JP2017512072A - ナビゲーション要素を備えた外科用アクセスシステムおよびその使用方法 - Google Patents

ナビゲーション要素を備えた外科用アクセスシステムおよびその使用方法 Download PDF

Info

Publication number: JP2017512072A
Authority: JP; Japan
Prior art keywords: outer sheath; surgical access; access assembly; tissue; obturator
Prior art date: 2014-03-05
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

JP2016536894A

Other languages

English (en)

Japanese (ja)

Inventor

エル．マーク，ジョーゼフ

ラマー，チャド

トロンペン，ミック

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.)

Nico Corp

Original Assignee

Nico Corp

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.)

2014-03-05

Filing date

2015-03-04

Publication date

2017-05-18

2014-03-05 Priority claimed from US14/198,167 external-priority patent/US9757147B2/en

2015-03-04 Application filed by Nico Corp filed Critical Nico Corp

2017-05-18 Publication of JP2017512072A publication Critical patent/JP2017512072A/ja

Status Pending legal-status Critical Current

Links

238000000034 method Methods 0.000 title abstract description 93
230000014759 maintenance of location Effects 0.000 claims description 33
238000005520 cutting process Methods 0.000 claims description 15
230000003667 anti-reflective effect Effects 0.000 claims 3
210000004556 brain Anatomy 0.000 abstract description 62
210000001519 tissue Anatomy 0.000 description 96
238000005286 illumination Methods 0.000 description 57
230000008569 process Effects 0.000 description 53
238000003384 imaging method Methods 0.000 description 48
239000003814 drug Substances 0.000 description 41
229940124597 therapeutic agent Drugs 0.000 description 37
238000011282 treatment Methods 0.000 description 32
238000012384 transportation and delivery Methods 0.000 description 29
210000005013 brain tissue Anatomy 0.000 description 28
208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 28
201000010099 disease Diseases 0.000 description 27
230000002159 abnormal effect Effects 0.000 description 25
238000001356 surgical procedure Methods 0.000 description 24
230000007246 mechanism Effects 0.000 description 21
239000000523 sample Substances 0.000 description 16
230000008499 blood brain barrier function Effects 0.000 description 15
210000001218 blood-brain barrier Anatomy 0.000 description 15
210000004027 cell Anatomy 0.000 description 15
210000004126 nerve fiber Anatomy 0.000 description 15
239000000835 fiber Substances 0.000 description 14
210000005036 nerve Anatomy 0.000 description 14
206010028980 Neoplasm Diseases 0.000 description 13
230000006378 damage Effects 0.000 description 13
238000002595 magnetic resonance imaging Methods 0.000 description 13
238000011269 treatment regimen Methods 0.000 description 12
210000004885 white matter Anatomy 0.000 description 11
210000004204 blood vessel Anatomy 0.000 description 10
208000014674 injury Diseases 0.000 description 10
230000001225 therapeutic effect Effects 0.000 description 10
230000003287 optical effect Effects 0.000 description 9
210000003625 skull Anatomy 0.000 description 9
230000008733 trauma Effects 0.000 description 9
239000000975 dye Substances 0.000 description 8
238000012800 visualization Methods 0.000 description 8
239000011800 void material Substances 0.000 description 8
238000003780 insertion Methods 0.000 description 7
230000037431 insertion Effects 0.000 description 7
230000002262 irrigation Effects 0.000 description 7
238000003973 irrigation Methods 0.000 description 7
238000002604 ultrasonography Methods 0.000 description 7
238000013459 approach Methods 0.000 description 6
230000000694 effects Effects 0.000 description 6
230000006870 function Effects 0.000 description 6
238000004519 manufacturing process Methods 0.000 description 6
238000007789 sealing Methods 0.000 description 6
230000002739 subcortical effect Effects 0.000 description 6
230000005821 brain abnormality Effects 0.000 description 5
238000010968 computed tomography angiography Methods 0.000 description 5
238000003745 diagnosis Methods 0.000 description 5
238000002598 diffusion tensor imaging Methods 0.000 description 5
239000012530 fluid Substances 0.000 description 5
238000007917 intracranial administration Methods 0.000 description 5
230000003902 lesion Effects 0.000 description 5
230000037361 pathway Effects 0.000 description 5
230000005855 radiation Effects 0.000 description 5
