EP4210608A4 - Systèmes et procédés de coupe tissulaire - Google Patents

Systèmes et procédés de coupe tissulaire Download PDF

Info

Publication number
EP4210608A4
EP4210608A4 EP21867713.6A EP21867713A EP4210608A4 EP 4210608 A4 EP4210608 A4 EP 4210608A4 EP 21867713 A EP21867713 A EP 21867713A EP 4210608 A4 EP4210608 A4 EP 4210608A4
Authority
EP
European Patent Office
Prior art keywords
methods
tissue cutting
cutting systems
systems
tissue
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.)
Pending
Application number
EP21867713.6A
Other languages
German (de)
English (en)
Other versions
EP4210608A1 (fr
Inventor
Nasser Rafiee
Rany Busold
Morgan House
Robert J. Lederman
Toby ROGERS
Jaffar M. KHAN
Christopher G. BRUCE
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.)
Telltale LLC
US Department of Health and Human Services
Original Assignee
Telltale LLC
US Department of Health and Human Services
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 PCT/US2020/055160 external-priority patent/WO2021072331A1/fr
Priority claimed from US17/148,170 external-priority patent/US11337753B2/en
Priority claimed from US17/148,616 external-priority patent/US20210212756A1/en
Application filed by Telltale LLC, US Department of Health and Human Services filed Critical Telltale LLC
Publication of EP4210608A1 publication Critical patent/EP4210608A1/fr
Publication of EP4210608A4 publication Critical patent/EP4210608A4/fr
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00369—Heart valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • 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
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09166—Guide wires having radio-opaque features

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
EP21867713.6A 2020-09-12 2021-09-10 Systèmes et procédés de coupe tissulaire Pending EP4210608A4 (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US202063077579P 2020-09-12 2020-09-12
PCT/US2020/055160 WO2021072331A1 (fr) 2019-10-09 2020-10-09 Systèmes et procédés d'excision, de découpe et d'élimination de tissus
US17/148,170 US11337753B2 (en) 2020-07-03 2021-01-13 Tissue cutting systems and methods
US17/148,616 US20210212756A1 (en) 2017-08-25 2021-01-14 Tissue cutting systems and methods
PCT/US2021/049952 WO2022056317A1 (fr) 2020-09-12 2021-09-10 Systèmes et procédés de coupe tissulaire

Publications (2)

Publication Number Publication Date
EP4210608A1 EP4210608A1 (fr) 2023-07-19
EP4210608A4 true EP4210608A4 (fr) 2024-10-16

Family

ID=80629913

Family Applications (1)

Application Number Title Priority Date Filing Date
EP21867713.6A Pending EP4210608A4 (fr) 2020-09-12 2021-09-10 Systèmes et procédés de coupe tissulaire

Country Status (3)

Country Link
EP (1) EP4210608A4 (fr)
IL (1) IL301073A (fr)
WO (1) WO2022056317A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2022541414A (ja) 2019-07-09 2022-09-26 エーエムエックス クリップ マネージメント，エルエルシー 心臓弁治療の除去方法及び装置
WO2022049519A1 (fr) * 2020-09-04 2022-03-10 Baylis Medical Company Inc. Fil-guide doté de marqueurs de fil-guide
CN115998347B (zh) * 2022-09-27 2024-10-29 南京思脉德医疗科技有限公司 一种导丝定位反馈与限位锁止结构及导丝环固定工装

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999051149A1 (fr) * 1998-04-06 1999-10-14 Kyphon Inc. Structures et procedes pour former des cavites dans des regions corporelles internes
US20200001053A1 (en) * 2017-08-25 2020-01-02 Transmural Systems Llc Catheters and manipulators with articulable ends

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5807279A (en) * 1996-09-27 1998-09-15 Cordis Corporation Guidewire having radiopaque distal tip
US20030060842A1 (en) * 2001-09-27 2003-03-27 Yem Chin Method and apparatus for measuring and controlling blade depth of a tissue cutting apparatus in an endoscopic catheter
US20030088195A1 (en) * 2001-11-02 2003-05-08 Vardi Gil M Guidewire having measurement indicia
US11007059B2 (en) * 2016-05-06 2021-05-18 Transmural Systems Llc Annuloplasty procedures, related devices and methods
CN111601638B (zh) * 2018-02-22 2024-08-02 美国政府(由卫生和人类服务部的部长所代表) 用于组织撕裂的内弯曲电荷集中装置

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999051149A1 (fr) * 1998-04-06 1999-10-14 Kyphon Inc. Structures et procedes pour former des cavites dans des regions corporelles internes
US20200001053A1 (en) * 2017-08-25 2020-01-02 Transmural Systems Llc Catheters and manipulators with articulable ends

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2022056317A1 *

Also Published As

Publication number Publication date
WO2022056317A1 (fr) 2022-03-17
IL301073A (en) 2023-05-01
EP4210608A1 (fr) 2023-07-19
WO2022056317A8 (fr) 2023-03-30

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