WO2006050225A3 - Appareil et methodes pour la pratique de la chirurgie du cerveau - Google Patents

Appareil et methodes pour la pratique de la chirurgie du cerveau Download PDF

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Publication number
WO2006050225A3
WO2006050225A3 PCT/US2005/039185 US2005039185W WO2006050225A3 WO 2006050225 A3 WO2006050225 A3 WO 2006050225A3 US 2005039185 W US2005039185 W US 2005039185W WO 2006050225 A3 WO2006050225 A3 WO 2006050225A3
Authority
WO
WIPO (PCT)
Prior art keywords
obturator
cannula
surgery
methods
target tissue
Prior art date
Application number
PCT/US2005/039185
Other languages
English (en)
Other versions
WO2006050225A2 (fr
Inventor
Amin Kassam
Original Assignee
Strategic Technology Assessmen
Amin Kassam
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
Priority to US11/665,666 priority Critical patent/US20080109026A1/en
Application filed by Strategic Technology Assessmen, Amin Kassam filed Critical Strategic Technology Assessmen
Publication of WO2006050225A2 publication Critical patent/WO2006050225A2/fr
Publication of WO2006050225A3 publication Critical patent/WO2006050225A3/fr
Priority to US13/280,015 priority patent/US9770261B2/en
Priority to US13/444,713 priority patent/US9186175B2/en
Priority to US13/474,433 priority patent/US20120289816A1/en
Priority to US13/786,186 priority patent/US9161820B2/en
Priority to US13/786,062 priority patent/US9387010B2/en
Priority to US14/847,863 priority patent/US10143366B2/en
Priority to US14/877,438 priority patent/US9622777B2/en
Priority to US16/102,416 priority patent/US11464539B2/en
Priority to US16/208,085 priority patent/US11412923B2/en
Priority to US17/115,472 priority patent/US11864793B2/en
Priority to US17/220,983 priority patent/US11969187B2/en
Priority to US17/888,196 priority patent/US20230045431A1/en
Priority to US18/528,121 priority patent/US20240099740A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00907—Material properties transparent or translucent for light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • 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
    • A61B2034/2055—Optical tracking systems
    • 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
    • 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
    • A61B2090/3937—Visible markers
    • 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
    • A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • 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
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • 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
    • A61M2025/0024—Expandable catheters or sheaths

Abstract

L'invention concerne des techniques chirurgicales moins invasives pour la pratique de la chirurgie du cerveau dans lesquelles un ensemble obturateur de dilatation et canule est inséré dans le tissu cérébral jusqu'à ce que la pointe de l'obturateur et la canule soient adjacents au tissu cible. L'obturateur est retiré et la chirurgie est pratiquée à travers la canule. Dans des modes de réalisation préférés, l'obturateur et la canule sont placés à l'aide de techniques et de systèmes de guidage par l'image afin de coordonner le placement et la planification chirurgicale pré-opératoire. Un stylet à moyen de guidage par l'image associé peut être inséré préalablement à l'insertion de l'ensemble obturateur et canule afin de guider l'insertion de l'ensemble obturateur et canule. De préférence, la chirurgie est pratiquée à l'aide d'un endoscope partiellement inséré dans la canule et d'une image du tissu cible projetée sur un moniteur.
PCT/US2005/039185 2004-10-28 2005-10-28 Appareil et methodes pour la pratique de la chirurgie du cerveau WO2006050225A2 (fr)

Priority Applications (14)

Application Number Priority Date Filing Date Title
US11/665,666 US20080109026A1 (en) 2004-10-28 2005-10-28 Apparatus and Methods for Performing Brain Surgery
US13/280,015 US9770261B2 (en) 2004-10-28 2011-10-24 Surgical access assembly and method of using same
US13/444,713 US9186175B2 (en) 2004-10-28 2012-04-11 Surgical access assembly and method of using same
US13/474,433 US20120289816A1 (en) 2004-10-28 2012-05-17 Surgical access assembly and method of using same
US13/786,186 US9161820B2 (en) 2004-10-28 2013-03-05 Surgical access assembly and method of using same
US13/786,062 US9387010B2 (en) 2004-10-28 2013-03-05 Surgical access assembly and method of using same
US14/847,863 US10143366B2 (en) 2004-10-28 2015-09-08 Surgical access assembly and method of using same
US14/877,438 US9622777B2 (en) 2004-10-28 2015-10-07 Surgical access assembly and method of using same
US16/102,416 US11464539B2 (en) 2004-10-28 2018-08-13 Surgical access assembly and method of using same
US16/208,085 US11412923B2 (en) 2004-10-28 2018-12-03 Surgical access assembly and method of using same
US17/115,472 US11864793B2 (en) 2004-10-28 2020-12-08 Surgical access assembly and method of using same
US17/220,983 US11969187B2 (en) 2021-04-02 Surgical access assembly and method of using same
US17/888,196 US20230045431A1 (en) 2004-10-28 2022-08-15 Surgical access assembly and method of using same
US18/528,121 US20240099740A1 (en) 2004-10-28 2023-12-04 Surgical access assembly and method of using same

