US20200359995A1 - Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port - Google Patents

Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port Download PDF

Info

Publication number
US20200359995A1
US20200359995A1 US16/875,382 US202016875382A US2020359995A1 US 20200359995 A1 US20200359995 A1 US 20200359995A1 US 202016875382 A US202016875382 A US 202016875382A US 2020359995 A1 US2020359995 A1 US 2020359995A1
Authority
US
United States
Prior art keywords
housing
probe assembly
handle
adjustable
port
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.)
Abandoned
Application number
US16/875,382
Other languages
English (en)
Inventor
Kevin Walsh
Douglas W. Garrity
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.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Priority to US16/875,382 priority Critical patent/US20200359995A1/en
Assigned to BOSTON SCIENTIFIC SCIMED, INC. reassignment BOSTON SCIENTIFIC SCIMED, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: GARRITY, Douglas W., WALSH, KEVIN
Publication of US20200359995A1 publication Critical patent/US20200359995A1/en
Priority to US18/233,545 priority patent/US20230380866A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
    • 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
    • A61B1/00066—Proximal part of endoscope body, e.g. handles
    • 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
    • A61B1/0125—Endoscope within endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • 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
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • 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
    • A61B8/4422—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to hygiene or sterilisation
    • 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
    • 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
    • A61B8/4455—Features of the external shape of the probe, e.g. ergonomic aspects
    • 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
    • A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
    • A61B8/4494—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer characterised by the arrangement of the transducer elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/54—Control of the diagnostic device
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A61B1/05—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A61B1/053—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion being detachable
    • 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
    • A61B1/267—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 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • A61B1/2676—Bronchoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A61B2010/045—Needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00809—Lung operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A61B2017/242—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers for bronchial passages
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3413—Needle locating or guiding means guided by ultrasound
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • 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
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/586—Ergonomic details therefor, e.g. specific ergonomics for left or right-handed users
    • 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
    • A61M25/0097—Catheters; Hollow probes characterised by the hub
    • 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

