KR20210018944A - 문맥 압력을 측정하기 위한 장치 및 방법 - Google Patents

문맥 압력을 측정하기 위한 장치 및 방법 Download PDF

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Publication number
KR20210018944A
KR20210018944A KR1020217000827A KR20217000827A KR20210018944A KR 20210018944 A KR20210018944 A KR 20210018944A KR 1020217000827 A KR1020217000827 A KR 1020217000827A KR 20217000827 A KR20217000827 A KR 20217000827A KR 20210018944 A KR20210018944 A KR 20210018944A
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South Korea
Prior art keywords
needle
sensing device
pressure sensing
pressure
distal end
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Ceased
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KR1020217000827A
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English (en)
Korean (ko)
Inventor
더글라스 멜란슨
피터 엘. 데이튼
로라 엘리자베스 크리스타키스
션 피. 플레우리
코리 피. 라이트
조지 듀발
바네사 모나한
Original Assignee
보스톤 싸이엔티픽 싸이메드 인코포레이티드
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Publication of KR20210018944A publication Critical patent/KR20210018944A/ko
Ceased legal-status Critical Current

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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)
KR1020217000827A 2018-09-07 2019-08-22 문맥 압력을 측정하기 위한 장치 및 방법 Ceased KR20210018944A (ko)

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 (1)

Publication Number Publication Date
KR20210018944A true KR20210018944A (ko) 2021-02-18

Family

ID=68000059

Family Applications (1)

Application Number Title Priority Date Filing Date
KR1020217000827A Ceased KR20210018944A (ko) 2018-09-07 2019-08-22 문맥 압력을 측정하기 위한 장치 및 방법

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

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4368730A (en) * 1981-02-12 1983-01-18 Nigel Sharrock Intravenous catheter
JPS6080434A (ja) * 1983-10-07 1985-05-08 株式会社豊田中央研究所 体内留置型血圧計
CN2061444U (zh) * 1989-07-04 1990-09-05 刘德玉 多孔圆头导管穿刺针
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
US8187195B2 (en) * 2005-10-12 2012-05-29 Radi Medical Systems Ab Sensor wire assembly
EP1774905B1 (en) * 2005-10-12 2014-12-03 Radi Medical Systems Ab Sensor wire assembly
US8251963B2 (en) * 2005-12-08 2012-08-28 Boston Scientific Scimed, Inc. Flexible needle
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
US8435174B2 (en) * 2009-12-11 2013-05-07 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity
CN201564570U (zh) * 2009-12-13 2010-09-01 马有环 心血管介入治疗器
CA2786536A1 (en) * 2010-01-11 2011-07-14 Arstasis, Inc. Device for forming tracts in tissue
WO2011112357A1 (en) * 2010-03-10 2011-09-15 Boston Scientific Scimed, Inc. Needle with helical grooves converting axial movement to rotational movement
BR112013020906A2 (pt) * 2011-02-16 2016-10-04 Mann Alfred E Found Scient Res sistema de desvio implantável e sensores de pressão associados
WO2013003087A1 (en) * 2011-06-28 2013-01-03 Cook Medical Technologies Llc Flexible biopsy needle
CN109394216B (zh) * 2012-03-18 2021-11-02 特洛玛泰克解决方案私人有限公司 一种用于血管进入和治疗的设备和方法
US10285575B2 (en) * 2012-07-02 2019-05-14 Cook Medical Technologies Llc Endoscopic access system having a detachable handle
CN202776496U (zh) * 2012-09-17 2013-03-13 中国人民解放军第二军医大学 具备体循环动脉压监测功能的股动脉穿刺鞘
CN103736171A (zh) * 2014-01-16 2014-04-23 秦朝军 防跑针静脉注射针头
WO2016009337A2 (en) * 2014-07-15 2016-01-21 Koninklijke Philips N.V. Devices and methods for intrahepatic shunts
WO2016034982A1 (en) * 2014-09-04 2016-03-10 Koninklijke Philips N.V. Pressure guide wire pullback catheter
CN104771208A (zh) * 2015-01-28 2015-07-15 吴洪磊 一种有创动脉压力监测专用动脉穿刺针
AU2016248002B2 (en) * 2015-04-13 2021-06-03 Nelson Jorge TEIXEIRA DOS SANTOS PAULO Device for intra-cardiac and intra-vascular surgical procedure having an endoluminal ultrasound probe
US10321952B2 (en) * 2016-01-26 2019-06-18 Boston Scientific Scimed, Inc. Medical device capable of injection, cutting and coagulation
US10485579B2 (en) * 2016-02-25 2019-11-26 Indian Wells Medical, Inc. Steerable endoluminal punch
CN206138176U (zh) * 2016-06-17 2017-05-03 李之印 内镜下血管插管穿刺针
CN206995314U (zh) * 2017-01-12 2018-02-13 南通市第一人民医院 一种测压动脉穿刺针
CA3028792C (en) * 2017-02-15 2024-03-12 Synaptive Medical (Barbados) Inc. Sensored surgical tool and surgical intraoperative tracking and imaging system incorporating same

Also Published As

Publication number Publication date
US12533036B2 (en) 2026-01-27
CN112533528A (zh) 2021-03-19
EP3787489A1 (en) 2021-03-10
JP7203192B2 (ja) 2023-01-12
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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