WO2022144695A3 - Systems for liquid flooding of lung to enhance endobronchial energy transfer for use in imaging, diagnosis and/or treatment - Google Patents

Systems for liquid flooding of lung to enhance endobronchial energy transfer for use in imaging, diagnosis and/or treatment Download PDF

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Publication number
WO2022144695A3
WO2022144695A3 PCT/IB2021/062118 IB2021062118W WO2022144695A3 WO 2022144695 A3 WO2022144695 A3 WO 2022144695A3 IB 2021062118 W IB2021062118 W IB 2021062118W WO 2022144695 A3 WO2022144695 A3 WO 2022144695A3
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WIPO (PCT)
Prior art keywords
endobronchial
lung
target tissue
tissue site
diagnosis
Prior art date
Application number
PCT/IB2021/062118
Other languages
French (fr)
Other versions
WO2022144695A2 (en
Inventor
Megan GREENWOOD
Matthew Kuhn
Joanna Nathan
Original Assignee
Ethicon, 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
Priority claimed from US17/522,317 external-priority patent/US20220202397A1/en
Application filed by Ethicon, Inc. filed Critical Ethicon, Inc.
Priority to EP21839685.1A priority Critical patent/EP4271246A2/en
Publication of WO2022144695A2 publication Critical patent/WO2022144695A2/en
Publication of WO2022144695A3 publication Critical patent/WO2022144695A3/en

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Abstract

An improved system and method of endobronchial imaging of lung nodules comprises the introduction of a perfluorocarbon (PFC) liquid into pulmonary passages of the lungs, the introduction of which enables better coupling between an endobronchial ultrasonic imaging system and a target tissue site within the pulmonary passages of the lungs, the improved coupling between the ultrasonic imaging system and a target tissue site being imparted by the removal (at least in part) the air interface present between the ultrasonic imaging system and the surface of the target tissue site. Furthermore, the unique properties of perfluorocarbon liquids (for example, the properties of superb biocompatibility, high affinity for dissolving oxygen, and extremely low surface tension) further position these substances to be particularly well-suited for this application.
PCT/IB2021/062118 2020-12-31 2021-12-21 Systems and methods for liquid flooding of lung to enhance endobronchial energy transfer for use in imaging, diagnosis and/or treatment WO2022144695A2 (en)

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Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2540348A1 (en) * 2008-07-18 2013-01-02 Vytronus, Inc. System for delivering energy to tissue
US20130158346A1 (en) * 2003-12-12 2013-06-20 University Of Washington Catheterscope 3D Guidance and Interface System
US20130261455A1 (en) * 2008-11-17 2013-10-03 Vytronus, Inc. Systems and methods for ablating body tissue
US20140046313A1 (en) * 2012-01-30 2014-02-13 Vytronus, Inc. Tissue necrosis methods and apparatus
EP2764822A1 (en) * 2013-02-11 2014-08-13 Covidien LP Cytology sampling system and method of utilizing the same
WO2014174395A1 (en) * 2013-04-26 2014-10-30 Peter Bromley Lung cancer treatment
US20160287223A1 (en) * 2015-04-01 2016-10-06 Boston Scientific Scimed, Inc. Pulmonary biopsy devices
US20160346030A1 (en) * 2008-06-14 2016-12-01 Vytronus, Inc. System and method for delivering energy to tissue
US20180146839A1 (en) * 2015-06-24 2018-05-31 The Regents Of The University Of Colorado, A Body Corporate Multi-use scope
US20180153531A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for eccentric nodule tissue acquisition
US20180325499A1 (en) * 2017-05-12 2018-11-15 Auris Health, Inc. Biopsy apparatus and system
US20200375448A1 (en) * 2018-04-17 2020-12-03 Bryan I. HARTLEY Airway visualization system
WO2021127426A1 (en) * 2019-12-19 2021-06-24 Noah Medical Corporation Systems and methods for robotic bronchoscopy

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130158346A1 (en) * 2003-12-12 2013-06-20 University Of Washington Catheterscope 3D Guidance and Interface System
US20160346030A1 (en) * 2008-06-14 2016-12-01 Vytronus, Inc. System and method for delivering energy to tissue
EP2540348A1 (en) * 2008-07-18 2013-01-02 Vytronus, Inc. System for delivering energy to tissue
US20130261455A1 (en) * 2008-11-17 2013-10-03 Vytronus, Inc. Systems and methods for ablating body tissue
US20140046313A1 (en) * 2012-01-30 2014-02-13 Vytronus, Inc. Tissue necrosis methods and apparatus
EP2764822A1 (en) * 2013-02-11 2014-08-13 Covidien LP Cytology sampling system and method of utilizing the same
WO2014174395A1 (en) * 2013-04-26 2014-10-30 Peter Bromley Lung cancer treatment
US20160287223A1 (en) * 2015-04-01 2016-10-06 Boston Scientific Scimed, Inc. Pulmonary biopsy devices
US20180146839A1 (en) * 2015-06-24 2018-05-31 The Regents Of The University Of Colorado, A Body Corporate Multi-use scope
US20180153531A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for eccentric nodule tissue acquisition
US20180325499A1 (en) * 2017-05-12 2018-11-15 Auris Health, Inc. Biopsy apparatus and system
US20200375448A1 (en) * 2018-04-17 2020-12-03 Bryan I. HARTLEY Airway visualization system
WO2021127426A1 (en) * 2019-12-19 2021-06-24 Noah Medical Corporation Systems and methods for robotic bronchoscopy

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