Definitions

  • the present disclosure relates generally to the field of medical devices.
  • the present disclosure relates to an assembly with an adjustable ultrasound port and flush port for lateral and axial positioning of a radial ultrasound probe within a patient.
  • a port for a radial ultrasound catheter may lack the ability to maintain visual imaging of pulmonary nodules within the peripheral regions of the lung while simultaneously repositioning a port for a radial ultrasound probe and/or port for flushing fluid through a lumen or lumens of the radial ultrasound catheter housing the same.
  • an adjustable probe assembly comprising a housing defining an internal chamber.
  • An ultrasound port may be formed within a proximal portion of the housing.
  • the ultrasound port may be coextensive with the internal chamber.
  • a flush port may be disposed along a middle portion of the housing.
  • the flush port may define a fluid channel therethrough.
  • the fluid channel may be coextensive with the internal chamber.
  • a fitting may be disposed around a distal portion of the housing.
  • the housing may be configured to rotate relative to the fitting to alter an axial position of the flush port relative to the fitting.
  • an outer surface of the distal portion of the housing may include a surface feature configured to frictionally engage an inner surface of the fitting.
  • the fitting may include a projection.
  • a first seal may be disposed within a distal portion of the internal chamber.
  • a second seal may be disposed within a proximal portion of the internal chamber.
  • a bearing may be disposed within a proximal portion of the internal chamber and proximal to the second seal.
  • the housing and ultrasound port may be configured to receive a radial ultrasound probe therethrough.
  • the bearing may be configured to support rotation of the radial ultrasound probe.
  • the radial ultrasound probe may include a drive cable.
  • the drive cable may extend through the ultrasound port and may be supported by the bearing.
  • the radial ultrasound probe may include a sheath.
  • a proximal end of the sheath may be disposed within the housing between the first and second seals.
  • the housing may be configured to rotate relative to the fitting to alter an axial position of the radial ultrasound probe.
  • the proximal portion of the housing may be configured to rotate relative to a remaining portion of the housing to alter an axial position of the radial ultrasound probe.
  • the present disclosure relates to a system comprising a handle of a catheter.
  • An adjustable probe assembly may be attached to the handle.
  • the adjustable probe assembly may be configured to move laterally and axially relative to the handle.
  • a radial ultrasound probe may extend through the adjustable probe assembly, the handle and a shaft of the catheter.
  • the adjustable probe assembly may include a housing defining an internal chamber.
  • An ultrasound port may be formed within a proximal portion of the housing.
  • a flush port may be disposed along a middle portion of the housing.
  • the radial ultrasound probe may include a drive cable. The drive cable may extend through the ultrasound port.
  • the flush port may include a fluid channel configured to deliver fluid into the internal chamber and through a sheath of the radial ultrasound probe.
  • a first seal may be disposed within a distal portion of the internal chamber.
  • a second seal may be disposed within a proximal portion of the internal chamber. The first and second seals may prevent fluid introduced through the flush port from exiting the internal chamber.
  • the present disclosure relates to a method comprising attaching an adjustable probe assembly to a handle of a catheter such that a radial ultrasound probe attached to the adjustable probe assembly may extend through the handle and a shaft of the catheter. A lateral position of the adjustable probe assembly may be adjusted relative to the handle. An axial position of the adjustable probe assembly may be adjusted relative to the handle.
  • a lateral position of the adjustable probe assembly may be re-adjusted relative to the handle to alter a lateral position of the radial ultrasound probe within a lumen of the catheter shaft.
  • a housing of the adjustable probe assembly may be rotated relative to the handle to rotate the radial ultrasound probe within the lumen of the catheter.
  • a housing of the adjustable probe assembly may be rotated relative to the handle to alter an axial position of a flush port disposed along a middle portion of the housing relative to the handle.
  • a fluid may be introduced through the flush port and into an internal chamber of the adjustable probe assembly.
  • FIGS. 1A-1B provide perspective ( FIG. 1A ) and cross-sectional ( FIG. 1B ) views of an adjustable probe assembly, according to one embodiment of the present disclosure.
  • FIGS. 2A-2B provide perspective ( FIG. 2A ) and cross-sectional ( FIG. 2B ) views of a radial ultrasound probe disposed within an adjustable probe assembly, according to one embodiment of the present disclosure.
  • FIGS. 3A-3D provide cross-sectional ( FIG. 3A ) and perspective ( FIGS. 3B-3D views of an adjustable probe assembly attached to a handle of a catheter with radial ultrasound and needle biopsy capability, according to one embodiment of the present disclosure.
  • probe assemblies, systems and methods of use thereof, and particularly leak-proof assemblies which include an adjustable ultrasound port and/or flush port designed to maintain visual imaging of a peripheral pulmonary nodule while allowing lateral and/or axial repositioning of the radial ultrasound probe and/or flush port
  • probe assemblies, systems and methods may be used to visualize and manipulate a variety of tissues within a variety of different body lumens and/or body passages.
  • distal refers to the end farthest away from the medical professional or physician when introducing a device into a patient
  • proximal refers to the end closest to the medical professional or physician when introducing a device into a patient.
  • the present disclosure relates generally to an adjustable and leak-proof probe assembly configured for use with a bronchial radial ultrasound system to provide real-time imaging and targeting of difficult to access pulmonary nodules.
  • the adjustable probe assembly may include an adjustable ultrasound port and flush port configured to allow a physician to laterally (e.g., along a longitudinal axis) and/or axially (e.g., about or around a longitudinal axis) position/reposition components of the bronchial radial ultrasound system (e.g., ultrasound probe, flush port and/or probe assembly) within a peripheral region of the lung while maintaining a leak-proof seal to simultaneously flush fluid through a lumen of a radial ultrasound probe.
  • the bronchial radial ultrasound system e.g., ultrasound probe, flush port and/or probe assembly
  • an adjustable probe assembly 100 of the present disclosure may include a housing 110 defining an internal chamber 111 .
  • An ultrasound port 112 (e.g., first port) may be formed within or otherwise extend through a proximal portion of the housing 110 .
  • the ultrasound port 112 may be coextensive (e.g., substantially aligned with, etc.) with the internal chamber 111 .
  • a flush port 114 (e.g., second port) defining a fluid channel 115 therethrough may be disposed along (e.g., attached to, integrally formed with, etc.) a middle portion of the housing 110 .
  • a fitting 116 may be disposed around a distal portion of the housing 110 .
  • the housing 110 may be configured to rotate 360° (e.g., move axially) within the fitting 116 to alter a position of the flush port 114 relative to a longitudinal axis of the adjustable assembly 100 and/or rotate (e.g., alter an axial position of) a radial ultrasound probe extending through the housing 110 (as discussed below).
  • An outer surface of the distal portion of the housing may include a surface feature 118 configured to frictionally engage a corresponding inner surface of the fitting 116 .
  • the surface feature may include a rubber seal or O-ring configured to maintain or lock an axial position of the housing 110 relative to the fitting 116 until a threshold level of rotational force is exerted on the housing 110 (e.g., a sufficient amount of force exerted by a physician's hand).
  • a threshold level of rotational force e.g., a sufficient amount of force exerted by a physician's hand.
  • an outer surface of the housing 110 and/or flush port 114 may include a non-slip surface (e.g., over-molded or coated with rubber, etc.) to provide a physician with sufficient grip to manipulate the housing 110 , e.g., when wearing wet gloves, etc.
  • An arm or projection 120 may extend from an outer surface of the fitting 116 to anchor or lock the housing of the probe assembly within a handle 140 of a catheter with radial ultrasound and needle biopsy capability ( FIG. 3A ).