230000002787 reinforcement Effects 0.000 description 5
238000002679 ablation Methods 0.000 description 4
230000002411 adverse Effects 0.000 description 4
238000004891 communication Methods 0.000 description 4
238000007428 craniotomy Methods 0.000 description 4
230000002435 cytoreductive effect Effects 0.000 description 4
238000009792 diffusion process Methods 0.000 description 4
208000005017 glioblastoma Diseases 0.000 description 4
238000011065 in-situ storage Methods 0.000 description 4
239000000463 material Substances 0.000 description 4
239000002245 particle Substances 0.000 description 4
230000002093 peripheral effect Effects 0.000 description 4
230000002285 radioactive effect Effects 0.000 description 4
239000000126 substance Substances 0.000 description 4
208000003174 Brain Neoplasms Diseases 0.000 description 3
208000014644 Brain disease Diseases 0.000 description 3
230000005856 abnormality Effects 0.000 description 3
230000009471 action Effects 0.000 description 3
210000000988 bone and bone Anatomy 0.000 description 3
238000013461 design Methods 0.000 description 3
238000005516 engineering process Methods 0.000 description 3
239000007850 fluorescent dye Substances 0.000 description 3
239000006260 foam Substances 0.000 description 3
238000009169 immunotherapy Methods 0.000 description 3
238000011221 initial treatment Methods 0.000 description 3
230000009467 reduction Effects 0.000 description 3
239000011347 resin Substances 0.000 description 3
229920005989 resin Polymers 0.000 description 3
230000009885 systemic effect Effects 0.000 description 3
ZGXJTSGNIOSYLO-UHFFFAOYSA-N 88755TAZ87 Chemical group NCC(=O)CCC(O)=O ZGXJTSGNIOSYLO-UHFFFAOYSA-N 0.000 description 2
206010053942 Cerebral haematoma Diseases 0.000 description 2
208000012902 Nervous system disease Diseases 0.000 description 2
208000025966 Neurological disease Diseases 0.000 description 2
RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
229960002749 aminolevulinic acid Drugs 0.000 description 2
238000013528 artificial neural network Methods 0.000 description 2
238000000429 assembly Methods 0.000 description 2
230000000712 assembly Effects 0.000 description 2
TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 description 2
230000008901 benefit Effects 0.000 description 2
239000000560 biocompatible material Substances 0.000 description 2
238000001574 biopsy Methods 0.000 description 2
230000003925 brain function Effects 0.000 description 2
201000011510 cancer Diseases 0.000 description 2
210000003169 central nervous system Anatomy 0.000 description 2
230000002490 cerebral effect Effects 0.000 description 2
230000008859 change Effects 0.000 description 2
238000013170 computed tomography imaging Methods 0.000 description 2
238000012790 confirmation Methods 0.000 description 2
210000005257 cortical tissue Anatomy 0.000 description 2
210000003792 cranial nerve Anatomy 0.000 description 2
230000004069 differentiation Effects 0.000 description 2
238000009826 distribution Methods 0.000 description 2
229940079593 drug Drugs 0.000 description 2
238000010894 electron beam technology Methods 0.000 description 2
206010015037 epilepsy Diseases 0.000 description 2
239000007943 implant Substances 0.000 description 2
239000000976 ink Substances 0.000 description 2
230000000670 limiting effect Effects 0.000 description 2
210000004379 membrane Anatomy 0.000 description 2
230000004048 modification Effects 0.000 description 2
238000012986 modification Methods 0.000 description 2
238000000465 moulding Methods 0.000 description 2
239000008188 pellet Substances 0.000 description 2
230000001681 protective effect Effects 0.000 description 2
238000002271 resection Methods 0.000 description 2
230000004044 response Effects 0.000 description 2
238000005070 sampling Methods 0.000 description 2
238000004611 spectroscopical analysis Methods 0.000 description 2
210000000278 spinal cord Anatomy 0.000 description 2
238000002560 therapeutic procedure Methods 0.000 description 2
230000004797 therapeutic response Effects 0.000 description 2
229910052719 titanium Inorganic materials 0.000 description 2
239000010936 titanium Substances 0.000 description 2
238000003325 tomography Methods 0.000 description 2
230000007704 transition Effects 0.000 description 2
230000000007 visual effect Effects 0.000 description 2
