JP7420746B2 - 熱アブレーション装置の位置決めの支援 - Google Patents

熱アブレーション装置の位置決めの支援 Download PDF

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JP7420746B2
JP7420746B2 JP2020565962A JP2020565962A JP7420746B2 JP 7420746 B2 JP7420746 B2 JP 7420746B2 JP 2020565962 A JP2020565962 A JP 2020565962A JP 2020565962 A JP2020565962 A JP 2020565962A JP 7420746 B2 JP7420746 B2 JP 7420746B2
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thermal
ablation device
thermal ablation
ablation
cost
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JP2021525147A5 (enExample
JP2021525147A (ja
Inventor
ヤチェック ルーカス クストラ
ヤン エレヴェルト アールダート ヤン アールダート
ダーク ビンネカンプ
ヨハネケ ジェリッゲ グローン
ダイク エドモンド ファン
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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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • 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
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1869—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument interstitially inserted into the body, e.g. needles
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • A61B2034/2065—Tracking using image or pattern recognition
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/032—Transmission computed tomography [CT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/54—Control of apparatus or devices for radiation diagnosis
    • A61B6/542—Control of apparatus or devices for radiation diagnosis involving control of exposure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Robotics (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Surgical Instruments (AREA)
JP2020565962A 2018-05-28 2019-05-08 熱アブレーション装置の位置決めの支援 Active JP7420746B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP18174504.3A EP3574861A1 (en) 2018-05-28 2018-05-28 System and method for assisting in positioning a thermal ablation device
EP18174504.3 2018-05-28
PCT/EP2019/061797 WO2019228767A1 (en) 2018-05-28 2019-05-08 Assisting in positioning a thermal ablation device

Publications (3)

Publication Number Publication Date
JP2021525147A JP2021525147A (ja) 2021-09-24
JP2021525147A5 JP2021525147A5 (enExample) 2022-04-18
JP7420746B2 true JP7420746B2 (ja) 2024-01-23

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JP2020565962A Active JP7420746B2 (ja) 2018-05-28 2019-05-08 熱アブレーション装置の位置決めの支援

Country Status (5)

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US (1) US12186023B2 (enExample)
EP (2) EP3574861A1 (enExample)
JP (1) JP7420746B2 (enExample)
CN (1) CN112334086B (enExample)
WO (1) WO2019228767A1 (enExample)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3895645A1 (en) * 2020-04-14 2021-10-20 Koninklijke Philips N.V. Ablation planning system
CN111743626B (zh) * 2020-07-03 2021-09-10 海杰亚（北京）医疗器械有限公司 肿瘤穿刺路径获得设备及存储介质
US20230355301A1 (en) * 2022-05-03 2023-11-09 Medtronic, Inc. Ablation assistance using numeric modeling
US20250262007A1 (en) * 2024-02-21 2025-08-21 Varian Medical Systems, Inc. Temperature volume histogram generation apparatus and method
CN118634024B (zh) * 2024-05-30 2025-02-25 默华医疗科技(广州)有限公司 可伸缩调节的射频消融方法及系统

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090259230A1 (en) 2008-04-15 2009-10-15 Medtronic, Inc. Method And Apparatus For Optimal Trajectory Planning
JP2015500664A (ja) 2011-07-28 2015-01-08 コーニンクレッカ フィリップス エヌ ヴェ アブレーション計画システム
WO2015148378A1 (en) 2014-03-22 2015-10-01 Endocare, Inc. System and methods for ablation treatment planning and intraoperative position updates of ablation devices

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090171203A1 (en) * 2006-05-02 2009-07-02 Ofer Avital Cryotherapy Insertion System and Method
WO2011080666A1 (en) 2009-12-30 2011-07-07 Koninklijke Philips Electronics N.V. Dynamic ablation device
CN103209653B (zh) * 2010-11-18 2017-04-26 皇家飞利浦电子股份有限公司 用于概率消融规划的系统
DE102011083522B4 (de) 2011-09-27 2015-06-18 Friedrich-Alexander-Universität Erlangen-Nürnberg Verfahren und Vorrichtung zur Visualisierung der Qualität eines Ablationsvorgangs
JP6574758B2 (ja) * 2013-05-08 2019-09-11 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 超音波照射デバイス及び超音波照射方法
EP3427796A1 (en) * 2014-09-22 2019-01-16 Koninklijke Philips N.V. Radiation therapy planning optimization and visualization
JP2018509231A (ja) * 2015-03-26 2018-04-05 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． コア腫瘍、マージン、及び健康組織の範囲を含む腫瘍焼灼治療計画のためのシステム及び方法
US20160317230A1 (en) * 2015-04-30 2016-11-03 Covidien Lp Computer-readable media storing programs for microwave ablation planning and procedure
US20170319276A1 (en) * 2016-05-03 2017-11-09 Covidien Lp Systems and methods facilitating application of an appropriate thermal dosage in microwave ablation procedures
US10828509B2 (en) * 2018-02-13 2020-11-10 Varian Medical Systems International Ag Optimizing radiation dose to overlapping structures

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090259230A1 (en) 2008-04-15 2009-10-15 Medtronic, Inc. Method And Apparatus For Optimal Trajectory Planning
JP2015500664A (ja) 2011-07-28 2015-01-08 コーニンクレッカ フィリップス エヌ ヴェ アブレーション計画システム
WO2015148378A1 (en) 2014-03-22 2015-10-01 Endocare, Inc. System and methods for ablation treatment planning and intraoperative position updates of ablation devices

Also Published As

Publication number Publication date
US12186023B2 (en) 2025-01-07
CN112334086B (zh) 2024-08-02
EP3801345B1 (en) 2024-07-10
US20210137606A1 (en) 2021-05-13
CN112334086A (zh) 2021-02-05
EP3801345A1 (en) 2021-04-14
WO2019228767A1 (en) 2019-12-05
JP2021525147A (ja) 2021-09-24
EP3574861A1 (en) 2019-12-04

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