  • a first seal 122 (e.g., O-ring, etc.) may be disposed within a distal portion of the internal chamber 111 (e.g., proximal to a distal opening of the housing 110 ) and a second seal 124 may be disposed within a proximal portion of the internal chamber 111 (e.g., distal to a proximal opening of the housing 110 ).
  • the first and second seals 122 , 124 may be configured to prevent fluid introduced (e.g., flushed) through the fluid channel 115 of the flush port 114 from exiting the internal chamber 111 (e.g., flowing/leaking distally beyond the first seal 122 or proximally beyond the second seal 124 ).
  • a bearing 126 may be disposed within the proximal portion of the internal chamber 111 proximal to the second seal 124 .
  • the housing 110 and ultrasound port 112 may be configured to receive a proximal portion of a radial ultrasound probe 130 therethrough ( FIG. 2A-2B ).
  • the bearing 126 may be configured to receive an outer surface of the radial ultrasound probe 130 to support/facilitate rotation of the radial ultrasound probe 130 within the housing 110 .
  • a proximal portion of a radial ultrasound probe 130 may extend through the ultrasound port 112 and internal chamber 111 of the housing 110 .
  • the radial ultrasound probe 130 may include a drive cable 132 rotatably disposed within a sheath 134 .
  • a radial ultrasound transducer (not shown) may be attached to a distal end of the drive cable 132 , e.g., to provide an ultrasound image within a body lumen.
  • a proximal portion of the drive cable 132 may extend through the probe assembly 100 , including the internal chamber 111 , and beyond a proximal end of the housing 110 to connect to an external motor drive unit (MDU).
  • MDU external motor drive unit
  • a proximal end of the sheath 134 may extend into the internal chamber 111 such that an open proximal end of the sheath 134 is disposed between the first and second seals 122 , 124 .
  • a distal portion of the radial ultrasound probe (e.g., drive cable 132 and sheath 134 ) may extend beyond a distal end of the housing 110 , e.g., through a handle 140 of a catheter with radial ultrasound and needle biopsy capability ( FIGS. 3A-3D ) and a lumen of a dual-lumen shaft (not shown) attached to the catheter handle.
  • the MDU may be configured to rotate the drive cable 132 at the requisite high-speed of rotation within the internal chamber 111 and throughout the full length of the sheath 134 to impart the requisite high speed of rotation to the radial ultrasound transducer.
  • the bearing 126 may be configured to dampen, insulate or otherwise minimize noise, vibrations or other outside forces acting on the housing 110 that might interfere with or corrupt the ultrasound signal propagated through the radial ultrasound probe 130 (e.g., along/through drive cable 132 ).
  • the proximal portion of the housing may include a support structure configured to eliminate or reduce bending or kinking of the proximal portion of the radial ultrasound probe 130 (e.g., sheath 134 and/or drive cable 132 ) and/or dampen outside forces, which may impair or otherwise negatively affect ultrasound image quality.
  • a support structure configured to eliminate or reduce bending or kinking of the proximal portion of the radial ultrasound probe 130 (e.g., sheath 134 and/or drive cable 132 ) and/or dampen outside forces, which may impair or otherwise negatively affect ultrasound image quality.
  • a system 200 of the present disclosure may include an adjustable probe assembly 100 disposed within handle 140 of a catheter with radial ultrasound and needle biopsy capability.
  • a radial ultrasound probe 130 may extend through the housing 110 such that a drive cable of the radial ultrasound probe may be connected to an external MDU and a distal portion of the radial ultrasound probe may extend through a shaft (e.g., a dual-lumen shaft) of a catheter (not shown) attached to a distal end of the handle 140 .
  • the dual-lumen catheter may extend through a working channel of an endoscope, e.g., within a body lumen of a patient.
  • the adjustable probe assembly 100 may be configured to move laterally and/or axially relative to (e.g., within) the handle 140 .
  • the arm or projection 120 may be disposed between first and second surface features 142 , 144 extending from an inner wall of the handle 140 .
  • the first surface feature 142 may define an opening configured to receive a corresponding lock button/tab to lock a needle slider associated with the handle 140 in position, while surface 144 is a boundary of the handle where the probe assembly exits the handle proximally.
  • a lateral position of the probe assembly 100 within the handle 140 may be varied by moving (e.g., sliding) the housing 110 distally and proximally between the first and second surface features 142 , 144 .
  • the lateral position of the probe assembly within the handle 140 may provide (e.g., set) the desired length of the radial ultrasound probe extending through and distal to the end of a lumen of the dual-lumen catheter.
  • the lateral position of the probe assembly 100 within the handle 140 may be set or adjusted to vary the position of a radial ultrasound transducer at the distal end of the radial ultrasound probe relative to a distal end of the shaft (e.g., dual-lumen shaft) of the catheter within which the radial ultrasound probe is housed.
  • the ability to alter/adjust a lateral position of the probe assembly 110 within the handle 140 may provide a physician with fine-tune lateral control of the radial ultrasound probe within and extending from the dual-lumen catheter (e.g., to adjust the location of the radial ultrasound probe relative to a target pulmonary nodule) without adjusting/altering the position of the catheter handle within the working channel of the endoscope, or the position of the endoscope itself through which the dual-lumen catheter of the handle 140 extends.
  • a set-screw or other locking member may extend through a wall of the handle 140 to engage/contact an outer surface of the fitting 116 to lock/secure the housing 110 at the desired lateral position within the handle 140 .
  • the handle 140 , and probe assembly 100 attached thereto may be distally advanced and/or proximally retracted to distally advance and/or proximally retract the dual-lumen catheter within/through the endoscope working channel, e.g., to advance the radial ultrasound transducer into the peripheral regions of the lung using ultrasound guidance.
  • the housing 110 may be rotated relative to the handle 140 to axially rotate the radial ultrasound probe within the dual-lumen catheter.
  • the proximal portion of the housing may also be rotated independent of the remaining portion of the housing 110 (e.g., including flush port 114 and fitting 116 ) to rotate the radial ultrasound probe within the dual-lumen catheter.
  • the axial rotation of the flush port 114 with the housing 110 may orient the flush port 114 to a position that is accessible to the physician so that fluid may be flushed through the channel 115 into the internal chamber 111 and through the sheath 134 .
  • a proximal end of the flush port 114 may be configured to receive a fluid source 150 ( FIGS.
  • the first and second seals 122 , 124 may prevent fluid from exiting the housing 110 (e.g., leaking) as the housing 110 is moved laterally and/or axially within the handle 140 .
  • Other adjustable ultrasound port and flush port techniques, features, and/or components that may be used herein are disclosed in U.S. Non-Provisional patent application titled “Devices to Access Peripheral Regions of the Lung for Direct Visualization with Tool Attachment”, attorney docket number 8150.0581, filed even date herewith, the entirety of which is incorporated herein by reference, and/or U.S. Non-Provisional patent application titled “Medical Imaging Devices, Systems, and Methods”, attorney docket number 8150.0746, filed even date herewith, the entirety of which is incorporated herein by reference.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pulmonology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Dentistry (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Otolaryngology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Vascular Medicine (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
US16/875,382 2019-05-17 2020-05-15 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port Abandoned US20200359995A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US16/875,382 US20200359995A1 (en) 2019-05-17 2020-05-15 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port
US18/233,545 US20230380866A1 (en) 2019-05-17 2023-08-14 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201962849311P 2019-05-17 2019-05-17
US201962849307P 2019-05-17 2019-05-17
US201962849649P 2019-05-17 2019-05-17
US16/875,382 US20200359995A1 (en) 2019-05-17 2020-05-15 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US18/233,545 Continuation US20230380866A1 (en) 2019-05-17 2023-08-14 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port