235000012431 wafers Nutrition 0.000 description 2
XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
230000004580 weight loss Effects 0.000 description 2
208000024827 Alzheimer disease Diseases 0.000 description 1
241000894006 Bacteria Species 0.000 description 1
208000020925 Bipolar disease Diseases 0.000 description 1
208000034656 Contusions Diseases 0.000 description 1
FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
241001269524 Dura Species 0.000 description 1
206010016654 Fibrosis Diseases 0.000 description 1
229910052688 Gadolinium Inorganic materials 0.000 description 1
208000032612 Glial tumor Diseases 0.000 description 1
206010018338 Glioma Diseases 0.000 description 1
206010018852 Haematoma Diseases 0.000 description 1
206010062767 Hypophysitis Diseases 0.000 description 1
229930195725 Mannitol Natural products 0.000 description 1
206010027476 Metastases Diseases 0.000 description 1
206010060860 Neurological symptom Diseases 0.000 description 1
208000018737 Parkinson disease Diseases 0.000 description 1
FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
241000700605 Viruses Species 0.000 description 1
208000027418 Wounds and injury Diseases 0.000 description 1
238000005299 abrasion Methods 0.000 description 1
206010000269 abscess Diseases 0.000 description 1
230000002745 absorbent Effects 0.000 description 1
239000002250 absorbent Substances 0.000 description 1
210000003484 anatomy Anatomy 0.000 description 1
239000002246 antineoplastic agent Substances 0.000 description 1
210000000576 arachnoid Anatomy 0.000 description 1
230000005540 biological transmission Effects 0.000 description 1
208000028683 bipolar I disease Diseases 0.000 description 1
238000005422 blasting Methods 0.000 description 1
239000008280 blood Substances 0.000 description 1
210000004369 blood Anatomy 0.000 description 1
238000002725 brachytherapy Methods 0.000 description 1
239000006227 byproduct Substances 0.000 description 1
238000004364 calculation method Methods 0.000 description 1
239000002775 capsule Substances 0.000 description 1
239000003518 caustics Substances 0.000 description 1
208000015114 central nervous system disease Diseases 0.000 description 1
230000003727 cerebral blood flow Effects 0.000 description 1
210000004289 cerebral ventricle Anatomy 0.000 description 1
238000003486 chemical etching Methods 0.000 description 1
239000003795 chemical substances by application Substances 0.000 description 1
230000000973 chemotherapeutic effect Effects 0.000 description 1
238000002512 chemotherapy Methods 0.000 description 1
238000009104 chemotherapy regimen Methods 0.000 description 1
230000001427 coherent effect Effects 0.000 description 1
238000002591 computed tomography Methods 0.000 description 1
238000010276 construction Methods 0.000 description 1
230000001054 cortical effect Effects 0.000 description 1
208000031513 cyst Diseases 0.000 description 1
208000012106 cystic neoplasm Diseases 0.000 description 1
230000003247 decreasing effect Effects 0.000 description 1
230000003111 delayed effect Effects 0.000 description 1
230000001419 dependent effect Effects 0.000 description 1
238000001514 detection method Methods 0.000 description 1
238000011161 development Methods 0.000 description 1
230000018109 developmental process Effects 0.000 description 1
230000003292 diminished effect Effects 0.000 description 1
208000035475 disorder Diseases 0.000 description 1
238000002224 dissection Methods 0.000 description 1
238000012377 drug delivery Methods 0.000 description 1
210000001951 dura mater Anatomy 0.000 description 1
239000000428 dust Substances 0.000 description 1
230000008451 emotion Effects 0.000 description 1
230000007717 exclusion Effects 0.000 description 1
238000002474 experimental method Methods 0.000 description 1
210000003722 extracellular fluid Anatomy 0.000 description 1
230000004438 eyesight Effects 0.000 description 1
210000003608 fece Anatomy 0.000 description 1
230000004761 fibrosis Effects 0.000 description 1
230000003176 fibrotic effect Effects 0.000 description 1
238000001914 filtration Methods 0.000 description 1
238000007667 floating Methods 0.000 description 1
-1 for example Substances 0.000 description 1
UIWYJDYFSGRHKR-UHFFFAOYSA-N gadolinium atom Chemical compound [Gd] UIWYJDYFSGRHKR-UHFFFAOYSA-N 0.000 description 1