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US62299104P 2004-10-28 2004-10-28
US62309404P 2004-10-28 2004-10-28
US60/623,094 2004-10-28

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13/444,722 Continuation-In-Part US9579121B2 (en) 2004-10-28 2012-04-11 Holding arrangement for a surgical access system

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US11/665,666 A-371-Of-International US20080109026A1 (en) 2004-10-28 2005-10-28 Apparatus and Methods for Performing Brain Surgery
US13/280,015 Continuation-In-Part US9770261B2 (en) 2004-10-28 2011-10-24 Surgical access assembly and method of using same

Publications (2)

Publication Number Publication Date
WO2006050225A2 WO2006050225A2 (fr) 2006-05-11
WO2006050225A3 true WO2006050225A3 (fr) 2006-09-08

Family

ID=39227003

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2005/039185 WO2006050225A2 (fr) 2004-10-28 2005-10-28 Appareil et methodes pour la pratique de la chirurgie du cerveau
PCT/US2005/038828 WO2006050047A2 (fr) 2004-10-28 2005-10-28 Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2005/038828 WO2006050047A2 (fr) 2004-10-28 2005-10-28 Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau

Country Status (1)

Country Link
WO (2) WO2006050225A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery

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US9186175B2 (en) * 2004-10-28 2015-11-17 Nico Corporation Surgical access assembly and method of using same
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US20060287583A1 (en) 2005-06-17 2006-12-21 Pool Cover Corporation Surgical access instruments for use with delicate tissues
WO2008066543A1 (fr) 2006-11-27 2008-06-05 Vycor Medical Llc Instruments d'accès chirurgicaux pour tissus délicats
US20080183074A1 (en) * 2007-01-25 2008-07-31 Warsaw Orthopedic, Inc. Method and apparatus for coordinated display of anatomical and neuromonitoring information
MY149480A (en) 2009-03-26 2013-08-30 Univ Malaya An apparatus for surgery
DE102009029904A1 (de) * 2009-06-19 2010-12-23 Olympus Winter & Ibe Gmbh Laparoskopischer Port mit Rohrstück
DE102011107615A1 (de) * 2011-06-30 2013-01-03 Siegfried Riek Trokarsystem
DE102012203908B3 (de) 2012-03-13 2013-06-06 Siegfried Riek Instrumentensystem für die minimalinvasive Chirurgie in der Single-Port-Technik
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
WO2015020953A1 (fr) * 2013-08-05 2015-02-12 Darin Schaeffer Dispositifs médicaux possédant un organe tubulaire libérable et procédés permettant leur utilisation
EP3142541A4 (fr) 2014-05-13 2017-04-26 Vycor Medical, Inc. Montages de système de guidage pour introducteurs chirurgicaux
GB201411486D0 (en) * 2014-06-27 2014-08-13 Isis Innovation Apparatus for providing and maintaining access to a surgical site
EP3171799A4 (fr) * 2014-07-23 2018-04-18 Trimarche, Robert Modifications sur des orifices d'accès pour la neurochirurgie minimalement invasive
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
CN104771222B (zh) * 2015-03-17 2017-08-25 绍兴第二医院 一种神经内镜鞘的制作方法及该神经内镜鞘
CN105343995A (zh) * 2015-11-16 2016-02-24 深圳市擎源医疗器械有限公司 脑牵开装置
US11413066B2 (en) 2016-03-15 2022-08-16 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10765450B2 (en) 2016-03-15 2020-09-08 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
WO2017201203A1 (fr) 2016-05-17 2017-11-23 Rebound Therapeutics Corporation Procédés et dispositifs de détection de couleur pour localiser la masse sanguine d'un hématome intracérébral
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
DE102018216760A1 (de) 2018-09-28 2020-04-02 Carl Zeiss Meditec Ag Applikator für die intraoperative Strahlentherapie

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US4638798A (en) * 1980-09-10 1987-01-27 Shelden C Hunter Stereotactic method and apparatus for locating and treating or removing lesions
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9386974B2 (en) 2004-10-28 2016-07-12 Vycor Medical, Inc. Apparatus and methods for performing brain surgery

Also Published As

Publication number Publication date
WO2006050047A3 (fr) 2006-08-24
WO2006050047A2 (fr) 2006-05-11
WO2006050225A2 (fr) 2006-05-11

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