Publications (1)

Publication Number Publication Date
US20200359995A1 true US20200359995A1 (en) 2020-11-19

Family

ID=70978622

Family Applications (4)

Application Number Title Priority Date Filing Date
US16/875,395 Active 2040-08-24 US11931073B2 (en) 2019-05-17 2020-05-15 Medical imaging devices, systems, and methods
US16/875,371 Pending US20200360054A1 (en) 2019-05-17 2020-05-15 Devices to access peripheral regions of the lung for direct visualization with tool attachment
US16/875,382 Abandoned US20200359995A1 (en) 2019-05-17 2020-05-15 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port
US18/233,545 Pending US20230380866A1 (en) 2019-05-17 2023-08-14 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port

Family Applications Before (2)

Application Number Title Priority Date Filing Date
US16/875,395 Active 2040-08-24 US11931073B2 (en) 2019-05-17 2020-05-15 Medical imaging devices, systems, and methods
US16/875,371 Pending US20200360054A1 (en) 2019-05-17 2020-05-15 Devices to access peripheral regions of the lung for direct visualization with tool attachment

Family Applications After (1)

Application Number Title Priority Date Filing Date
US18/233,545 Pending US20230380866A1 (en) 2019-05-17 2023-08-14 Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port

Country Status (7)

Country Link
US (4) US11931073B2 (enExample)
EP (3) EP3923822A1 (enExample)
JP (8) JP7147079B2 (enExample)
CN (4) CN113825453B (enExample)
AU (6) AU2020277301B2 (enExample)
CA (2) CA3132063A1 (enExample)
WO (3) WO2020236598A1 (enExample)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021030088A (ja) * 2019-08-27 2021-03-01 ジャイラス・エーシーエムアイ・インコーポレーテッド リアルタイムサンプリングシステム
US20210330942A1 (en) * 2020-04-27 2021-10-28 Bard Access Systems, Inc. Rapidly Insertable Central Catheters Including Catheter Assemblies and Methods Thereof
US11819638B2 (en) 2020-05-21 2023-11-21 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US11826526B2 (en) 2020-01-23 2023-11-28 Bard Access Systems, Inc. Splitable catheter docking station system and method
US11918767B2 (en) 2020-04-23 2024-03-05 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US11931073B2 (en) 2019-05-17 2024-03-19 Boston Scientific Scimed, Inc. Medical imaging devices, systems, and methods
US12097342B2 (en) 2015-01-29 2024-09-24 Becton, Dickinson And Company Rapid insertion integrated catheter and method of using an integrated catheter
US12138405B2 (en) 2020-12-17 2024-11-12 Bard Access Systems, Inc. Rapidly insertable central catheters, assemblies, and methods thereof
US12161820B2 (en) 2020-06-29 2024-12-10 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US12263316B2 (en) 2020-12-21 2025-04-01 Bard Access Systems, Inc. Fluid path optimization in catheter insertion systems
US12274836B2 (en) 2020-06-29 2025-04-15 Bard Access Systems, Inc. Rapidly insertable central catheters including assemblies and methods thereof
US12290644B2 (en) 2020-10-28 2025-05-06 Bard Access Systems, Inc. Catheter placement system with stiffening system
US12357794B2 (en) 2020-12-21 2025-07-15 Bard Access Systems, Inc. Optimized structural support in catheter insertion systems