239000000499 gel Substances 0.000 description 1
230000004313 glare Effects 0.000 description 1
239000002955 immunomodulating agent Substances 0.000 description 1
238000007373 indentation Methods 0.000 description 1
230000003993 interaction Effects 0.000 description 1
238000007914 intraventricular administration Methods 0.000 description 1
230000001788 irregular Effects 0.000 description 1
210000003734 kidney Anatomy 0.000 description 1
230000002147 killing effect Effects 0.000 description 1
238000003698 laser cutting Methods 0.000 description 1
239000007788 liquid Substances 0.000 description 1
210000004185 liver Anatomy 0.000 description 1
230000007774 longterm Effects 0.000 description 1
208000030173 low grade glioma Diseases 0.000 description 1
238000007726 management method Methods 0.000 description 1
235000010355 mannitol Nutrition 0.000 description 1
239000000594 mannitol Substances 0.000 description 1
238000013507 mapping Methods 0.000 description 1
239000012528 membrane Substances 0.000 description 1
230000002503 metabolic effect Effects 0.000 description 1
230000007102 metabolic function Effects 0.000 description 1
238000002324 minimally invasive surgery Methods 0.000 description 1
239000000203 mixture Substances 0.000 description 1
201000006417 multiple sclerosis Diseases 0.000 description 1
230000035772 mutation Effects 0.000 description 1
239000002105 nanoparticle Substances 0.000 description 1
210000003928 nasal cavity Anatomy 0.000 description 1
210000002241 neurite Anatomy 0.000 description 1
230000000324 neuroprotective effect Effects 0.000 description 1
239000002858 neurotransmitter agent Substances 0.000 description 1
235000015097 nutrients Nutrition 0.000 description 1
210000000103 occipital bone Anatomy 0.000 description 1
230000036961 partial effect Effects 0.000 description 1
230000007170 pathology Effects 0.000 description 1
238000002428 photodynamic therapy Methods 0.000 description 1
210000003635 pituitary gland Anatomy 0.000 description 1
238000013439 planning Methods 0.000 description 1
239000002574 poison Substances 0.000 description 1
231100000614 poison Toxicity 0.000 description 1
231100000572 poisoning Toxicity 0.000 description 1
230000000607 poisoning effect Effects 0.000 description 1
229920000515 polycarbonate Polymers 0.000 description 1
239000004417 polycarbonate Substances 0.000 description 1
238000012545 processing Methods 0.000 description 1
238000004393 prognosis Methods 0.000 description 1
102000004169 proteins and genes Human genes 0.000 description 1
108090000623 proteins and genes Proteins 0.000 description 1
208000020016 psychiatric disease Diseases 0.000 description 1
238000011127 radiochemotherapy Methods 0.000 description 1
238000001959 radiotherapy Methods 0.000 description 1
230000008929 regeneration Effects 0.000 description 1
238000011069 regeneration method Methods 0.000 description 1
230000003014 reinforcing effect Effects 0.000 description 1
230000029058 respiratory gaseous exchange Effects 0.000 description 1
210000004761 scalp Anatomy 0.000 description 1
201000000980 schizophrenia Diseases 0.000 description 1
238000006748 scratching Methods 0.000 description 1
230000002393 scratching effect Effects 0.000 description 1
239000011780 sodium chloride Substances 0.000 description 1
230000001954 sterilising effect Effects 0.000 description 1
238000004659 sterilization and disinfection Methods 0.000 description 1
238000007920 subcutaneous administration Methods 0.000 description 1
238000011477 surgical intervention Methods 0.000 description 1
208000024891 symptom Diseases 0.000 description 1
230000005062 synaptic transmission Effects 0.000 description 1
238000002626 targeted therapy Methods 0.000 description 1
230000000451 tissue damage Effects 0.000 description 1
231100000827 tissue damage Toxicity 0.000 description 1
231100000331 toxic Toxicity 0.000 description 1
230000002588 toxic effect Effects 0.000 description 1
238000012546 transfer Methods 0.000 description 1
230000001052 transient effect Effects 0.000 description 1
230000017260 vegetative to reproductive phase transition of meristem Effects 0.000 description 1
238000009423 ventilation Methods 0.000 description 1
238000013022 venting Methods 0.000 description 1
230000035899 viability Effects 0.000 description 1

