WO2007109554A3 - Systèmes de visualisation et manipulation de tissus - Google Patents

Systèmes de visualisation et manipulation de tissus Download PDF

Info

Publication number
WO2007109554A3
WO2007109554A3 PCT/US2007/064195 US2007064195W WO2007109554A3 WO 2007109554 A3 WO2007109554 A3 WO 2007109554A3 US 2007064195 W US2007064195 W US 2007064195W WO 2007109554 A3 WO2007109554 A3 WO 2007109554A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
imaging hood
deployment catheter
region
manipulation systems
Prior art date
Application number
PCT/US2007/064195
Other languages
English (en)
Other versions
WO2007109554A2 (fr
Inventor
Vahid Saadat
Original Assignee
Voyage Medical Inc
Vahid Saadat
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 Voyage Medical Inc, Vahid Saadat filed Critical Voyage Medical Inc
Priority to JP2009500630A priority Critical patent/JP4828633B2/ja
Priority to EP07758716A priority patent/EP1996065A4/fr
Publication of WO2007109554A2 publication Critical patent/WO2007109554A2/fr
Publication of WO2007109554A3 publication Critical patent/WO2007109554A3/fr

Links

Classifications

    • 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
    • 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
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • 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
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • 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
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00085—Baskets
    • 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
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089—Hoods
    • 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
    • A61B1/005—Flexible endoscopes
    • 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
    • A61B1/015—Control of fluid supply or evacuation
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/02007—Evaluating blood vessel condition, e.g. elasticity, compliance
    • 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
    • A61B2017/3447—Linked multiple cannulas
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)

Abstract

L'invention concerne des systèmes de visualisation et manipulation de tissus. Un système selon l'invention peut comprendre un cathéter de déploiement auquel est attachée une jupe d'imagerie pouvant être déployée en une configuration étendue. En cours d'emploi, la jupe d'imagerie est placée contre ou adjacente à une région d'un tissu à visualiser dans une lumière corporelle qui est normalement remplie d'un liquide corporel opaque tel que du sang. Un liquide translucide ou transparent, une solution saline par exemple, peut être pompé dans la jupe d'imagerie jusqu'à ce que le liquide ait déplacé le sang, laissant de la sorte une région dégagée de tissu, qui sera visualisée via un élément d'imagerie situé dans le cathéter de déploiement. On peut en outre faire passer un nombre d'instruments thérapeutiques à travers le cathéter de déploiement et dans la jupe d'imagerie afin de traiter la région tissulaire d'intérêt.
PCT/US2007/064195 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus WO2007109554A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2009500630A JP4828633B2 (ja) 2006-03-17 2007-03-16 組織可視化および操作システム
EP07758716A EP1996065A4 (fr) 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US78349406P 2006-03-17 2006-03-17
US60/783,494 2006-03-17

Publications (2)

Publication Number Publication Date
WO2007109554A2 WO2007109554A2 (fr) 2007-09-27
WO2007109554A3 true WO2007109554A3 (fr) 2008-03-06

Family

ID=38523194

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/064195 WO2007109554A2 (fr) 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus

Country Status (3)

Country Link
EP (1) EP1996065A4 (fr)
JP (1) JP4828633B2 (fr)
WO (1) WO2007109554A2 (fr)