Families Citing this family (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10517719B2 (en) 2008-12-22 2019-12-31 Valtech Cardio, Ltd. Implantation of repair devices in the heart
US8449599B2 (en) 2009-12-04 2013-05-28 Edwards Lifesciences Corporation Prosthetic valve for replacing mitral valve
EP3725269A1 (en) 2011-06-23 2020-10-21 Valtech Cardio, Ltd. Closure element for use with annuloplasty structure
US9439763B2 (en) 2013-02-04 2016-09-13 Edwards Lifesciences Corporation Prosthetic valve for replacing mitral valve
US9622863B2 (en) 2013-11-22 2017-04-18 Edwards Lifesciences Corporation Aortic insufficiency repair device and method
US10524792B2 (en) 2014-12-04 2020-01-07 Edwards Lifesciences Corporation Percutaneous clip for repairing a heart valve
CN107624058B (zh) 2015-05-14 2019-10-08 爱德华兹生命科学公司 心脏瓣膜密封装置及其递送装置
US11219746B2 (en) 2016-03-21 2022-01-11 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US10799675B2 (en) 2016-03-21 2020-10-13 Edwards Lifesciences Corporation Cam controlled multi-direction steerable handles
US10973638B2 (en) 2016-07-07 2021-04-13 Edwards Lifesciences Corporation Device and method for treating vascular insufficiency
US10653862B2 (en) 2016-11-07 2020-05-19 Edwards Lifesciences Corporation Apparatus for the introduction and manipulation of multiple telescoping catheters
US10905554B2 (en) 2017-01-05 2021-02-02 Edwards Lifesciences Corporation Heart valve coaptation device
US11224511B2 (en) 2017-04-18 2022-01-18 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
SI3558169T1 (sl) 2017-04-18 2022-04-29 Edwards Lifesciences Corporation Legal Department Tesnilne naprave za srčno zaklopko in dovajalne naprave zanje
US10799312B2 (en) 2017-04-28 2020-10-13 Edwards Lifesciences Corporation Medical device stabilizing apparatus and method of use
US10959846B2 (en) 2017-05-10 2021-03-30 Edwards Lifesciences Corporation Mitral valve spacer device
US11051940B2 (en) 2017-09-07 2021-07-06 Edwards Lifesciences Corporation Prosthetic spacer device for heart valve
US11065117B2 (en) 2017-09-08 2021-07-20 Edwards Lifesciences Corporation Axisymmetric adjustable device for treating mitral regurgitation
US11110251B2 (en) 2017-09-19 2021-09-07 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US10123873B1 (en) 2018-01-09 2018-11-13 Edwards Lifesciences Corporation Native valve repair devices and procedures
US10231837B1 (en) 2018-01-09 2019-03-19 Edwards Lifesciences Corporation Native valve repair devices and procedures
US10111751B1 (en) 2018-01-09 2018-10-30 Edwards Lifesciences Corporation Native valve repair devices and procedures
WO2019139904A1 (en) 2018-01-09 2019-07-18 Edwards Lifesciences Corporation Native valve repair devices and procedures
CN111989049B (zh) * 2018-04-18 2024-07-30 巴德股份有限公司 具有集成组织标记物输送部的双腔同轴导引器
DE102018208555A1 (de) 2018-05-30 2019-12-05 Kardion Gmbh Vorrichtung zum Verankern eines Herzunterstützungssystems in einem Blutgefäß, Verfahren zum Betreiben und Herstellverfahren zum Herstellen einer Vorrichtung und Herzunterstützungssystem
DE102018208538A1 (de) 2018-05-30 2019-12-05 Kardion Gmbh Intravasale Blutpumpe und Verfahren zur Herstellung von elektrischen Leiterbahnen
DE102018208933A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zur Bestimmung einer Strömungsgeschwindigkeit eines durch ein implantiertes, vaskuläres Unterstützungssystem strömenden Fluids
DE102018208899A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zum Ermitteln der Schallgeschwindigkeit in einem Fluid im Bereich eines implantierten, vaskulären Unterstützungssystems
DE102018208892A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Sensorkopfvorrichtung für ein minimalinvasives Herzunterstützungssystem und Verfahren zum Herstellen einer Sensorkopfvorrichtung für ein Herzunterstützungssystem
DE102018208879A1 (de) 2018-06-06 2020-01-30 Kardion Gmbh Verfahren zur Bestimmung eines Fluid-Gesamtvolumenstroms im Bereich eines implantierten, vaskuläres Unterstützungssystems
DE102018208870A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zur Bestimmung eines Fluid-Volumenstroms durch ein implantiertes, vaskuläres Unterstützungssystem
DE102018208862A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Implantierbares, vaskuläres Unterstützungssystem
DE102018208945A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Analysevorrichtung und Verfahren zum Analysieren einer Viskosität eines Fluids
DE102018208913A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zum Betreiben eines implantierten, ventrikulären Unterstützungssystems
DE102018208929A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zur Bestimmung einer Strömungsgeschwindigkeit eines durch ein implantiertes, vaskuläres Unterstützungssystem strömenden Fluids
DE102018208936A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Bestimmvorrichtung und Verfahren zum Bestimmen einer Viskosität eines Fluids
DE102018210076A1 (de) 2018-06-21 2019-12-24 Kardion Gmbh Verfahren und Vorrichtung zum Erkennen eines Verschleißzustands eines Herzunterstützungssystems, Verfahren und Vorrichtung zum Betreiben eines Herzunterstützungssystems und Herzunterstützungssystem
DE102018211297A1 (de) 2018-07-09 2020-01-09 Kardion Gmbh Herzunterstützungssystem und Verfahren zur Überwachung der Integrität einer Haltestruktur eines Herzunterstützungssystems
US10945844B2 (en) 2018-10-10 2021-03-16 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
CA3118722A1 (en) 2018-11-20 2020-05-28 Edwards Lifesciences Corporation Deployment tools and methods for delivering a device to a native heart valve
EP3883499A1 (en) 2018-11-21 2021-09-29 Edwards Lifesciences Corporation Heart valve sealing devices, delivery devices therefor, and retrieval devices
WO2020112622A1 (en) 2018-11-29 2020-06-04 Edwards Lifesciences Corporation Catheterization method and apparatus
BR122021018588A2 (pt) 2019-02-14 2021-10-13 Edwards Lifesciences Corporation "fecho para um dispositivo de tratamento de válvula cardíaca"
WO2020176410A1 (en) 2019-02-25 2020-09-03 Edwards Lifesciences Corporation Heart valve sealing devices
US20210000332A1 (en) 2019-07-03 2021-01-07 Gyrus Acmi, Inc. Real-Time Sampling Device
US11033298B1 (en) * 2020-07-01 2021-06-15 Verix Health, Inc. Lung access device
WO2022066644A1 (en) 2020-09-28 2022-03-31 Boston Scientific Scimed, Inc. Dual-function medical devices with diagnostic and therapeutic tools
US20220183667A1 (en) * 2020-12-10 2022-06-16 Olympus Medical Systems Corporation Real-time sampling system
WO2022165333A1 (en) * 2021-02-01 2022-08-04 Little Engine Llc Electrocautery apparatus and method featuring ultrasound guidance
KR20240004440A (ko) 2021-04-01 2024-01-11 레스넨트, 엘엘씨 정형외과용 관절경 광학 캐뉼라 시스템
US20230012775A1 (en) * 2021-07-16 2023-01-19 Nuvera Medical, Inc. Cable routing and assemblies for medical device handles
US20230200894A1 (en) * 2021-12-23 2023-06-29 Biosense Webster (Israel) Ltd. Couplers, strain relief hubs, and nose pieces for an ablation catheter assembly and methods of using the same
CN119894451A (zh) * 2022-07-07 2025-04-25 波士顿科学国际有限公司 光声癌症检测和成像活检系统
USD1071198S1 (en) 2023-06-28 2025-04-15 Edwards Lifesciences Corporation Cradle
WO2025076370A1 (en) 2023-10-05 2025-04-10 Resnent, Llc Orthopedic arthroscopic optical cannula system
CN117547329A (zh) * 2023-12-29 2024-02-13 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备
WO2025139662A1 (zh) * 2023-12-29 2025-07-03 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080039728A1 (en) * 2006-03-09 2008-02-14 Dharmendra Pal Catheters and Related Systems and Methods
US20180235594A1 (en) * 2017-02-21 2018-08-23 Katalyst Surgical, Llc Surgical instrument subcomponent integration by additive manufacturing