Images

Classifications

- 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
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/12—Arrangements for detecting or locating foreign bodies
- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
- 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
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
- 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
- A61B2090/103—Cranial plugs for access to brain
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
- 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
- A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Clinical applications
- A61B8/0808—Clinical applications for diagnosis of the brain
- 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
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe

Landscapes

Health & Medical Sciences (AREA)
Life Sciences & Earth Sciences (AREA)
Surgery (AREA)
Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
Medical Informatics (AREA)
Engineering & Computer Science (AREA)
Molecular Biology (AREA)
General Health & Medical Sciences (AREA)
Veterinary Medicine (AREA)
Biomedical Technology (AREA)
Heart & Thoracic Surgery (AREA)
Pathology (AREA)
Public Health (AREA)
Animal Behavior & Ethology (AREA)
Radiology & Medical Imaging (AREA)
Physics & Mathematics (AREA)
Biophysics (AREA)
Oral & Maxillofacial Surgery (AREA)
Gynecology & Obstetrics (AREA)
High Energy & Nuclear Physics (AREA)
Optics & Photonics (AREA)
Neurology (AREA)
Surgical Instruments (AREA)
Apparatus For Radiation Diagnosis (AREA)
Magnetic Resonance Imaging Apparatus (AREA)
Electrotherapy Devices (AREA)

JP2016536894A 2014-03-05 2015-03-04 ナビゲーション要素を備えた外科用アクセスシステムおよびその使用方法 Pending JP2017512072A (ja)

Applications Claiming Priority (3)

Application Number	Priority Date	Filing Date	Title
US14/198,167		2014-03-05
US14/198,167 US9757147B2 (en)	2012-04-11	2014-03-05	Surgical access system with navigation element and method of using same
PCT/US2015/018573 WO2015134562A2 (en)	2014-03-05	2015-03-04	Surgical access system with navigation element and method of using same

Publications (1)

Publication Number	Publication Date
JP2017512072A true JP2017512072A (ja)	2017-05-18

Family

ID=52697537

Family Applications (1)

Application Number	Title	Priority Date	Filing Date
JP2016536894A Pending JP2017512072A (ja)	2014-03-05	2015-03-04	ナビゲーション要素を備えた外科用アクセスシステムおよびその使用方法

Country Status (6)

Country	Link
EP (1)	EP3113705A2 (de)
JP (1)	JP2017512072A (de)
KR (1)	KR20160129830A (de)
AU (1)	AU2015227273A1 (de)
CA (2)	CA2928058C (de)
WO (1)	WO2015134562A2 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
JP2025061452A (ja) *	2019-05-31	2025-04-10	ニココーポレイション	外科用アクセスデバイスのためのアダプタ

