JP7486427B2 - 胆嚢を機能低下させるための機器及び方法 - Google Patents
胆嚢を機能低下させるための機器及び方法 Download PDFInfo
- Publication number
- JP7486427B2 JP7486427B2 JP2020542754A JP2020542754A JP7486427B2 JP 7486427 B2 JP7486427 B2 JP 7486427B2 JP 2020542754 A JP2020542754 A JP 2020542754A JP 2020542754 A JP2020542754 A JP 2020542754A JP 7486427 B2 JP7486427 B2 JP 7486427B2
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- Prior art keywords
- catheter
- ablation
- lumen
- gallbladder
- medium
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 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
- 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
-
- 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
- A61B18/0218—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques with open-end cryogenic probe, e.g. for spraying fluid directly on tissue or via a tissue-contacting porous tip
-
- A—HUMAN NECESSITIES
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
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- A—HUMAN NECESSITIES
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- 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
- A61B18/1487—Trocar-like, i.e. devices producing an enlarged transcutaneous opening
-
- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
-
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- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
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- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
- A61B2018/00589—Coagulation
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
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- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
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- 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
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
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- 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
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
-
- 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
- A61B2018/0293—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument interstitially inserted into the body, e.g. needle
-
- 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
- A61B2018/044—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
-
- 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
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- 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
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
- A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
-
- 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
- A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Cardiology (AREA)
- Pulmonology (AREA)
- Child & Adolescent Psychology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862628217P | 2018-02-08 | 2018-02-08 | |
| US62/628,217 | 2018-02-08 | ||
| US201862667244P | 2018-05-04 | 2018-05-04 | |
| US62/667,244 | 2018-05-04 | ||
| PCT/US2019/017112 WO2019157221A1 (en) | 2018-02-08 | 2019-02-07 | Gallbladder defunctionalization devices and methods |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2021512719A JP2021512719A (ja) | 2021-05-20 |
| JPWO2019157221A5 JPWO2019157221A5 (enExample) | 2022-02-10 |
| JP7486427B2 true JP7486427B2 (ja) | 2024-05-17 |
Family
ID=67549654
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2020542754A Active JP7486427B2 (ja) | 2018-02-08 | 2019-02-07 | 胆嚢を機能低下させるための機器及び方法 |
Country Status (8)
| Country | Link |
|---|---|
| US (3) | US20200360670A1 (enExample) |
| EP (1) | EP3749405A4 (enExample) |
| JP (1) | JP7486427B2 (enExample) |
| CN (1) | CN111936194B (enExample) |
| AU (1) | AU2019218889B2 (enExample) |
| CA (1) | CA3090658A1 (enExample) |
| MX (1) | MX2020008362A (enExample) |
| WO (1) | WO2019157221A1 (enExample) |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3681426A4 (en) * | 2017-09-14 | 2021-06-09 | Regents of the University of California | CRYOABLATION DEVICES AND RELATED PROCEDURES |
| US11931496B2 (en) * | 2020-02-27 | 2024-03-19 | Cardiacassist, Inc. | Distal flow arterial cannula with expandable positioning balloon |
| WO2022036250A1 (en) | 2020-08-14 | 2022-02-17 | Ictero Medical, Inc. | Systems, devices, and methods for ablation and defunctionalization of a gallbladder |
| WO2022061367A1 (en) * | 2020-09-17 | 2022-03-24 | Sunkara Vasu | Devices, systems, and methods for minimally invasive modulation of abdominal tissue |
| CN113143489A (zh) * | 2021-03-09 | 2021-07-23 | 武汉开阖同立医疗科技有限公司 | 一种用于腹腔镜手术中胆囊减压及牵引的球囊导管 |