Family Cites Families (91)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4723550A (en) * 1986-11-10 1988-02-09 Cordis Corporation Leakproof hemostasis valve with single valve member
US5056529A (en) * 1990-04-03 1991-10-15 Groot William J De Apparatus and method for performing a transbroncheal biopsy
US5162044A (en) * 1990-12-10 1992-11-10 Storz Instrument Company Phacoemulsification transducer with rotatable handle
US20040002647A1 (en) * 1991-10-18 2004-01-01 Ashvin Desai Gel injection treatment of body parts
US7549424B2 (en) * 1991-10-18 2009-06-23 Pro Surg, Inc. Method and apparatus for tissue treatment with laser and electromagnetic radiation
US5190046A (en) * 1992-05-01 1993-03-02 Shturman Cardiology Systems, Inc. Ultrasound imaging balloon catheter
US5599300A (en) * 1992-05-11 1997-02-04 Arrow Precision Products, Inc. Method for electrosurgically obtaining access to the biliary tree with an adjustably positionable needle-knife
JP3212684B2 (ja) * 1992-05-20 2001-09-25 オリンパス光学工業株式会社 内視鏡装置及び内視鏡用管路装置
US5335663A (en) * 1992-12-11 1994-08-09 Tetrad Corporation Laparoscopic probes and probe sheaths useful in ultrasonic imaging applications
JP3898754B2 (ja) * 1993-07-01 2007-03-28 ボストン サイエンティフィック リミテッド 像形成、電位検出型及び切除カテーテル
US5702344A (en) * 1995-05-30 1997-12-30 University Of Washington Safe endoscopic accessory
JPH11508790A (ja) 1995-06-30 1999-08-03 ボストン・サイエンティフィック・コーポレイション 切断エレメントを備えた超音波映写カテーテル
JPH0928665A (ja) * 1995-07-21 1997-02-04 Terumo Corp カテーテル
US6283951B1 (en) * 1996-10-11 2001-09-04 Transvascular, Inc. Systems and methods for delivering drugs to selected locations within the body
JP3409270B2 (ja) * 1996-03-26 2003-05-26 日本シャーウッド株式会社 ダブルルーメンカテーテル
JPH10108866A (ja) * 1996-10-08 1998-04-28 Olympus Optical Co Ltd バルーン式超音波プローブ装置
US6827710B1 (en) * 1996-11-26 2004-12-07 Edwards Lifesciences Corporation Multiple lumen access device
JP4179659B2 (ja) * 1998-04-07 2008-11-12 オリンパス株式会社 超音波プローブ
US6575991B1 (en) * 1999-06-17 2003-06-10 Inrad, Inc. Apparatus for the percutaneous marking of a lesion
JP4363719B2 (ja) * 1999-10-08 2009-11-11 オリンパス株式会社 超音波ガイド下穿刺システム装置
JP2001258831A (ja) 2000-03-16 2001-09-25 Olympus Optical Co Ltd 像形成装置
US20020099326A1 (en) * 2001-01-24 2002-07-25 Wilson Jon S. Multi-lumen catheter with attachable hub
US9149602B2 (en) * 2005-04-22 2015-10-06 Advanced Cardiovascular Systems, Inc. Dual needle delivery system
US20050038410A1 (en) * 2003-04-23 2005-02-17 Friedman Paul A. Rotatable infusion sheath apparatus
JP2005027902A (ja) 2003-07-07 2005-02-03 Fujinon Corp 内視鏡の手元操作部
US20050096550A1 (en) * 2003-10-31 2005-05-05 Medtronic, Inc. Techniques for transrectal delivery of a denervating agent to the prostate gland
US20060058680A1 (en) * 2004-08-25 2006-03-16 Stephen Solomon Needle guide for laparoscopic ultrasonography
EP1830713B1 (en) * 2004-11-29 2011-03-16 Granit Medical Innovations, LLC Rotating fine needle for core tissue sampling
US20060252993A1 (en) * 2005-03-23 2006-11-09 Freed David I Medical devices and systems
WO2007005976A1 (en) * 2005-07-01 2007-01-11 Hansen Medical, Inc. Robotic catheter system
JP3895755B2 (ja) * 2005-07-04 2007-03-22 テルモ株式会社 医療用チューブ
US10058342B2 (en) * 2006-01-12 2018-08-28 Gynesonics, Inc. Devices and methods for treatment of tissue
US7815571B2 (en) * 2006-04-20 2010-10-19 Gynesonics, Inc. Rigid delivery systems having inclined ultrasound and needle
US9357977B2 (en) * 2006-01-12 2016-06-07 Gynesonics, Inc. Interventional deployment and imaging system
US7874986B2 (en) * 2006-04-20 2011-01-25 Gynesonics, Inc. Methods and devices for visualization and ablation of tissue
US9084621B2 (en) * 2006-12-01 2015-07-21 Boston Scientific Scimed, Inc. Guide tube systems and methods
US9950141B2 (en) * 2006-12-29 2018-04-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Dual braid reinforcement deflectable device (sheath or catheter)
US20090270812A1 (en) * 2007-04-06 2009-10-29 Interlace Medical , Inc. Access device with enhanced working channel
US9987468B2 (en) * 2007-06-29 2018-06-05 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US20090216151A1 (en) * 2008-02-27 2009-08-27 Speeg Trevor W V Biopsy Probe With Hypodermic Lumen
US8323203B2 (en) 2008-02-28 2012-12-04 Boston Scientific Scimed, Inc. Imaging catheter
US20090248142A1 (en) * 2008-03-25 2009-10-01 Medtronic Vascular, Inc. Methods, Devices and Systems for Treating Venous Insufficiency
US8968210B2 (en) * 2008-10-01 2015-03-03 Covidien LLP Device for needle biopsy with integrated needle protection
US9039626B2 (en) * 2009-03-31 2015-05-26 Sunnybrook Health Sciences Centre Medical device with means to improve transmission of torque along a rotational drive shaft
JP5271798B2 (ja) 2009-05-14 2013-08-21 Ｈｏｙａ株式会社 超音波内視鏡用穿刺針装置
US9101733B2 (en) * 2009-09-29 2015-08-11 Biosense Webster, Inc. Catheter with biased planar deflection