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
KR20220166741A (ko) *	2021-06-10	2022-12-19	아주대학교산학협력단	내시경 수술 통로 확보 기구

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
US4655752A (en) *	1983-10-24	1987-04-07	Acufex Microsurgical, Inc.	Surgical cannula
US7001333B2 (en) *	2000-12-20	2006-02-21	Hamel Ross J	Surgical retractor system
DE10224005B4 (de) *	2002-05-29	2015-08-13	Stryker Leibinger Gmbh & Co. Kg	Trenn-/Biegesystem zum Anpassen einer Knochenplatte
JP5164571B2 (ja) *	2004-08-03	2013-03-21	インターヴェンショナルスパインインコーポレイテッド	経皮組織拡張システムおよび関連方法
US9387010B2 (en) *	2004-10-28	2016-07-12	Nico Corporation	Surgical access assembly and method of using same
US9186175B2 (en) *	2004-10-28	2015-11-17	Nico Corporation	Surgical access assembly and method of using same
US20070100210A1 (en) *	2005-11-02	2007-05-03	Depuy Spine, Inc.	Illuminated surgical access system including a surgical access device and coupled light emitter
US8430813B2 (en) *	2006-05-26	2013-04-30	Depuy Spine, Inc.	Illuminated surgical access system including a surgical access device and integrated light emitter
MX2010009087A (es) *	2008-02-20	2011-05-03	Unomedical As	Dispositivo de insercion con parte horizontalmente movil.

2015
- 2015-03-04 CA CA2928058A patent/CA2928058C/en active Active
- 2015-03-04 JP JP2016536894A patent/JP2017512072A/ja active Pending
- 2015-03-04 KR KR1020167013746A patent/KR20160129830A/ko not_active Withdrawn
- 2015-03-04 CA CA3168236A patent/CA3168236A1/en active Pending
- 2015-03-04 EP EP15711355.6A patent/EP3113705A2/de not_active Withdrawn
- 2015-03-04 AU AU2015227273A patent/AU2015227273A1/en not_active Abandoned
- 2015-03-04 WO PCT/US2015/018573 patent/WO2015134562A2/en not_active Ceased

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
JP2025061452A (ja) *	2019-05-31	2025-04-10	ニココーポレイション	外科用アクセスデバイスのためのアダプタ

Also Published As

Publication number	Publication date
WO2015134562A2 (en)	2015-09-11
CA3168236A1 (en)	2015-09-11
KR20160129830A (ko)	2016-11-09
WO2015134562A3 (en)	2015-11-05
AU2015227273A1 (en)	2016-05-05
CA2928058A1 (en)	2015-09-11
EP3113705A2 (de)	2017-01-11
CA2928058C (en)	2022-09-27

Publication	Publication Date	Title
US11969187B2 (en)	2024-04-30	Surgical access assembly and method of using same
US11284917B2 (en)	2022-03-29	Surgical access assembly and method of using same
US9757147B2 (en)	2017-09-12	Surgical access system with navigation element and method of using same
US10307183B2 (en)	2019-06-04	Surgical access system with navigation element and method of using same
JP2016515845A (ja)	2016-06-02	外科用アクセスアセンブリおよびその使用方法
US20160317795A1 (en)	2016-11-03	Surgical access assembly and method of using same
CA2928058C (en)	2022-09-27	Surgical access system with navigation element and method of using same
CA3150112C (en)	2025-09-02	FIRST LANE SYSTEM

JP2017512072A - ナビゲーション要素を備えた外科用アクセスシステムおよびその使用方法 - Google Patents

Info

Links

Images

Classifications

Landscapes

Applications Claiming Priority (3)

Publications (1)

Family

ID=52697537

Family Applications (1)

Country Status (6)

Cited By (1)

Families Citing this family (1)

Family Cites Families (9)

Cited By (1)

Also Published As

Similar Documents