication date Assignee Title
JP2014508564A (ja) 2011-01-06 2014-04-10 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド 調整可能剛性のカテーテルのための方法及び装置
JP2015536803A (ja) 2012-12-12 2015-12-24 コヴィディエン リミテッド パートナーシップ 押し付け機構を含む組織除去カテーテル
JP2016059551A (ja) 2014-09-17 2016-04-25 テルモ株式会社 カテーテル

Also Published As

Publication number Publication date
US20190060613A1 (en) 2019-02-28
JP2020531080A (ja) 2020-11-05
EP3672491A1 (en) 2020-07-01
CN111107790A (zh) 2020-05-05
WO2019038073A1 (en) 2019-02-28
CN111107790B (zh) 2023-07-14
US11786214B2 (en) 2023-10-17
EP3672491B1 (en) 2020-11-11

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