| IT202100018368A1 (it) * | 2021-07-13 | 2023-01-13 | Led S P A | Dispositivo medico ad alta frequenza adatto ad interventi di chirurgia di precisione monopolare e bipolare |
| US20230014522A1 (en) * | 2021-07-16 | 2023-01-19 | Arthrex, Inc | Surgical electrode assembly with focal point projection |
| US12114907B2 (en) * | 2021-11-01 | 2024-10-15 | Medtronic Cryocath Lp | Percutaneous coiled catheter design for gallbladder cryoablation |
| US20240293164A1 (en) * | 2023-03-03 | 2024-09-05 | Theromics, Inc. | Methods and compositions of cryoablation with drug delivery |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2007500545A (ja) | 2001-06-26 | 2007-01-18 | イマサーグ インコーポレイテッド | 体内腔を閉塞するための装置及び方法 |
| US20090143760A1 (en) | 2007-11-30 | 2009-06-04 | Jacques Van Dam | Methods, Devices, Kits and Systems for Defunctionalizing the Gallbladder |
Family Cites Families (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH03126446A (ja) * | 1989-10-11 | 1991-05-29 | Olympus Optical Co Ltd | 結石溶解治療装置 |
| US5213571A (en) * | 1989-07-27 | 1993-05-25 | Olympus Optical Co., Ltd. | Litholysis apparatus provided with safe stop function |
| US5100388A (en) * | 1989-09-15 | 1992-03-31 | Interventional Thermodynamics, Inc. | Method and device for thermal ablation of hollow body organs |
| JPH049150A (ja) * | 1990-03-27 | 1992-01-13 | Olympus Optical Co Ltd | 溶解治療装置 |
| US5183464A (en) * | 1991-05-17 | 1993-02-02 | Interventional Thermodynamics, Inc. | Radially expandable dilator |
| US5902299A (en) * | 1997-07-29 | 1999-05-11 | Jayaraman; Swaminathan | Cryotherapy method for reducing tissue injury after balloon angioplasty or stent implantation |
| US20040215180A1 (en) * | 2003-04-25 | 2004-10-28 | Medtronic, Inc. | Ablation of stomach lining to treat obesity |
| CN101309651B (zh) * | 2005-06-20 | 2011-12-07 | 麦德托尼克消融前沿有限公司 | 消融导管 |
| WO2011075328A1 (en) * | 2009-12-14 | 2011-06-23 | Mayo Foundation For Medical Education And Research | Device and method for treating cardiac disorders by modulating autonomic response |
| CN201743767U (zh) * | 2010-08-03 | 2011-02-16 | 安瑞医疗器械(杭州)有限公司 | 一种医疗器械 |
| EP2600784B1 (en) * | 2010-08-05 | 2021-12-29 | Medtronic Ireland Manufacturing Unlimited Company | Cryoablation apparatuses, systems, and methods for renal neuromodulation |
| CN103221089B (zh) * | 2010-11-23 | 2016-10-12 | 特里厄斯医疗公司 | 胆汁分流器、递送系统及其使用方法 |
| US20130030410A1 (en) * | 2010-11-23 | 2013-01-31 | William Joseph Drasler | Venous heated ablation catheter |
| US20140180248A1 (en) * | 2012-12-23 | 2014-06-26 | Erez Salik | Osmotic Ablation Device |
| US20140358089A1 (en) * | 2013-06-04 | 2014-12-04 | Boston Scientific Scimed, Inc. | Vacuum-assisted pancreaticobiliary cannulation |
| US9844641B2 (en) * | 2014-07-16 | 2017-12-19 | Fractyl Laboratories, Inc. | Systems, devices and methods for performing medical procedures in the intestine |
| JP6865691B2 (ja) * | 2015-04-20 | 2021-04-28 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | デュアルルーメン診断カテーテル |
| CN109091176B (zh) * | 2018-07-27 | 2024-10-11 | 上海市东方医院 | 保胆取石/息肉用胆道镜鞘管 |
-
2019
- 2019-02-07 EP EP19750455.8A patent/EP3749405A4/en active Pending
- 2019-02-07 MX MX2020008362A patent/MX2020008362A/es unknown
- 2019-02-07 WO PCT/US2019/017112 patent/WO2019157221A1/en not_active Ceased
- 2019-02-07 CA CA3090658A patent/CA3090658A1/en active Pending
- 2019-02-07 AU AU2019218889A patent/AU2019218889B2/en active Active
- 2019-02-07 CN CN201980023912.1A patent/CN111936194B/zh active Active
- 2019-02-07 JP JP2020542754A patent/JP7486427B2/ja active Active
-
2020
- 2020-08-07 US US16/988,028 patent/US20200360670A1/en not_active Abandoned
-
2022
- 2022-07-15 US US17/865,469 patent/US20230090573A1/en not_active Abandoned
-
2024
- 2024-06-27 US US18/757,398 patent/US20250170373A1/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2007500545A (ja) | 2001-06-26 | 2007-01-18 | イマサーグ インコーポレイテッド | 体内腔を閉塞するための装置及び方法 |
| US20090143760A1 (en) | 2007-11-30 | 2009-06-04 | Jacques Van Dam | Methods, Devices, Kits and Systems for Defunctionalizing the Gallbladder |
Also Published As
| Publication number | Publication date |
|---|---|
| AU2019218889A1 (en) | 2020-09-03 |
| EP3749405A1 (en) | 2020-12-16 |
| WO2019157221A1 (en) | 2019-08-15 |
| US20200360670A1 (en) | 2020-11-19 |
| EP3749405A4 (en) | 2021-12-22 |
| JP2021512719A (ja) | 2021-05-20 |
| CA3090658A1 (en) | 2019-08-15 |
| MX2020008362A (es) | 2020-11-24 |
| US20250170373A1 (en) | 2025-05-29 |
| AU2019218889B2 (en) | 2023-12-21 |
| CN111936194B (zh) | 2023-03-10 |
| US20230090573A1 (en) | 2023-03-23 |
| CN111936194A (zh) | 2020-11-13 |
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