JP7715162B2 - アブレーション処置システム - Google Patents

アブレーション処置システム

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Publication number
JP7715162B2
JP7715162B2 JP2022562340A JP2022562340A JP7715162B2 JP 7715162 B2 JP7715162 B2 JP 7715162B2 JP 2022562340 A JP2022562340 A JP 2022562340A JP 2022562340 A JP2022562340 A JP 2022562340A JP 7715162 B2 JP7715162 B2 JP 7715162B2
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JP
Japan
Prior art keywords
ablation
planning
segmentation
medical device
user interface
Prior art date
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.)
Active
Application number
JP2022562340A
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English (en)
Japanese (ja)
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JP2023521839A5 (https=
JP2023521839A (ja
Inventor
ジローム レオポルド テオドルス フレデリック ホットヴァスト
デイヴ センデン
ウィン キング ワン
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
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Publication date
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Publication of JP2023521839A publication Critical patent/JP2023521839A/ja
Publication of JP2023521839A5 publication Critical patent/JP2023521839A5/ja
Application granted granted Critical
Publication of JP7715162B2 publication Critical patent/JP7715162B2/ja
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Anticipated expiration legal-status Critical

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Classifications

    • 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
    • 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
    • A61B18/04—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
    • A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • 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
    • 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
    • A61B2018/00613—Irreversible electroporation
    • 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
    • A61B2018/0212—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
    • 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
    • A61B2018/1861—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 inserted into a body lumen or cavity, e.g. a catheter
    • 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
    • A61B18/20—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 laser
    • A61B2018/2005—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 laser with beam delivery through an interstitially insertable device, e.g. needle
    • 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
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/252—User interfaces for surgical systems indicating steps of a surgical procedure
    • 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
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/254—User interfaces for surgical systems being adapted depending on the stage of the surgical procedure
    • 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
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • A61B2090/368—Correlation of different images or relation of image positions in respect to the body changing the image on a display according to the operator's position
    • 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
    • A61B2090/374—NMR or MRI
    • 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
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
JP2022562340A 2020-04-14 2021-04-13 アブレーション処置システム Active JP7715162B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP20169279.5A EP3895645A1 (en) 2020-04-14 2020-04-14 Ablation planning system
EP20169279.5 2020-04-14
PCT/EP2021/059520 WO2021209431A1 (en) 2020-04-14 2021-04-13 Ablation planning system

Publications (3)

Publication Number Publication Date
JP2023521839A JP2023521839A (ja) 2023-05-25
JP2023521839A5 JP2023521839A5 (https=) 2024-04-16
JP7715162B2 true JP7715162B2 (ja) 2025-07-30

Family

ID=70289312

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2022562340A Active JP7715162B2 (ja) 2020-04-14 2021-04-13 アブレーション処置システム

Country Status (5)

Country Link
US (1) US20230148138A1 (https=)
EP (2) EP3895645A1 (https=)
JP (1) JP7715162B2 (https=)
CN (1) CN115734764A (https=)
WO (1) WO2021209431A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115666431A (zh) * 2020-05-26 2023-01-31 波士顿科学医学有限公司 用于不可逆电穿孔消融的用户界面上动态空间数据的叠加
CN113693725B (zh) * 2021-10-22 2022-02-22 杭州维纳安可医疗科技有限责任公司 进针路径规划方法、装置、设备及存储介质
EP4601579A1 (en) * 2022-10-14 2025-08-20 Covidien LP Systems and methods for confirming position or orientation of medical device relative to target
WO2025254964A1 (en) * 2024-06-04 2025-12-11 Medtronic Xomed Llc Systems and methods for thyroid nodule ablation planning and tracking
CN119139019B (zh) * 2024-11-19 2025-02-25 卡本(深圳)医疗器械有限公司 引导穿刺的计算机设备

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006116318A (ja) 2004-10-22 2006-05-11 Ethicon Endo Surgery Inc 組織の治療をプランニングするためのシステムおよび方法
JP2008043759A (ja) 2006-08-15 2008-02-28 General Electric Co <Ge> 相互作用方式の画像位置合わせのシステム及び方法
JP2009529951A (ja) 2006-03-13 2009-08-27 ブラッコ イメージング エス．ピー．エー． 手術ナビゲーションプロセスを記録し精査するための方法および装置
JP2012507324A (ja) 2008-11-04 2012-03-29 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 超音波治療のための方法及びシステム
JP2012228286A (ja) 2011-04-25 2012-11-22 Hitachi Medical Corp 治療支援システム及び医用画像処理装置
US20130317353A1 (en) 2012-05-22 2013-11-28 Vivant Medical, Inc. Surgical Planning System and Navigation System
US20150320509A1 (en) 2014-05-09 2015-11-12 Edda Technology, Inc. System and Methods for Percutaneous Treatment Planning and Treatment Monitoring
JP2017074221A (ja) 2015-10-15 2017-04-20 株式会社日立製作所 医療システム

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10729499B2 (en) * 2011-07-28 2020-08-04 Koninklijke Philips N.V. Ablation planning system
US9439627B2 (en) * 2012-05-22 2016-09-13 Covidien Lp Planning system and navigation system for an ablation procedure
US20130316318A1 (en) * 2012-05-22 2013-11-28 Vivant Medical, Inc. Treatment Planning System
US20160317224A1 (en) * 2015-04-30 2016-11-03 Covidien Lp Microwave ablation planning and procedure systems
US12064183B2 (en) * 2017-03-21 2024-08-20 Canon U.S.A., Inc. Methods, apparatuses and storage mediums for ablation planning and performance
WO2018195221A1 (en) * 2017-04-18 2018-10-25 Intuitive Surgical Operations, Inc. Graphical user interface for planning a procedure
US20190247120A1 (en) * 2018-02-12 2019-08-15 Desert Medical Imaging, LLC Systems and methods for mri-guided interstitial thermal therapy
EP3574861A1 (en) * 2018-05-28 2019-12-04 Koninklijke Philips N.V. System and method for assisting in positioning a thermal ablation device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006116318A (ja) 2004-10-22 2006-05-11 Ethicon Endo Surgery Inc 組織の治療をプランニングするためのシステムおよび方法
JP2009529951A (ja) 2006-03-13 2009-08-27 ブラッコ イメージング エス．ピー．エー． 手術ナビゲーションプロセスを記録し精査するための方法および装置
JP2008043759A (ja) 2006-08-15 2008-02-28 General Electric Co <Ge> 相互作用方式の画像位置合わせのシステム及び方法
JP2012507324A (ja) 2008-11-04 2012-03-29 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 超音波治療のための方法及びシステム
JP2012228286A (ja) 2011-04-25 2012-11-22 Hitachi Medical Corp 治療支援システム及び医用画像処理装置
US20130317353A1 (en) 2012-05-22 2013-11-28 Vivant Medical, Inc. Surgical Planning System and Navigation System
US20150320509A1 (en) 2014-05-09 2015-11-12 Edda Technology, Inc. System and Methods for Percutaneous Treatment Planning and Treatment Monitoring
JP2017074221A (ja) 2015-10-15 2017-04-20 株式会社日立製作所 医療システム

Also Published As

Publication number Publication date
CN115734764A (zh) 2023-03-03
EP4135613B1 (en) 2025-06-18
US20230148138A1 (en) 2023-05-11
EP4135613A1 (en) 2023-02-22
EP3895645A1 (en) 2021-10-20
WO2021209431A1 (en) 2021-10-21
JP2023521839A (ja) 2023-05-25

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