WO2016135594A8 - Apparatus and method for positioning medical instruments assisted by indirect visualization - Google Patents

Apparatus and method for positioning medical instruments assisted by indirect visualization Download PDF

Info

Publication number
WO2016135594A8
WO2016135594A8 PCT/IB2016/050877 IB2016050877W WO2016135594A8 WO 2016135594 A8 WO2016135594 A8 WO 2016135594A8 IB 2016050877 W IB2016050877 W IB 2016050877W WO 2016135594 A8 WO2016135594 A8 WO 2016135594A8
Authority
WO
WIPO (PCT)
Prior art keywords
assisted
medical instruments
indirect visualization
positioning medical
medical instrument
Prior art date
Application number
PCT/IB2016/050877
Other languages
French (fr)
Other versions
WO2016135594A1 (en
Inventor
Gian Luigi Cola
Raffaele Di Sarno
Fabio ZATTONI
Andrea GUTTILLA
Original Assignee
Faber Industrie S.P.A.
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 Faber Industrie S.P.A. filed Critical Faber Industrie S.P.A.
Priority to EP16713077.2A priority Critical patent/EP3261550A1/en
Publication of WO2016135594A1 publication Critical patent/WO2016135594A1/en
Publication of WO2016135594A8 publication Critical patent/WO2016135594A8/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0241—Pointed or sharp biopsy instruments for prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • 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
    • 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
    • A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3409—Needle locating or guiding means using mechanical guide means including needle or instrument drives
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
    • 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
    • A61B17/3403—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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2059—Mechanical position encoders
    • 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
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/252—User interfaces for surgical systems indicating steps of a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Robotics (AREA)
  • Gynecology & Obstetrics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

An apparatus (1) for positioning a medical instrument (2) with respect to a target tissue (3) comprises reference means (9) with a plurality of guide channels (11) to allow the medical instrument (2) to pass in a guided manner, and a depth reference (33) the position of which with respect to the guide channels (11) can be adjusted in the guide direction (14) and can be fixated so as to provide an insertion end-of-stroke position of the medical instrument (2) in a selected channel (31) of the guide channels (11).
PCT/IB2016/050877 2015-02-27 2016-02-18 Apparatus and method for positioning medical instruments assisted by indirect visualization WO2016135594A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP16713077.2A EP3261550A1 (en) 2015-02-27 2016-02-18 Apparatus and method for positioning medical instruments assisted by indirect visualization

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
ITMI20150300 2015-02-27
ITMI2015A000300 2015-02-27
ITMI20150301 2015-02-27

Publications (2)

Publication Number Publication Date
WO2016135594A1 WO2016135594A1 (en) 2016-09-01
WO2016135594A8 true WO2016135594A8 (en) 2016-11-03

Family

ID=62186212

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/IB2016/050878 WO2016135595A1 (en) 2015-02-27 2016-02-18 Indirect visualization-assisted apparatus and method for positioning medical instruments
PCT/IB2016/050877 WO2016135594A1 (en) 2015-02-27 2016-02-18 Apparatus and method for positioning medical instruments assisted by indirect visualization

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/IB2016/050878 WO2016135595A1 (en) 2015-02-27 2016-02-18 Indirect visualization-assisted apparatus and method for positioning medical instruments

Country Status (2)

Country Link
EP (2) EP3261552A1 (en)
WO (2) WO2016135595A1 (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018167002A1 (en) * 2017-03-16 2018-09-20 Koninklijke Philips N.V. Tilt-controlled grid
CN112998629A (en) * 2021-02-25 2021-06-22 徐州市中心医院 Percutaneous visual testosterone scope and using method thereof
EP4391950A2 (en) * 2021-08-23 2024-07-03 Biobot Surgical Pte Ltd Method and system for determining a trajectory of an elongated tool
IT202200022317A1 (en) * 2022-10-28 2024-04-28 Elesta S P A MEDICAL DEVICE FOR NATURAL ORIFICES
CN116458972B (en) * 2023-03-31 2023-12-01 拜斯特医疗科技(北京)有限公司 Ultrasonic probe calibrating and positioning device for living body puncture

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998023214A1 (en) * 1996-11-29 1998-06-04 Life Imaging Systems Inc. System, employing three-dimensional ultrasonographic imaging, for assisting in guiding and placing medical instruments
US6129670A (en) * 1997-11-24 2000-10-10 Burdette Medical Systems Real time brachytherapy spatial registration and visualization system
ES2246999T3 (en) * 2001-11-23 2006-03-01 Nucletron B.V. AUTOCONTROLLED DEVICE GUIDED BY IMAGES TO INSERT A NEEDLE IN THE BODY OF AN ANIMAL TO PERFORM RADIOTHERAPY IN THIS BODY.
WO2007106558A2 (en) * 2006-03-14 2007-09-20 The Johns Hopkins University Apparatus for insertion of a medical device within a body during a medical imaging process and devices and methods related thereto
US20110009748A1 (en) * 2009-06-11 2011-01-13 Galil Medical Ltd. Transperineal prostate biopsy system and methods
US9913596B2 (en) * 2010-11-25 2018-03-13 Invivo Corporation Systems and methods for MRI guided trans-orifice and transperineal intervention apparatus with adjustable biopsy needle insertion

Also Published As

Publication number Publication date
EP3261550A1 (en) 2018-01-03
WO2016135595A1 (en) 2016-09-01
EP3261552A1 (en) 2018-01-03
WO2016135594A1 (en) 2016-09-01

Similar Documents

Publication Publication Date Title
WO2016135594A8 (en) Apparatus and method for positioning medical instruments assisted by indirect visualization
EP3845157C0 (en) Surgical instrument with jaw alignment features
EP3975884A4 (en) Medical instruments for performing minimally-invasive procedures
EP3209216A4 (en) An apparatus for guiding a surgical needle
MX2017016341A (en) Percutaneous system and methods for enhanced epidural access for spine surgery.
EP3151768A4 (en) Patient-matched apparatus and methods for performing surgical procedures
EP3697290A4 (en) Robot-assisted surgical guide system for performing surgery
EP3534792A4 (en) Surgical depth instrument having neuromonitoring capabilities
EP3653159A4 (en) Surgical instrument having electrically-driven clamping mechanism
EP3245301A4 (en) Context dependent diagnostics test for guiding cancer treatment
BR112012028907A2 (en) device
GB2591885B (en) Surgical guide assembly for performing a knee osteotomy procedure
EP3192886A4 (en) Device for fixing biological soft tissue, and method for producing same
EP4069074A4 (en) Holographic augmented reality ultrasound needle guide for insertion for percutaneous surgical procedures
EP3672470A4 (en) Apparatus for improved visualization for endoscopic procedures
WO2016049003A3 (en) Side loading knot cutter
EP3813693C0 (en) Medical instrument for percutaneous release procedures
EP3395943A4 (en) Method for manufacturing tissue/organ by using blood cells
EP3318205A4 (en) Treatment instrument for endoscope
EP3275380A4 (en) Treatment instrument for endoscope
WO2016028507A8 (en) Apparatus and method for cutting tissue
EP3634248A4 (en) A surgical clamp for clamping an organ
EP3937807A4 (en) Surgical depth instrument
GB2556525A (en) Implants and guides for inserting an implant
EP4072442A4 (en) Polyaxial drill guide

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 16713077

Country of ref document: EP

Kind code of ref document: A1

REEP Request for entry into the european phase

Ref document number: 2016713077

Country of ref document: EP

NENP Non-entry into the national phase in:

Ref country code: DE