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010092518A1 (fr) * 2009-02-12 2010-08-19 Koninklijke Philips Electronics N.V. Instrument pour intervention doté d'un moyen d'éclairage
JP2010187744A (ja) * 2009-02-16 2010-09-02 Hoya Corp 内視鏡アクセサリおよび内視鏡
JP5267999B2 (ja) * 2009-10-26 2013-08-21 国立大学法人金沢大学 血管内視鏡システム
US8603078B2 (en) 2010-10-13 2013-12-10 Ethicon Endo-Surgery, Inc. Methods and devices for guiding and supporting surgical instruments
WO2012051292A1 (fr) * 2010-10-13 2012-04-19 Ethicon Endo-Surgery, Inc. Procédés et dispositifs pour la création d'un espace mécanique au niveau d'un site chirurgical
JP2012223443A (ja) * 2011-04-21 2012-11-15 Olympus Corp ガイドシース
JP5754630B2 (ja) * 2011-05-24 2015-07-29 オリンパス株式会社 内視鏡用フード
FR2977135B1 (fr) * 2011-06-29 2014-10-10 Univ Paris Curie Instrument endoscopique a pied d'appui
ES2727868T3 (es) 2011-09-22 2019-10-21 Univ George Washington Sistemas para visualizar el tejido ablacionado
JP5926806B2 (ja) 2011-09-22 2016-05-25 ザ・ジョージ・ワシントン・ユニバーシティＴｈｅ Ｇｅｏｒｇｅ Ｗａｓｈｉｎｇｔｏｎｕｎｉｖｅｒｓｉｔｙ アブレーションされた組織を視覚化するシステムと方法
JP5975257B2 (ja) * 2012-03-08 2016-08-23 国立大学法人 香川大学 領域確保用器具および領域確保用器具を備えた内視鏡
US11096584B2 (en) 2013-11-14 2021-08-24 The George Washington University Systems and methods for determining lesion depth using fluorescence imaging
EP3071095A4 (fr) 2013-11-20 2017-07-26 The George Washington University Systèmes et procédés d'analyse hyperspectrale de tissus cardiaques
JP6315379B2 (ja) * 2014-05-23 2018-04-25 株式会社トップ 内視鏡用フード
WO2016073492A1 (fr) 2014-11-03 2016-05-12 Luxcath, Llc. Systèmes et procédés d'évaluation de qualité de contact
AU2015343258B2 (en) 2014-11-03 2020-07-16 460Medical, Inc. Systems and methods for lesion assessment
JP6401098B2 (ja) 2015-03-30 2018-10-03 富士フイルム株式会社 内視鏡診断装置および内視鏡診断装置の作動方法
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
WO2017203582A1 (fr) * 2016-05-23 2017-11-30 オリンパス株式会社 Dispositif d'utilisation d'endoscope et système endoscopique

Citations (3)

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Publication number Priority date Publication date Assignee Title
US6004269A (en) * 1993-07-01 1999-12-21 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US20040097788A1 (en) * 2002-05-30 2004-05-20 Mourlas Nicholas J. Apparatus and methods for coronary sinus access

Family Cites Families (11)

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JPS59181315A (ja) * 1983-03-31 1984-10-15 Kiyoshi Inoue フアイバスコ−プ
JPS6068865A (ja) * 1983-09-26 1985-04-19 住友電気工業株式会社 カテ−テル
JPS60129055A (ja) * 1983-12-16 1985-07-10 井上　清 血栓溶解カテ−テル
US4619247A (en) * 1983-03-31 1986-10-28 Sumitomo Electric Industries, Ltd. Catheter
US4976710A (en) * 1987-01-28 1990-12-11 Mackin Robert A Working well balloon method
US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
JPH02130601A (ja) * 1988-11-11 1990-05-18 Hitachi Ltd 機器保護ユニット
US6755811B1 (en) 1999-08-25 2004-06-29 Corazon Technologies, Inc. Methods and devices for reducing the mineral content of a region of non-intimal vascular tissue
JP2001258822A (ja) * 2000-03-14 2001-09-25 Olympus Optical Co Ltd 内視鏡
US7534204B2 (en) * 2003-09-03 2009-05-19 Guided Delivery Systems, Inc. Cardiac visualization devices and methods
US7860555B2 (en) * 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6004269A (en) * 1993-07-01 1999-12-21 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US20040097788A1 (en) * 2002-05-30 2004-05-20 Mourlas Nicholas J. Apparatus and methods for coronary sinus access

Also Published As

Publication number Publication date
EP1996065A2 (fr) 2008-12-03
EP1996065A4 (fr) 2011-03-30
WO2007109554A2 (fr) 2007-09-27
JP4828633B2 (ja) 2011-11-30
JP2009531081A (ja) 2009-09-03

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