CA2835081A1 (en) * 2011-05-03 2012-11-08 Endosee Corporation Method and apparatus for hysteroscopy and endometrial biopsy
CN105920717B (zh) * 2011-05-27 2019-05-21 科纳维医疗有限公司 具有流体旋转接头的医疗探针
WO2013026043A1 (en) * 2011-08-18 2013-02-21 Hologic, Inc. Tissue removal system
EP2793991B1 (en) 2011-12-22 2019-02-06 Boston Scientific Scimed, Inc. Steerable sheath handle pulley mechanism
WO2013123309A1 (en) * 2012-02-15 2013-08-22 The Cleveland Clinic Foundation Catheter assembly and method of treating a vascular disease
GB2500784B (en) * 2012-02-28 2015-07-22 Spiration Inc Lung Biopsy Needle
US9295455B2 (en) * 2012-04-20 2016-03-29 Terumo Kabushiki Kaisha Biopsy system and biopsy method
US20140200446A1 (en) * 2013-01-16 2014-07-17 Thomas Haider Method and apparatus for the infusion of a catheter into an artery/vein and for suspected tissue removal
WO2014143197A1 (en) 2013-03-12 2014-09-18 Abbott Cardiovascular Systems Inc. Catheter having movable tubular structure and proximal stopper
WO2014188509A1 (ja) 2013-05-21 2014-11-27 テルモ株式会社 カテーテル
EP3041422A4 (en) * 2013-09-06 2017-04-12 Procept Biorobotics Corporation Automated image-guided tissue resection and treatment
JP2015066036A (ja) 2013-09-27 2015-04-13 テルモ株式会社 画像診断用カテーテル
US10034986B2 (en) * 2013-11-11 2018-07-31 Crossbay Medical, Inc. Method and apparatus of tubal patency catheter and delivery systems
JP2017515620A (ja) * 2014-04-02 2017-06-15 ザ ボード オブ トラスティーズ オブ ザ リーランド スタンフォード ジュニア ユニバーシティーＴｈｅ Ｂｏａｒｄ Ｏｆ Ｔｒｕｓｔｅｅｓ Ｏｆ Ｔｈｅ Ｌｅｌａｎｄ Ｓｔａｎｆｏｒｄ Ｊｒ．Ｕｎｉｖｅｒｓｉｔｙ 生検デバイス、システム及びその使用方法
EP3134003B1 (en) * 2014-04-23 2020-08-12 Koninklijke Philips N.V. Catheter with integrated controller for imaging and pressure sensing
AU2015320407B2 (en) * 2014-09-26 2019-09-12 Boston Scientific Scimed, Inc. Medical devices and related methods of use
EP3243441B1 (en) * 2015-01-07 2022-02-23 Terumo Kabushiki Kaisha Medical device
US20160220234A1 (en) * 2015-02-04 2016-08-04 Boston Scientific Scimed, Inc. Multiple sample biopsy device
EP3266382B1 (en) * 2015-03-06 2025-01-29 Olympus Corporation Endoscope puncture needle and biopsy system
US10111715B2 (en) * 2015-05-11 2018-10-30 Veran Medical Technologies, Inc. Adjustable length medical instrument assembly with localization elements for tracking medical instrument extension
US20160331343A1 (en) 2015-05-11 2016-11-17 Veran Medical Technologies, Inc. Medical apparatus with translatable imaging device for real-time confirmation of interception of target tissue
US10656025B2 (en) * 2015-06-10 2020-05-19 Ekos Corporation Ultrasound catheter
US11317892B2 (en) * 2015-08-12 2022-05-03 Muffin Incorporated Over-the-wire ultrasound system with torque-cable driven rotary transducer
CN116942216A (zh) * 2015-09-01 2023-10-27 波士顿科学国际有限公司 安装在内镜上的iNod手柄
JP7091240B2 (ja) * 2015-09-25 2022-06-27 シー・アール・バード・インコーポレーテッド モニタリング能力を含むカテーテルアセンブリ
US20170164925A1 (en) * 2015-10-09 2017-06-15 Boston Scientific Scimed, Inc. Intravascular ultrasound systems, catheters, and methods with a manual pullback arrangement
US11114603B2 (en) * 2015-11-25 2021-09-07 Fujifilm Sonosite, Inc. Medical instrument including high frequency ultrasound transducer array
WO2017143457A1 (en) * 2016-02-26 2017-08-31 Sunnybrook Research Institute Imaging probe with rotatable core
BR112018068833A2 (pt) * 2016-03-17 2019-01-22 Trice Medical Inc dispositivos de evacuação e visualização de coágulo e métodos de uso
US11206972B2 (en) * 2016-06-06 2021-12-28 3Nt Medical Ltd. Modular body cavity access system
US11266387B2 (en) * 2016-06-15 2022-03-08 Intuitive Surgical Operations, Inc. Systems and methods of integrated real-time visualization
JP2018033614A (ja) 2016-08-30 2018-03-08 テルモ株式会社 医療用デバイス
JP2018042823A (ja) 2016-09-15 2018-03-22 テルモ株式会社 医療用デバイス
CN110035685B (zh) * 2016-12-07 2022-03-01 波士顿科学国际有限公司 偏心结节组织采集的系统和方法
CN113812986B (zh) * 2016-12-07 2025-10-28 波士顿科学国际有限公司 用于活检针和目标组织实时可视化的系统
US20180161023A1 (en) * 2016-12-14 2018-06-14 Mohammed Saud ALSAIDAN Dual-purpose biopsy punch
CA3046556C (en) * 2017-02-27 2021-10-12 Boston Scientific Scimed, Inc. Systems for body passage navigation and visualization
JP7221210B2 (ja) * 2017-03-30 2023-02-13 ヌベラ・メディカル・インコーポレイテッド 医療用ツール位置決めデバイス、システム、ならびに使用法および製造法
US10722212B2 (en) * 2017-03-31 2020-07-28 Gyrus Acmi, Inc. Guide sheath with window and markings indicating location thereof
US20180279860A1 (en) * 2017-04-04 2018-10-04 Lymol Medical, Inc. Bronchoscope
US20180338673A1 (en) * 2017-05-26 2018-11-29 Covidien Lp Surgical sheath and surgical apparatus including the same
CN109512473A (zh) * 2017-09-20 2019-03-26 史军 带可视穿刺装置的医疗设备
GB2569812A (en) * 2017-12-27 2019-07-03 Creo Medical Ltd Electrosurgical ablation instrument
WO2020079762A1 (ja) * 2018-10-16 2020-04-23 オリンパス株式会社 ガイドチューブ、超音波プローブ、超音波観察システム、及び超音波観察システムの使用方法
CA3132063A1 (en) 2019-05-17 2020-11-26 Boston Scientific Scimed, Inc. Medical imaging devices and systems

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080039728A1 (en) * 2006-03-09 2008-02-14 Dharmendra Pal Catheters and Related Systems and Methods
US20180235594A1 (en) * 2017-02-21 2018-08-23 Katalyst Surgical, Llc Surgical instrument subcomponent integration by additive manufacturing

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12097342B2 (en) 2015-01-29 2024-09-24 Becton, Dickinson And Company Rapid insertion integrated catheter and method of using an integrated catheter
US11931073B2 (en) 2019-05-17 2024-03-19 Boston Scientific Scimed, Inc. Medical imaging devices, systems, and methods
JP7633009B2 (ja) 2019-08-27 2025-02-19 ジャイラス エーシーエムアイ インク ディー／ビー／エー オリンパス サージカル テクノロジーズ アメリカ リアルタイムサンプリングシステム
US20210059648A1 (en) * 2019-08-27 2021-03-04 Gyrus Acmi, Inc. Real-Time Sampling System
US12310566B2 (en) * 2019-08-27 2025-05-27 Olympus Medical Systems Corporation Real-time sampling system
JP2021030088A (ja) * 2019-08-27 2021-03-01 ジャイラス・エーシーエムアイ・インコーポレーテッド リアルタイムサンプリングシステム
US11826526B2 (en) 2020-01-23 2023-11-28 Bard Access Systems, Inc. Splitable catheter docking station system and method
US11918767B2 (en) 2020-04-23 2024-03-05 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US20210330942A1 (en) * 2020-04-27 2021-10-28 Bard Access Systems, Inc. Rapidly Insertable Central Catheters Including Catheter Assemblies and Methods Thereof
US11819638B2 (en) 2020-05-21 2023-11-21 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US12274836B2 (en) 2020-06-29 2025-04-15 Bard Access Systems, Inc. Rapidly insertable central catheters including assemblies and methods thereof
US12161820B2 (en) 2020-06-29 2024-12-10 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US12290644B2 (en) 2020-10-28 2025-05-06 Bard Access Systems, Inc. Catheter placement system with stiffening system
US12138405B2 (en) 2020-12-17 2024-11-12 Bard Access Systems, Inc. Rapidly insertable central catheters, assemblies, and methods thereof
US12263316B2 (en) 2020-12-21 2025-04-01 Bard Access Systems, Inc. Fluid path optimization in catheter insertion systems
US12357794B2 (en) 2020-12-21 2025-07-15 Bard Access Systems, Inc. Optimized structural support in catheter insertion systems

Also Published As

Publication number Publication date
JP2024120977A (ja) 2024-09-05
US20230380866A1 (en) 2023-11-30
AU2020279100A1 (en) 2021-09-16
AU2020277301A1 (en) 2021-09-16
JP7271710B2 (ja) 2023-05-11
CN113811248A (zh) 2021-12-17
CN113811248B (zh) 2025-07-04
CN113825453B (zh) 2025-02-21
WO2020236598A1 (en) 2020-11-26
AU2023216836A1 (en) 2023-09-07
AU2020279100B2 (en) 2022-12-15
JP7516591B2 (ja) 2024-07-16
JP7256896B2 (ja) 2023-04-12
AU2023203577A1 (en) 2023-07-06
JP7596337B2 (ja) 2024-12-09
JP2024180500A (ja) 2024-12-26
JP2022184985A (ja) 2022-12-13
AU2020278580A1 (en) 2021-09-09
EP3923819A1 (en) 2021-12-22
CA3131595A1 (en) 2020-11-26
WO2020236594A1 (en) 2020-11-26
CA3132326A1 (en) 2020-11-26
WO2020236595A1 (en) 2020-11-26
AU2020278580B2 (en) 2023-03-09
JP2022525995A (ja) 2022-05-20
EP3923822A1 (en) 2021-12-22
EP3968863A1 (en) 2022-03-23
JP2022526794A (ja) 2022-05-26
CN113825453A (zh) 2021-12-21
JP7664311B2 (ja) 2025-04-17
AU2023201629A1 (en) 2023-04-13
JP7683095B2 (ja) 2025-05-26
JP2023090826A (ja) 2023-06-29
JP2023063317A (ja) 2023-05-09
JP2022526160A (ja) 2022-05-23
CN119970109A (zh) 2025-05-13
CN113727656A (zh) 2021-11-30
AU2020277301B2 (en) 2023-05-18
US20200359996A1 (en) 2020-11-19
US20200360054A1 (en) 2020-11-19
CA3132063A1 (en) 2020-11-26
JP7147079B2 (ja) 2022-10-04
AU2023216836B2 (en) 2024-11-07
US11931073B2 (en) 2024-03-19

Similar Documents

Publication Publication Date Title
US20230380866A1 (en) Apparatus to provide an adjustable mechanism for radial ultrasound port and flush port
US11937774B2 (en) Medical device positioning system
US20140303553A1 (en) Positioning system for manipulating a channel within a medical device
JP2015002843A (ja) 内視鏡、オーバーチューブおよび内視鏡システム
US20240407632A1 (en) Endoscopic tool stabilization and related methods of use
WO2020134219A1 (zh) 可调弯导管
CN113521498A (zh) 控制手柄及调弯导管
JP7410327B2 (ja) 医療機器
JPH0866352A (ja) カバー式内視鏡
CA3132326C (en) Devices to access peripheral regions of the lung for direct visualization with tool attachment
JP2023537006A (ja) 流量の向上のためにテーパ状の内径を備えたカテーテルシャフト

Legal Events

Date Code Title Description
STPP Information on status: patent application and granting procedure in general

Free format text: APPLICATION DISPATCHED FROM PREEXAM, NOT YET DOCKETED

AS Assignment

Owner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:WALSH, KEVIN;GARRITY, DOUGLAS W.;SIGNING DATES FROM 20200527 TO 20200616;REEL/FRAME:052979/0125

STPP Information on status: patent application and granting procedure in general

Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION

STPP Information on status: patent application and granting procedure in general

Free format text: NON FINAL ACTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: RESPONSE TO NON-FINAL OFFICE ACTION ENTERED AND FORWARDED TO EXAMINER

STPP Information on status: patent application and granting procedure in general

Free format text: FINAL REJECTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: RESPONSE AFTER FINAL ACTION FORWARDED TO EXAMINER

STPP Information on status: patent application and granting procedure in general

Free format text: ADVISORY ACTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION

STPP Information on status: patent application and granting procedure in general

Free format text: NON FINAL ACTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: ADVISORY ACTION MAILED

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION